Community-based E-Health Program for Older Adults Living with Chronic Diseases

NCT ID: NCT04560296

Last Updated: 2024-11-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-09-15

Study Completion Date

2024-06-30

Brief Summary

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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

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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.

Conditions

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Diabetes Mellitus Hypertension Hyperlipidemias

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Cluster Controlled Study
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Community-based E-Health Program

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

Group Type EXPERIMENTAL

Community-based E-Health Program

Intervention Type BEHAVIORAL

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

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.

Group Type ACTIVE_COMPARATOR

usual self-management and follow up with doctors/nurse

Intervention Type BEHAVIORAL

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

Interventions

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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.

Intervention Type 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.

Intervention Type BEHAVIORAL

Eligibility Criteria

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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.
Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Changi General Hospital

OTHER

Sponsor Role collaborator

National University of Singapore

OTHER

Sponsor Role lead

Responsible Party

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Vivien Xi WU, PhD

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Vivien Xi Wu, PhD

Role: PRINCIPAL_INVESTIGATOR

National University of Singapore

Locations

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Brahm Centre @ Tampines

Singapore, Singapore, Singapore

Site Status

THK SAC @ Bedok Radiance

Singapore, , Singapore

Site Status

THK SAC @ Kaki Bukit

Singapore, , Singapore

Site Status

Pap Community Foundation 3-in-1 Family Centre (Aged Care)

Singapore, , Singapore

Site Status

Brahm Centre @ Simei 227

Singapore, , Singapore

Site Status

Lb Sac @ 434 Tampines

Singapore, , Singapore

Site Status

Presbyterian Community Services - Evergreen Circle Seniors Activity Centre

Singapore, , Singapore

Site Status

Lb Sac @ 499C Tampines

Singapore, , Singapore

Site Status

Lb Sac (Sa) @ Tampines 494E

Singapore, , Singapore

Site Status

Countries

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Singapore

References

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Epidemiology & Disease Control Division, et al., The Burden of Disease in Singapore, 1990-2017: An overview of the Global Burden of Disease Study 2017results. 2019: Seattle, WA: IHME

Reference Type BACKGROUND

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.

Reference Type BACKGROUND
PMID: 29793001 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 27567871 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 28346532 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 28152248 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 26549171 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 20562629 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 22353433 (View on PubMed)

Other Identifiers

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NUHSRO/2019/081/Startup/06

Identifier Type: -

Identifier Source: org_study_id

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