Clinical trial NCT05180604: The Application and Evaluation of eHealth Literacy (eHL) Concept
Official title: Improving Patients With Chronic Disease to Engage in the eHealth Care Environment: the Application and Evaluation of eHealth Literacy Concept
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Type 2 Diabetes Mellitus
Chronic Kidney Diseases
Cardiovascular Diseases
Keywords: Chronic disease
eHealth literacy
patient engagement
experience learning theory
Self-management
empowerment
eHealth care
Lead sponsor: National Yang Ming Chiao Tung University
Sponsor class: OTHER
First posted: 2022-01-06
Enrollment: 92
Sex: ALL
Minimum age (years): 20
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: This study aims to explore the effectiveness of experience learning program of eHealth care to improve the chronic patients' eHL in engaging with the eHealth care system on the indicators on eHealth literacy, patient health engagement, e-Health usage status among Chronic disease patients included type 2 diabetes patients, Chronic kidney disease, and Cardiovascular Diseases.

Detailed description: Chronic diseases are irreversible that incurs considerable medical and economic costs. Even if the government and medical health care system make an effort to improve care and recommend e-health care, the incidence and prevalence rates of chronic diseases have not decreased but increased, and participants have even become the main cause of kidney disease. Technology and daily life has become more inseparable, which also led to the change of the traditional face to face health care model. The chronic disease care is gradually transitioning into the smart eHealth care era, patients are in need of learning how to face innovative ways of using care and resources. eHealth literacy (eHL)is the essential element that determines if patient can adapt to the rapidly changing health care system.

Due to the disciplinary integration of medical and technology, eHealth care provides continuous care for patients. But, it is still necessary to return to patient-centered care thinking and improving patients' knowledge and ability to use eHealth care technology. This can be applied to disease care, and implemented for daily self-health management. Therefore, this study explores the effects of intervention and the learning process and experience of patients through an experience learning program of eHealth care.

Eligibility criteria: Inclusion Criteria:

* Diagnosed as a type 2 diabetes patients, Chronic kidney disease, and Cardiovascular Diseases more than three months.
* At least 20 years old, with clear consciousness and able to communicate in Mandarin or Taiwanese.
* Possess a mobile phone or tablet with internet capabilities.
* Consent to participate in this research and be willing to sign a consent form.

Exclusion Criteria:

* Suffering from serious diseases, such as: general paralysis, mental disorders, cognitive function abnormalities, etc.
* Those who cannot communicate in Mandarin or Taiwanese.
* Those who refuse to participate in this research.

Primary outcomes:
measure: Baseline of eHealth Literacy Questionnaire scores
timeFrame: The pretest is completed when the patients agrees to join the intervention.
measure: The eHealth Literacy Questionnaire scores at the end of intervention
timeFrame: The post-test 1 is completed at the end of the 6 weeks intervention
measure: The eHealth Literacy Questionnaire scores after intervention at 3 months
timeFrame: The post-test 2 is completed after intervention at 3 months
measure: The eHealth Literacy Questionnaire scores after intervention at 6 months
timeFrame: The post-test 3 is completed after intervention at 6 months
measure: Baseline of The acceptance of eHealth care scores
timeFrame: The pretest is completed when the patients agrees to join the intervention.
measure: The acceptance of eHealth care scores at the end of intervention
timeFrame: The post-test 1 is completed at the end of the 6 weeks intervention
measure: The acceptance of eHealth care scores after intervention at 3 months
timeFrame: The post-test 2 is completed after intervention at 3 months
measure: The acceptance of eHealth care scores after intervention at 6 months
timeFrame: The post-test 3 is completed after intervention at 6 months
measure: Baseline of Health Technology Usage Sore
timeFrame: The pretest is completed when the patients agrees to join the intervention.
measure: The Health Technology Usage Sore at the end of intervention
timeFrame: The post-test 1 is completed at the end of the 6 weeks intervention
measure: The Health Technology Usage Sore after intervention at 3 months
timeFrame: The post-test 2 is completed after intervention at 3 months
measure: The Health Technology Usage Sore after intervention at 6 months
timeFrame: The post-test 3 is completed after intervention at 6 months
measure: Baseline of Patient Health Engagement score
timeFrame: The pretest is completed when the patients agrees to join the intervention.
measure: The Patient Health Engagement score at the end of the intervention
timeFrame: The post-test 1 is completed at the end of the 6 weeks intervention
measure: The Patient Health Engagement score after intervention at 3 months
timeFrame: The post-test 2 is completed after intervention at 3 months
measure: The Patient Health Engagement score after intervention at 6 months
timeFrame: The post-test 3 is completed after intervention at 6 months
Secondary outcomes:
measure: The change in renal function level at the end of the intervention
timeFrame: To collect two-time point data by chart review. Those were before the intervention and the end of the the 6 weeks intervention
measure: The change Trajectory of renal function level from baseline to after intervention at 6 months and 1 year
timeFrame: To collect three-time point data by chart review. Those were before the intervention, the end of the 6 weeks intervention, and after intervention at six months and 1 year
measure: The change in HbA1C level at the end of the intervention
timeFrame: To collect two-time point data by chart review. Those were before the intervention and the end of the the 6 weeks intervention
measure: The change Trajectory of HbA1C level from baseline to after the intervention at 3, 6, and 12 months
timeFrame: To collect four-time point data by chart review. Those were before the intervention, the end of the 6 weeks intervention, after the intervention at three months, after the intervention at six months, and after the intervention at twelve months
measure: The change in Triglycerides level at the end of the intervention
timeFrame: To collect two-time point data by chart review. Those were before the intervention and the end of the six weeks intervention
measure: The change Trajectory of Triglycerides level from baseline to after the intervention at 3 , 6 and 12 months
timeFrame: To collect four-time point data by chart review. Those were before the intervention, the end of the 6 weeks intervention, after the intervention at three months, after the intervention at six months, and after the intervention at twelve months.
measure: The change in Cholesterol level at the end of the intervention
timeFrame: To collect two-time point data by chart review. Those were before the intervention and the end of the 6 weeks intervention
measure: The change Trajectory of Cholesterol level from baseline to after the intervention at 3, 6 and 12 months
timeFrame: To collect two-time point data by chart review. Those were before the intervention, the end of the 6 weeks intervention, after the intervention at three months, after the intervention at six months, and after the intervention at twelve months.
Other outcomes:
Locations:
city: Taipei City
country: Taiwan
facility: National Yang Ming University
Study officials:
affiliation: National Yang Ming Chiao Tung University
name: Yu-Chi Chen, Ph.D.
role: STUDY_CHAIR
References:
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