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Completed

NCT Number: NCT04560296

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

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.

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Key information

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 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

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

Treatment and study plan

Community-based E-Health Program

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

Behavioral

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

Primary outcomes

  1. Change in Self-care ability of Chronic disease

    Time frame: baseline, 3 month, 6 month

    Self-care of Chronic Illness Inventory

Secondary outcomes

  1. Change in Patient Empowerment

    Time frame: baseline, 3 month, 6 month

    Patient Empowerment scale

  2. Change in Health Literacy

    Time frame: baseline, 3 month, 6 month

    Health Literacy Scale, minimum value is 12, maximum value is 48, higher scores mean a better outcome.

  3. Change in Social support

    Time frame: baseline, 3 month, 6 month

    Social support Questionnaire

  4. Change in Healthy Aging practice

    Time frame: baseline, 3 month, 6 month

    Healthy Aging Instrument

  5. Montreal Cognitive Assessment

    Time frame: baseline, 3 month, 6 month

    Singapore version 2010

  6. Symbol Digit modality test

    Time frame: baseline, 3 month, 6 month

    Quickly screens for organic cerebral dysfunction in both children and adults, patient substitutes a number, either orally or written, for randomized presentations of geometric figures

  7. HbA1c

    Time frame: baseline, 3 month

    glycemic control

  8. Lipid panel

    Time frame: baseline, 3 month

    HDL, LDL, triglycerides

  9. Immunological profile

    Time frame: baseline, 3 month

    Cytokines (IL-1, IL6, IL15), TNFa, C1q, antinuclear antibody, antiDNA antibody

  10. Hormones

    Time frame: baseline, 3 month

    Cortisol, DHEA, insulin

  11. Fasting glucose

    Time frame: baseline, 3 month

    Plasma glucose concentration after fasting for 8 hours

Sponsors and collaborators

Lead sponsor

National University of Singapore

Other

Collaborators

  • Changi General Hospital

Registry information

Official study title

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

Acronym: CeHP

Important dates

Study start
2020
Primary completion
2023
Study completion
2024
First posted
Sep 23, 2020
Registry last updated
Nov 15, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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