CeHP: Community-based E-Health Program for Older Adults Living With Chronic Diseases

Sponsor

National University, Singapore (Other)

Overall Status

Recruiting

CT.gov ID

NCT04560296

Collaborator

Changi General Hospital (Other)

160

Enrollment

Locations

Arms

39.5

Anticipated Duration (Months)

Patients Per Site

Patients Per Site Per Month

Study Details

Study Description

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 randomized controlled trial (RCT) 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.

Condition or Disease	Intervention/Treatment	Phase
Diabetes Mellitus Hypertension Hyperlipidemias	Behavioral: Community-based E-Health Program Behavioral: usual self-management and follow up with doctors/nurse	N/A

Detailed Description

Background:

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 randomized controlled trial (RCT) 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.

Study Design

Study Type:

Interventional

Anticipated Enrollment :

160 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Intervention Model Description:

Cluster Randomized Controlled StudyCluster Randomized Controlled Study

Masking:

Single (Participant)

Primary Purpose:

Supportive Care

Official Title:

Community-based E-Health Program for Older Adults Living With Chronic Diseases - A Cluster Randomized Controlled Study With Process Evaluation

Actual Study Start Date :

Sep 15, 2020

Anticipated Primary Completion Date :

Aug 30, 2023

Anticipated Study Completion Date :

Dec 30, 2023

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Community-based E-Health Program The intervention group will consist of 80 participants who will engage in Community-based E-Health Program.	Behavioral: Community-based E-Health Program Community-based E-Health Program will be developed to engage and empower older adults to manage the chronic conditions effectively.
Active Comparator: usual self-management and follow up with doctors/nurse The participants will receive the usual self-management and follow up with doctors/nurse as planned.	Behavioral: usual self-management and follow up with doctors/nurse usual self-management and follow up with doctors/nurse as planned in the community nurse post.

Arm

Intervention/Treatment

Experimental: Community-based E-Health Program

The intervention group will consist of 80 participants who will engage in Community-based E-Health Program.

Behavioral: Community-based E-Health Program

Community-based E-Health Program will be developed to engage and empower older adults to manage the chronic conditions effectively.

Active Comparator: usual self-management and follow up with doctors/nurse

The participants will receive the usual self-management and follow up with doctors/nurse as planned.

Behavioral: usual self-management and follow up with doctors/nurse

usual self-management and follow up with doctors/nurse as planned in the community nurse post.

Outcome Measures

Primary Outcome Measures

Change in Self-care ability of Chronic disease [baseline, 3 month]
Self-care of Chronic Illness Inventory

Secondary Outcome Measures

Change in Patient Empowerment [baseline, 3 month]
Patient Empowerment scale
Change in Health Literacy [baseline, 3 month]
Health Literacy Scale, minimum value is 12, maximum value is 48, higher scores mean a better outcome.
Change in Social support [baseline, 3 month]
Social support Questionnaire
Change in Healthy Aging practice [baseline, 3 month]
Healthy Aging Instrument
Cognition [baseline, 3 month]
Montreal Cognitive Assessment
Cognition [baseline, 3 month]
Symbol Digit modality test
HbA1c [baseline, 3 month]
glycemic control

Eligibility Criteria

Criteria

Ages Eligible for Study:

55 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

Inclusion Criteria:

aged 55 or above;
able to understand and communicate in either English or Mandarin;
able to give consent to participate;
lives within the community setting;
diagnosed with chronic conditions (Hypertension, Hyperlipidemia, and Diabetes Mellites); 6) able to commit to five-hour learning.

Exclusion Criteria:

severe cognitive impairment;
severe psychiatric disorders;
severe vision impairment;
severe hearing impairment.

Contacts and Locations

Locations

	Site	City	Country	Postal Code
1	THK SAC @ Bedok Radiance	Singapore	Singapore	460012
2	THK SAC @ Kaki Bukit	Singapore	Singapore	462509
3	Presbyterian Community Services - Evergreen Circle Seniors Activity Centre	Singapore	Singapore	521827
4	Lb Sac (Sa) @ Tampines 494E	Singapore	Singapore	525494