Clinical trial NCT03878212: Effects of mHealth on Promoting Self-care Health Management Among Older Adults in the Community
Official title: Effects of mHealth on Promoting Self-care Health Management Among Older Adults in the Community: A 3-arm Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Telemedicine
Keywords: mHealth
app
Lead sponsor: The Hong Kong Polytechnic University
Sponsor class: OTHER
First posted: 2019-03-18
Enrollment: 221
Sex: ALL
Minimum age (years): 60
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: Many of the existing mobile health (mHealth) apps designed in a reactive care approach, in which people do not receive individualized care until they consulted health care professionals through the apps. This proposal endeavors to develop a proactive mHealth application on promoting self-care ability and health among older adults to examine the differential benefits of adding nurse interaction supported by an integrated health-social partnership model in the use of mHealth.

Detailed description: Objectives: Many of the existing mobile health (mHealth) apps designed in a reactive care approach, in which people do not receive individualized care until they consulted health care professionals through the apps. This proposal endeavors to develop a proactive mHealth application on promoting self-care ability and health among older adults to examine the differential benefits of adding nurse interaction supported by an integrated health-social partnership model in the use of mHealth.

Hypothesis to be tested: There is no difference in self-management outcomes, individual and societal benefits between the subjects receiving mHealth+Interactivity, mHealth, and usual care.

Design and subjects: This is a single-blinded, three-armed randomized controlled trial. The subjects are people who are aged 60 or above with chief complaints of either pain, hypertension, or diabetes mellitus.

Instruments: mHealth application designed by the research team with the information technological support by Smartone.

Interventions: mHealth with interactivity group receives both mHealth app and nurse case management supported by a social service team in community. mHealth group will have access to health content on mHealth platform only. Usual care group receives usual community services.

Main outcome measures: Self-management outcomes (self-efficacy, pain score, blood pressure, capillary blood glucose), individual (quality of life, depression) and societal benefits (institutionalization and health service utilization).

Data analysis: Generalized Estimating Equation (GEE) is used to determine the between-group effects, within-group effects, and the interaction effects.

Expected results: Older adults would benefit from supported self-care equipping them with sufficient knowledge, skills and confidence to lead to relatively independent life at home.

Eligibility criteria: Inclusion Criteria:

* people who are aged 60 or above
* with chief complaints of either pain, hypertension, or diabetes mellitus
* living within the service areas and (4) using smartphone

Exclusion Criteria:

* already engaged in other mHealth programs
* diagnosed with psychiatric problems
* bed-bound
* living in area with no internet coverage

Primary outcomes:
measure: Quality of life (general well-being of individual)
timeFrame: 3-month
Secondary outcomes:
measure: depression
timeFrame: 3-month
measure: self-efficacy
timeFrame: 3-month
measure: pain score
timeFrame: 3-month
measure: blood pressure
timeFrame: 3-month
measure: capillary blood glucose
timeFrame: 3-month
measure: health service utilization
timeFrame: 3-month
Other outcomes:
Locations:
city: Hong Kong
country: Hong Kong
facility: The Lutheran Group of social service
state: Siu Sai Wan
Study officials:
affiliation: The Hong Kong Polytechnic University
name: Arkers Wong, Master
role: PRINCIPAL_INVESTIGATOR
References:
citation: Wong AKC, Wong FKY, Chow KKS, Wong SM, Bayuo J, Ho AKY. Effect of a Mobile Health Application With Nurse Support on Quality of Life Among Community-Dwelling Older Adults in Hong Kong: A Randomized Clinical Trial. JAMA Netw Open. 2022 Nov 1;5(11):e2241137. doi: 10.1001/jamanetworkopen.2022.41137.
citation: Wong AKC, Wong FKY, Bayuo J, Chow KKS, Wong SM, Lee AYL. A randomized controlled trial of an mHealth application with nursing interaction to promote quality of life among community-dwelling older adults. Front Psychiatry. 2022 Oct 18;13:978416. doi: 10.3389/fpsyt.2022.978416. eCollection 2022.