Effectiveness of a Smart Community- and Home-based Integrated Care Services System for Elderly People
NCT ID: NCT06848036
Last Updated: 2025-02-26
Study Results
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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ACTIVE_NOT_RECRUITING
NA
64 participants
INTERVENTIONAL
2024-08-07
2026-08-31
Brief Summary
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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.
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Detailed Description
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The study will recruit participants from Guoyuan Town, Changsha County. Eligible elderly individuals from rural communities will undergo qualification assessment based on inclusion/exclusion criteria. Accounting for a 20% attrition rate, the study plans to enroll 64 elderly participants from rural communities in Guoyuan Town.
II. Intervention Allocation Phase:
Participants will be randomly assigned to either the experimental or control group using computer-generated randomization. Baseline measurements will be collected using:
SF-36 Health Survey
Activities of Daily Living (ADL) scale
Geriatric Depression Scale (GDS)
The experimental group will receive integrated care services through the "Hunan Province Integrated Smart Healthcare and Elderly Care Service Platform", while the control group will receive standard community care. The intervention includes:
Educational seminars introducing "Hunan Province Integrated Smart Healthcare and Elderly Care Service Platform" services
Assistance with platform registration for experimental group participants
Implementation of integrated care services via the platform
III. Follow-up Phase:
Three follow-up assessments will be conducted at:
3 months post-intervention
6 months post-intervention
12 months post-intervention
Follow-up assessments will repeat baseline measurements (SF-36, ADL, GDS) to evaluate health status changes. Participant attrition will be documented through follow-up tracking. All data will undergo double-entry verification using two independent data clerks maintaining separate files, with regular cross-verification and final reconciliation after the last follow-up.
IV. Analysis Phase:
Statistical comparisons between groups will be performed using:
Independent t-tests
Analysis of variance (ANOVA)
Conditions
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Study Design
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RANDOMIZED
PARALLEL
HEALTH_SERVICES_RESEARCH
TRIPLE
Study Groups
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Experimental group
Receiving integrated care services through the "Hunan Province Medical Elderly Integration Intelligent Service Platform".
smart integrated care services
Provide integrated care services through the 'Hunan Province Integrated Healthcare and Elderly Care Intelligent Service Platform,' including home-based care, mobile medical visits, and remote diagnosis and treatment services."
Control group
Receive regular community care services, with no intervention, as a blank control
No interventions assigned to this group
Interventions
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smart integrated care services
Provide integrated care services through the 'Hunan Province Integrated Healthcare and Elderly Care Intelligent Service Platform,' including home-based care, mobile medical visits, and remote diagnosis and treatment services."
Eligibility Criteria
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Inclusion Criteria
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
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
60 Years
ALL
Yes
Sponsors
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Liu Zhihan
OTHER
Responsible Party
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Liu Zhihan
Principal Investigator
Principal Investigators
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Zhihan Liu
Role: PRINCIPAL_INVESTIGATOR
School of Public Administration, Central South University
Locations
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Changsha County Guoyuan Town Health Center
Changsha, Hunan, China
Countries
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References
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Wang Z, Wei H, Liu Z. Older Adults' Demand for Community-Based Adult Services (CBAS) Integrated with Medical Care and Its Influencing Factors: A Pilot Qualitative Study in China. Int J Environ Res Public Health. 2022 Nov 11;19(22):14869. doi: 10.3390/ijerph192214869.
Liu Z, Ouyang C, Gu N, Zhang J, He X, Feng Q, Chang C. Service quality evaluation of integrated health and social care for older Chinese adults in residential settings based on factor analysis and machine learning. Digit Health. 2024 Dec 19;10:20552076241305705. doi: 10.1177/20552076241305705. eCollection 2024 Jan-Dec.
Wang Z, Liu Z. Latent classes and related predictors of demand for home-and community-based integrated care for older Chinese adults. Front Public Health. 2023 Jun 23;11:1109981. doi: 10.3389/fpubh.2023.1109981. eCollection 2023.
Zhang W, He X, Liu Z. Factors and Mechanism Influencing Client Experience of Residential Integrated Health and Social Care for Older People: A Qualitative Model in Chinese Institutional Settings. Int J Environ Res Public Health. 2023 Mar 6;20(5):4638. doi: 10.3390/ijerph20054638.
Provided Documents
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Document Type: Study Protocol
Document Type: Statistical Analysis Plan
Document Type: Informed Consent Form
Other Identifiers
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Self-funded
Identifier Type: OTHER_GRANT
Identifier Source: secondary_id
234083
Identifier Type: -
Identifier Source: org_study_id
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