Supporting Healthy Aging by Peer Education and Support

NCT ID: NCT02745275

Last Updated: 2019-11-04

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 90 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2017-09-01
• Study Completion Date: 2019-10-20

Brief Summary

Canadians are living longer than ever before. However, many in our society age with long term chronic medical conditions which have a major impact on their need for healthcare, their quality of life and well-being. Encouragement of lifestyle practices which promote healthy aging and self-management techniques to deal with chronic disease is important in improving peoples' well-being

The purpose of this study is to study the impact of peer delivered education and support for seniors living in the community to see if training given to other seniors improves healthy ageing behaviours and their health literacy.

Detailed Description

In Canada, between 1960 and 2009, the proportion of seniors (people aged ≥65 years) rose from 8% to 14%; it is estimated that this proportion will increase to 23-25% by 2036. The number of people in the population aged ≥80 years is projected to more than double between 2009 and 2036. This population ageing has, and will, have a major impact on healthcare, economics, education, employment and social engagement. Many in our society age with long term chronic medical conditions; the management of which is partly responsible for the increasing consumption of health care resources in later life. There is a pressing need on the part of health care providers and policy makers to contain these increasing expenditures. Encouragement of lifestyle practices which promote successful or healthy aging and self - management techniques to deal with chronic disease are therefore of paramount importance to the achievement of this goal. Cost containment, however, is not the sole reason for pursuing such practice; there is some evidence that self-management and an increase in health literacy leads to an increased sense of empowerment and an improvement in health related quality of life for seniors.

In the presence of chronic disease, self-management is seen as a critical element in containing resource demand and in empowering patients whilst increasing their health literacy. Self-management training courses have been developed for generic physical long term conditions which have led to improved outcomes and some cost savings in chronic care. There is therefore an opportunity to educate and empower seniors in both healthy ageing behaviours and self-management of chronic disease, which has the potential to contain health care resource use, improve perception of self-rated health and quality of life.

This study aims to explore the use of health coaches, where health coaching can be defined as helping patients gain the knowledge, skills, tools and confidence to become active participants in their care so that they can reach their self-identified health goals, drawn from community dwelling seniors, rather than "expert patients" in educating and supporting their peers in healthy aging behaviours and self-management of chronic disease.

Conditions

Health Behavior; Ageing

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: CROSSOVER
• Primary Study Purpose: PREVENTION
• Blinding Strategy: SINGLE

Study Groups

Peer-led Health Education

A single 60 minute interactive workshop led by the trained health coach followed by a series of three one hour discussion groups

Group Type: EXPERIMENTAL

Peer-led Health Education

Intervention Type: BEHAVIORAL

Peer-led health education

Control

No intervention

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Peer-led Health Education

Peer-led health education

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Both male and female community dwelling seniors who attend seniors centres in Edmonton
• Able to commit their time to participate in the study and complete the required assessments
• Speak and understand English
• Be under the care of or have access to a Family doctor

Exclusion Criteria

• Medical or psychological impairment which might seriously impair adherence to the program

• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Covenant Health, Canada

OTHER

Sponsor Role: collaborator

University of Alberta

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Adrian S Wagg, MD

Role: PRINCIPAL_INVESTIGATOR

University of Alberta

Locations

Division of Geriatric Medicine, Clinical Sciences Building, University of Alberta Hosp

Edmonton, Alberta, Canada

Countries

Canada

References

Foster G, Taylor SJ, Eldridge SE, Ramsay J, Griffiths CJ. Self-management education programmes by lay leaders for people with chronic conditions. Cochrane Database Syst Rev. 2007 Oct 17;(4):CD005108. doi: 10.1002/14651858.CD005108.pub2.

Reference Type: BACKGROUND

PMID: 17943839 (View on PubMed)

Bodenheimer T, Lorig K, Holman H, Grumbach K. Patient self-management of chronic disease in primary care. JAMA. 2002 Nov 20;288(19):2469-75. doi: 10.1001/jama.288.19.2469.

Reference Type: BACKGROUND

PMID: 12435261 (View on PubMed)

Fiocco AJ, Scarcello S, Marzolini S, Chan A, Oh P, Proulx G, Greenwood C. The effects of an exercise and lifestyle intervention program on cardiovascular, metabolic factors and cognitive performance in middle-aged adults with type II diabetes: a pilot study. Can J Diabetes. 2013 Aug;37(4):214-219. doi: 10.1016/j.jcjd.2013.03.369. Epub 2013 Aug 2.

Reference Type: BACKGROUND

PMID: 24070883 (View on PubMed)

Lorig KR, Sobel DS, Stewart AL, Brown BW Jr, Bandura A, Ritter P, Gonzalez VM, Laurent DD, Holman HR. Evidence suggesting that a chronic disease self-management program can improve health status while reducing hospitalization: a randomized trial. Med Care. 1999 Jan;37(1):5-14. doi: 10.1097/00005650-199901000-00003.

Reference Type: BACKGROUND

PMID: 10413387 (View on PubMed)

Other Identifiers

SHAPES-0915

Identifier Type: -

Identifier Source: org_study_id