Clinical trial NCT05920733: Healthy Lifetime - Phase 2
Official title: Healthy Lifetime - Sustainability and Quality Study - PHASE 2
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Aging Well
Keywords: nurse coaching
motivational interviewing
aging
Lead sponsor: University of Michigan
Sponsor class: OTHER
Collaborators: name: Michigan Department of Health and Human Services
First posted: 2023-06-27
Enrollment: 120
Sex: ALL
Minimum age (years): 30
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: OTHER

Brief summary: HealthyLifetime (HL) is a person-centered program that enables older adults to maximize health and optimize functioning - the necessary requisite to successfully remaining independent in their preferred home setting as long as possible, i.e., to age in place.

Detailed description: HL seeks to intervene early in the aging process when individuals have the best chance for longer term benefits of changing their health behavior, as a means to stave off functional decline, and minimize the onset or exacerbation of chronic conditions. And, for individuals who are experiencing any of the barriers described above, our HL program's Nurse Coaches are prepared and experienced in helping them achieve their highest level of functioning and self-care capacity, while integrating and collaborating with, but not duplicating, their medical services such as primary care, specialty care, and case management or medical social services. While the latter medically oriented services support clinical management, they do not focus on helping older adults maximize health and function by building self-care capacity, long term health behavior change capacity and the functional resilience necessary to sustain or regain independent living.

Eligibility criteria: Inclusion Criteria:

* Be able to read, speak English and hear - but may use glasses or hearing aids, if needed;
* Be able to tell us their age, their date of birth, address, and phone number, as well as write down and explain their health problems;
* Have their own computer or iPad (Tablet) with an Internet connection, a working camera and microphone. and
* Be able to use their computer/tablet to connect to video chat sessions like Zoom in a private space in their home or a private room.

Exclusion Criteria:

* People who, in the last month, have used the Emergency Room (ER) or stayed in the hospital.
* Are not verified users of Medicaid Home Help services \[we will check with the Michigan Department of Health and Human Service to verify that you receive these services using your name, date of birth, and Medicaid identification number\];
* Have a new major health problem that they are seeing a doctor about more than once per month;
* Have been told their illness is not curable;
* Cannot remember their name, date of birth or their health problems;
* Cannot use glasses or a hearing aid to see or hear well enough to read materials on the computer or talk to the nurse easily; and,
* Do not have, or cannot use, a computer, iPad or other device with the Internet at home to use Zoom (e.g., internet streaming).

Primary outcomes:
measure: Change in Participant Self- rated health score
timeFrame: At 0, 8 and 20 weeks after study enrollment.
measure: Change in Self-efficacy in ability to continue essential life activities score
timeFrame: At 0, 8 and 20 weeks after study enrollment.
measure: Change in Independent self-care agency score
timeFrame: At 0, 8 and 20 weeks after study enrollment.
measure: Change in Health Habits score
timeFrame: At 0, 8 and 20 weeks after study enrollment.
measure: Change in Goal attainment score
timeFrame: At 0, 8 and 20 weeks after study enrollment.
measure: Change in Quality of Life score
timeFrame: At 0, 8 and 20 weeks after study enrollment.
measure: Change in Lifestyle Habits
timeFrame: At 0, 8 and 20 weeks after study enrollment.
measure: Change in Food Consumption
timeFrame: At 0, 8 and 20 weeks after study enrollment.
measure: Change in Exercise and Activities
timeFrame: At 0, 8 and 20 weeks after study enrollment.
measure: Change in Vigorous Activity
timeFrame: At 0, 8 and 20 weeks after study enrollment.
measure: Change in Level of independence in household activities score
timeFrame: At 0, 8 and 20 weeks after study enrollment.
measure: Change in Health Impact
timeFrame: At 0, 8 and 20 weeks after study enrollment.
measure: Change in Confidence in ability to manage symptoms score
timeFrame: At 0, 8 and 20 weeks after study enrollment.
measure: Change in Level of Symptomatology score
timeFrame: At 0, 8 and 20 weeks after study enrollment.
measure: Change in Other Symptoms
timeFrame: At 0, 8 and 20 weeks after study enrollment.
Secondary outcomes:
measure: Higher values of primary measures at 8 weeks: persistence at 20 weeks
timeFrame: 20 weeks after study enrollment
measure: Change in Self-reported medical visits
timeFrame: At 0, 8 and 20 weeks after study enrollment.
measure: Change in Social Network and Support score
timeFrame: At 0, 8 and 20 weeks after study enrollment.
measure: Change in type and source of At-home Support
timeFrame: At 0, 8 and 20 weeks after study enrollment.
Other outcomes:
measure: Change in Perception of health now and in 3 years score
timeFrame: At 0, 8 and 20 weeks after study enrollment.
measure: Change in Medication taking self care efficacy score
timeFrame: At 0, 8 and 20 weeks after study enrollment.
measure: Health Conditions
timeFrame: At 0, 8 and 20 weeks after study enrollment.
Locations:
city: Ann Arbor
country: United States
facility: University of Michigan School of Nursing
state: Michigan
Study officials:
affiliation: University of Michigan
name: Kathleen Potempa, PhD
role: STUDY_DIRECTOR
References: