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NCT Number: NCT05920733

Healthy Lifetime - Phase 2

HealthyLifetime (HL) is a person-centered program that enables older adults to maximize health and optimize functioning - the necessary requisite to successfully remaining independent in their preferred home setting as long as possible, i.e., to age in place.

Recruiting

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Key information

Conditions

Age range

30 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Michigan School of Nursing

Ann Arbor, Michigan, 48109-5482, United States

Location status: Recruiting

Location contact

Alexis J Ellis

CONTACT

[email protected]

734-647-2676 ext. Potempa

Karen Harden, PhD

SUB_INVESTIGATOR

Kathleen Potempa, PhD

PRINCIPAL_INVESTIGATOR

Margaret Calarco, PhD

SUB_INVESTIGATOR

Marge Calarco

CONTACT

[email protected]

734-647-3857

Marna Flaherty-Robb, PhD

SUB_INVESTIGATOR

About this study

HL seeks to intervene early in the aging process when individuals have the best chance for longer term benefits of changing their health behavior, as a means to stave off functional decline, and minimize the onset or exacerbation of chronic conditions. And, for individuals who are experiencing any of the barriers described above, our HL program's Nurse Coaches are prepared and experienced in helping them achieve their highest level of functioning and self-care capacity, while integrating and collaborating with, but not duplicating, their medical services such as primary care, specialty care, and case management or medical social services. While the latter medically oriented services support clinical management, they do not focus on helping older adults maximize health and function by building self-care capacity, long term health behavior change capacity and the functional resilience necessary to sustain or regain independent living.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Be able to read, speak English and hear - but may use glasses or hearing aids, if needed;
  • Be able to tell us their age, their date of birth, address, and phone number, as well as write down and explain their health problems;
  • Have their own computer or iPad (Tablet) with an Internet connection, a working camera and microphone. and
  • Be able to use their computer/tablet to connect to video chat sessions like Zoom in a private space in their home or a private room.

Exclusion criteria

  • People who, in the last month, have used the Emergency Room (ER) or stayed in the hospital.
  • Are not verified users of Medicaid Home Help services [we will check with the Michigan Department of Health and Human Service to verify that you receive these services using your name, date of birth, and Medicaid identification number];
  • Have a new major health problem that they are seeing a doctor about more than once per month;
  • Have been told their illness is not curable;
  • Cannot remember their name, date of birth or their health problems;
  • Cannot use glasses or a hearing aid to see or hear well enough to read materials on the computer or talk to the nurse easily; and,
  • Do not have, or cannot use, a computer, iPad or other device with the Internet at home to use Zoom (e.g., internet streaming).

Treatment and study plan

Nurse-led health coaching

Behavioral

This project is an 6-month program providing an initial 2-month intensive evaluation and personalized virtual individual health coaching experience that is designed to prepare and equip the participant for improved self-care capacity, motivational insight, health-related problem solving and decision-making. This intensive period will then be followed by monthly 30-minute Nurse Coach assessment and individual coaching 'check-in' virtual visits, continued use of the electronic platform tools and health tracking system, and access to group 'virtual coaching' on tailored topics of interest to the cohort.

Other names: HealthyLifetime

Primary outcomes

  1. Change in Participant Self- rated health score

    Time frame: At 0, 8 and 20 weeks after study enrollment.

    Participants perception of their health on a scale of 1= Excellent to 5 = Poor

  2. Change in Self-efficacy in ability to continue essential life activities score

    Time frame: At 0, 8 and 20 weeks after study enrollment.

    Confidence of the participant in doing certain activities on a scale of 1= Not at all confident to 10 = Totally Confident. For the purposes of answering these questions, confidence is defined as the belief in the participant's chances of being able to do and/or complete an activity (e.g., hobbies and recreation, social visits, chores, errands, etc.) or task (e.g., hobbies and recreation, social visits, chores, errands, etc.) successfully however the participant defines it.

  3. Change in Independent self-care agency score

    Time frame: At 0, 8 and 20 weeks after study enrollment.

    Confidence in doing certain activities, e.g., stick to behavior changes, meet goals, and improve health, on a scale of 1= Not at all confident to 10 = Totally Confident

  4. Change in Health Habits score

    Time frame: At 0, 8 and 20 weeks after study enrollment.

    Activities that participants engage in that affect health in a negative or positive way, e.g., smoking (yes or no), alcohol (number of drinks per week), exercise (0 = none to 4= more than 3 hours/week), food choices (seldom or never to 2 or more times a day)

  5. Change in Goal attainment score

    Time frame: At 0, 8 and 20 weeks after study enrollment.

    Health goals (up to 3) of participants and importance of goal (1= Not at all important now to 10 = highest importance now) and confidence in achieving goal (1= Not confident at all to 10 = Completely Confident)

  6. Change in Quality of Life score

    Time frame: At 0, 8 and 20 weeks after study enrollment.

    Questions about how participant experiences their quality of life. Covers six areas and includes how satisfied they are with these areas, and how important they are to them.

    Uses a scale where "0" = "Do not agree at all" and "4" = "Agree completely"

  7. Change in Lifestyle Habits

    Time frame: At 0, 8 and 20 weeks after study enrollment.

    Questions about tobacco and alcohol use: Do participants use alcohol and/or tobacco, and, if so, how much

  8. Change in Food Consumption

    Time frame: At 0, 8 and 20 weeks after study enrollment.

    Participants report how frequently they eat foods from different food groups, e.g., vegetables, fruits, grains, dairy, sugary, etc.

  9. Change in Exercise and Activities

    Time frame: At 0, 8 and 20 weeks after study enrollment.

    DURING THE PAST 7 DAYS, even if it was not a typical week for participants, how much total time (for the entire week) did they spend on each of various exercises or activities, e.g., walking, swimming, bicycling, etc.

  10. Change in Vigorous Activity

    Time frame: At 0, 8 and 20 weeks after study enrollment.

    Number of days out of the past seven did participants do vigorous or moderate activities at work, as part of their house and yard work, to get from place to place, and in their spare time for recreation, exercise, or sport.

  11. Change in Level of independence in household activities score

    Time frame: At 0, 8 and 20 weeks after study enrollment.

    Ability to do daily living activities such as shopping, cooking, managing medications, etc. on a scale where 1 = Not at all Confident to 10 = Totally Confident

  12. Change in Health Impact

    Time frame: At 0, 8 and 20 weeks after study enrollment.

    Using a "1" to "10" scale where "1" = "Almost never" and "10" = "Almost totally", participant selects ONE number which best represents how much their health impacts their ability to do or participate in an activity AT THE PRESENT TIME.

  13. Change in Confidence in ability to manage symptoms score

    Time frame: At 0, 8 and 20 weeks after study enrollment.

    How confident the is participant that they can keep health symptoms/problems from interfering with the things they want to do, e.g., fatigue, physical discomfort, emotional distress, etc. on a scale where 1 = Not at all Confident to 10 = Totally Confident

  14. Change in Level of Symptomatology score

    Time frame: At 0, 8 and 20 weeks after study enrollment.

    Frequency with which participants experience symptoms such as physical discomfort, pain, fatigue, etc. on a scale where 0 = Never to 5 = Always

  15. Change in Other Symptoms

    Time frame: At 0, 8 and 20 weeks after study enrollment.

    Questions ask how often a participant is bothered by psychological and emotional symptoms such as feeling nervous, worry, anxiety, sadness, etc. On a scale from 0 Not at All to 3 Nearly Every Day.

Secondary outcomes

  1. Higher values of primary measures at 8 weeks: persistence at 20 weeks

    Time frame: 20 weeks after study enrollment

    Are effects of program noted at 8 weeks still present at 20 weeks.

  2. Change in Self-reported medical visits

    Time frame: At 0, 8 and 20 weeks after study enrollment.

    Number of unplanned medical visits with doctor or primary medical provider in past 2 months (0/none to 10), emergency room visits (0/none to10), overnight stay in hospital (0\\none to 10).

  3. Change in Social Network and Support score

    Time frame: At 0, 8 and 20 weeks after study enrollment.

    Number of friends and relatives participants interact with/rely on. Scale from None to Nine or more.

  4. Change in type and source of At-home Support

    Time frame: At 0, 8 and 20 weeks after study enrollment.

    Do the type (healthcare, chores, meals, etc) and source (Medicare, Medicaid, other insurance, etc.) of help received by participants indicated in answers to survey questions change over course of study.

Other outcomes

  1. Change in Perception of health now and in 3 years score

    Time frame: At 0, 8 and 20 weeks after study enrollment.

    Participant thinks health now is and in three years will be 1 = Excellent to 5 = Poor.

  2. Change in Medication taking self care efficacy score

    Time frame: At 0, 8 and 20 weeks after study enrollment.

    Confidence of participants (on a scale where 0 = Not at all Confident to 2 = very Confident) in taking their medications correctly under different conditions, e.g., if take several medication each day, are away from home, if cause side effects, etc.

  3. Health Conditions

    Time frame: At 0, 8 and 20 weeks after study enrollment.

    Participants are asked whether a medical provider may have told them that they have one or more common health problems, e.g., heart disease, high blood pressure, diabetes, etc.

Study contacts

Contact information is provided by the study sponsor or research team.

Kathleen Potempa, PhD

CONTACT

[email protected]

734-615-0085

Margaret Calarco, PhD

CONTACT

[email protected]

734-647-3857

Sponsors and collaborators

Lead sponsor

University of Michigan

Other

Collaborators

  • Michigan Department of Health and Human Services

Registry information

Official study title

Healthy Lifetime - Sustainability and Quality Study - PHASE 2

Important dates

Study start
2023
Primary completion
2026
Study completion
2026
First posted
Jun 27, 2023
Registry last updated
Oct 15, 2025

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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