Effectiveness of a Smart Community- and Home-based Integrated Care Services System for Elderly People in Rural Chinese Communities: A Randomized Controlled Trial in Changsha County
Trial ID: NCT06848036
Status: ACTIVE_NOT_RECRUITING
Study type: INTERVENTIONAL
Phase: NA
Start date: 2024-08-07
Completion date: 2026-08
Sponsor: Liu Zhihan
Conditions: Smart Community- and Home-based Integrated Care Services
Interventions: smart integrated care services
Locations: Changsha County Guoyuan Town Health Center
Countries: China
Enrollment: 64
Age range: 60 Years - None
Sex: ALL

Summary:
In recent years, the widespread application of emerging information technologies such as artificial intelligence, the Internet of Things, big data, cloud computing, and 5G has made "smart " a new breakthrough in the integrated healthcare and elderly care model. Smart Community- and Home-based Integrated Care Services , utilizing methods such as home hospital beds and mobile medical visits, ensure that key elderly groups with disabilities, dementia, chronic diseases, advanced age, and disabilities can receive the necessary medical services at home. This not only allows the elderly to live in familiar home environments, maintaining their independence and dignity, but also alleviates the pressure on medical resources, enabling more resources to be allocated to emergency care and highly specialized nursing. However, the smart healthcare and elderly care platform model is still in the pilot stage and requires more scientific evidence to verify its actual impact on the health of the elderly.

The purpose： The purpose of this clinical trial is to understand and verify the potential health improvement effects of the smart healthcare and elderly care platform on the elderly. By collecting health indicator data at different time points before and after the intervention, the study will compare the differences in health indicators between community-dwelling elderly who have used the smart healthcare and elderly care platform and those who have not, providing scientific evidence for the promotion of the smart healthcare and elderly care platform model and further facilitating its application and popularization among the elderly in the community.

The main question it aims to answer is: Are community-dwelling elderly who use the smart healthcare and elderly care platform healthier than those who do not use the service? Participants will： Participants will be randomly divided into an experimental group and a control group. The elderly in the experimental group will use the "Hunan Province Integrated Healthcare and Elderly Care Intelligent Service Platform," while the control group will not use the platform for blank control.

Data collection： The research team will collect health indicator data four times, including SF-36, Activities of Daily Living (ADL), and the Geriatric Depression Scale (GDS), at baseline, 3 months post-intervention, 6 months post-intervention, and 12 months post-intervention.

Eligibility criteria:
Inclusion Criteria:

1. Participants aged ≥60 years
2. Normal verbal communication abilities
3. No self-reported visual or auditory impairments
4. Presence of a long-term, fixed caregiver who accompanies and lives with the participant
5. Both the participant and their family members are informed and consent voluntarily to participate in this study

Exclusion Criteria

1. Participants aged \<60 years
2. Individuals suffering from severe physical or mental illnesses
3. Elderly individuals who have participated in other similar studies within the past year
4. Elderly individuals residing in institutions

Outcomes:
SF-36 scale (Short Form 36 Health Survey)