CeHP: Community-based E-Health Program for Older Adults Living With Chronic Diseases
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 |
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|
N/A |
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 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
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.
|
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
Inclusion Criteria:
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aged 55 or above;
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able to understand and communicate in either English or Mandarin;
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able to give consent to participate;
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lives within the community setting;
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diagnosed with chronic conditions (Hypertension, Hyperlipidemia, and Diabetes Mellites); 6) able to commit to five-hour learning.
Exclusion Criteria:
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severe cognitive impairment;
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severe psychiatric disorders;
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severe vision impairment;
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severe hearing impairment.
Contacts and Locations
Locations
Site | City | State | 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 |
Sponsors and Collaborators
- National University, Singapore
- Changi General Hospital
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- Beauchamp A, Peeters A, Tonkin A, Turrell G. Best practice for prevention and treatment of cardiovascular disease through an equity lens: a review. Eur J Cardiovasc Prev Rehabil. 2010 Oct;17(5):599-606. doi: 10.1097/HJR.0b013e328339cc99. Review.
- Koetsenruijter J, van Eikelenboom N, van Lieshout J, Vassilev I, Lionis C, Todorova E, Portillo MC, Foss C, Serrano Gil M, Roukova P, Angelaki A, Mujika A, Knutsen IR, Rogers A, Wensing M. Social support and self-management capabilities in diabetes patients: An international observational study. Patient Educ Couns. 2016 Apr;99(4):638-643. doi: 10.1016/j.pec.2015.10.029. Epub 2015 Nov 2.
- Solomon M, Wagner SL, Goes J. Effects of a Web-based intervention for adults with chronic conditions on patient activation: online randomized controlled trial. J Med Internet Res. 2012 Feb 21;14(1):e32. doi: 10.2196/jmir.1924.
- Tan HH, Xu J, Teoh HL, Chan BP, Seet RC, Venketasubramanian N, Sharma VK, Chen CL, Dong Y. Decline in changing Montreal Cognitive Assessment (MoCA) scores is associated with post-stroke cognitive decline determined by a formal neuropsychological evaluation. PLoS One. 2017 Mar 27;12(3):e0173291. doi: 10.1371/journal.pone.0173291. eCollection 2017.
- van de Bovenkamp HM, Dwarswaard J. The complexity of shaping self-management in daily practice. Health Expect. 2017 Oct;20(5):952-960. doi: 10.1111/hex.12536. Epub 2017 Feb 2.
- van der Heide I, Poureslami I, Mitic W, Shum J, Rootman I, FitzGerald JM. Health literacy in chronic disease management: a matter of interaction. J Clin Epidemiol. 2018 Oct;102:134-138. doi: 10.1016/j.jclinepi.2018.05.010. Epub 2018 May 21.
- Vijayan M, Reddy PH. Stroke, Vascular Dementia, and Alzheimer's Disease: Molecular Links. J Alzheimers Dis. 2016 Sep 6;54(2):427-43. doi: 10.3233/JAD-160527. Review.
- NUHSRO/2019/081/Startup/06