Clinical trial NCT04560296: Community-based E-Health Program for Older Adults Living with Chronic Diseases
Official title: Community-based E-Health Program for Older Adults Living with Chronic Diseases - a Cluster Controlled Study with Process Evaluation
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Diabetes Mellitus
Hypertension
Hyperlipidemias
Keywords: community-dwelling older adults
chronic diseases
self-management
e-health
cognitive impairment
Lead sponsor: National University of Singapore
Sponsor class: OTHER
Collaborators: name: Changi General Hospital
First posted: 2020-09-23
Enrollment: 150
Sex: ALL
Minimum age (years): 60
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Cluster Controlled Study
Primary purpose: SUPPORTIVE_CARE

Brief summary: With increased aging population, there is a higher rate of having chronic diseases and cognitive impairment. In order to achieve successful aging, it is important for community-dwelling older adults to perform better self-management with improved health literacy and various kinds of support. The study aims to develop a Community-based E-Health Program (CeHP) for Older Adults Living with Chronic Diseases , evaluate the effectiveness of CeHP, and refine the program based on the outcome measurement. A cluster controlled trial will be adopted. A follow-up process evaluation will be conducted to assess the acceptability, strengths and limitations of CeHP based on the participants' perspectives. The research contributes to engage and empower older adults living in the community to manage their chronic condition, and foster collaboration with the goal of translating evidence into action.

Detailed description: Background:

With increased aging population, there is a higher rate of having chronic diseases and cognitive impairment. In order to achieve successful aging, it is important for community-dwelling older adults to perform better self-management with improved health literacy and various kinds of support.

Objectives:

The study aims to develop a Community-based E-Health Program (CeHP), evaluate the effectiveness of CeHP, and refine the program based on the outcome measurement.

Method:

The research team will develop the Community-based E-Health Program, and assess the effects of the program. A needs assessment will be carried out using focus group discussion with the older adults. A cluster controlled trial will be adopted. A follow-up process evaluation will be conducted to assess the acceptability, strengths and limitations of Community-based E-Health Program based on the participants' perspectives

Discussion and conclusion:

The proposed research contributes to engage and empower older adults living in the community to manage their chronic condition, and foster collaboration with the goal of translating evidence into action. This research will offer important insights into the need for educating and engaging older adults in managing chronic conditions to promote health and well-being, and therefore contribute to health and well-being of the elderly population.

Eligibility criteria: Inclusion Criteria:

1) aged 60 or above; 2) able to understand and communicate in either English or Mandarin; 3) able to give consent to participate; 4) lives within the community setting; 5) diagnosed with chronic conditions (Hypertension, Hyperlipidemia, and Diabetes Mellites); 6) able to commit to the research program throughout the whole duration.

Exclusion Criteria:

1. severe cognitive impairment;
2. severe psychiatric disorders;
3. severe vision impairment;
4. severe hearing impairment.

Primary outcomes:
measure: Change in Self-care ability of Chronic disease
timeFrame: baseline, 3 month, 6 month
Secondary outcomes:
measure: Change in Patient Empowerment
timeFrame: baseline, 3 month, 6 month
measure: Change in Health Literacy
timeFrame: baseline, 3 month, 6 month
measure: Change in Social support
timeFrame: baseline, 3 month, 6 month
measure: Change in Healthy Aging practice
timeFrame: baseline, 3 month, 6 month
measure: Montreal Cognitive Assessment
timeFrame: baseline, 3 month, 6 month
measure: Symbol Digit modality test
timeFrame: baseline, 3 month, 6 month
measure: HbA1c
timeFrame: baseline, 3 month
measure: Lipid panel
timeFrame: baseline, 3 month
measure: Immunological profile
timeFrame: baseline, 3 month
measure: Hormones
timeFrame: baseline, 3 month
measure: Fasting glucose
timeFrame: baseline, 3 month
Other outcomes:
Locations:
city: Singapore
country: Singapore
facility: THK SAC @ Bedok Radiance
city: Singapore
country: Singapore
facility: THK SAC @ Kaki Bukit
city: Singapore
country: Singapore
facility: Pap Community Foundation 3-in-1 Family Centre (Aged Care)
city: Singapore
country: Singapore
facility: Brahm Centre @ Simei 227
city: Singapore
country: Singapore
facility: Lb Sac @ 434 Tampines
city: Singapore
country: Singapore
facility: Brahm Centre @ Tampines
city: Singapore
country: Singapore
facility: Presbyterian Community Services - Evergreen Circle Seniors Activity Centre
city: Singapore
country: Singapore
facility: Lb Sac @ 499C Tampines
city: Singapore
country: Singapore
facility: Lb Sac (Sa) @ Tampines 494E
Study officials:
affiliation: National University of Singapore
name: Vivien Xi Wu, PhD
role: PRINCIPAL_INVESTIGATOR
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