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Completed

NCT Number: NCT05180604

The Application and Evaluation of eHealth Literacy (eHL) Concept

This study aims to explore the effectiveness of experience learning program of eHealth care to improve the chronic patients' eHL in engaging with the eHealth care system on the indicators on eHealth literacy, patient health engagement, e-Health usage status among Chronic disease patients included type 2 diabetes patients, Chronic kidney disease, and Cardiovascular Diseases.

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Key information

Conditions

Type 2 Diabetes Mellitus Behavior Cardiovascular Diseases Chronic Disease Chronic Kidney Diseases Diabetes Mellitus Diabetes Mellitus, Type 2 Disease Attributes Empowerment Endocrine System Diseases Female Urogenital Diseases Female Urogenital Diseases and Pregnancy Complications Glucose Metabolism Disorders Health Behavior Kidney Diseases Male Urogenital Diseases Metabolic Diseases Nutritional and Metabolic Diseases Pathologic Processes Pathological Conditions, Signs and Symptoms Patient Acceptance of Health Care Patient Participation Renal Insufficiency Renal Insufficiency, Chronic Social Behavior Treatment Adherence and Compliance Urogenital Diseases Urologic Diseases

Age range

20 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

National Yang Ming University

Taipei, Taiwan

About this study

Chronic diseases are irreversible that incurs considerable medical and economic costs. Even if the government and medical health care system make an effort to improve care and recommend e-health care, the incidence and prevalence rates of chronic diseases have not decreased but increased, and participants have even become the main cause of kidney disease. Technology and daily life has become more inseparable, which also led to the change of the traditional face to face health care model. The chronic disease care is gradually transitioning into the smart eHealth care era, patients are in need of learning how to face innovative ways of using care and resources. eHealth literacy (eHL)is the essential element that determines if patient can adapt to the rapidly changing health care system.

Due to the disciplinary integration of medical and technology, eHealth care provides continuous care for patients. But, it is still necessary to return to patient-centered care thinking and improving patients' knowledge and ability to use eHealth care technology. This can be applied to disease care, and implemented for daily self-health management. Therefore, this study explores the effects of intervention and the learning process and experience of patients through an experience learning program of eHealth care.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Diagnosed as a type 2 diabetes patients, Chronic kidney disease, and Cardiovascular Diseases more than three months.
  • At least 20 years old, with clear consciousness and able to communicate in Mandarin or Taiwanese.
  • Possess a mobile phone or tablet with internet capabilities.
  • Consent to participate in this research and be willing to sign a consent form.

Exclusion criteria

  • Suffering from serious diseases, such as: general paralysis, mental disorders, cognitive function abnormalities, etc.
  • Those who cannot communicate in Mandarin or Taiwanese.
  • Those who refuse to participate in this research.

Treatment and study plan

experience learning programs of eHealth care

Behavioral

The experience learning programs of eHealth care was included six sections of activities. Six activities were conducted based on eHealth literacy framework and experience learning theory to improve patients' abilities to engage in eHealth care service. The outcome indicators were eHealth literacy, patient health engagement, the acceptance of eHealth care, eHealth usage status, and their learning experience

Primary outcomes

  1. Baseline of eHealth Literacy Questionnaire scores

    Time frame: The pretest is completed when the patients agrees to join the intervention.

    Evaluate the patient's eHL level, including 7 dimensions (1) Using technology to process health information, (2) Understanding of health concepts and languages, (3)Ability to actively engage with digital service, (4)Feel safe and in control, (5) Motivated to engage with digital service, (6) Access to digital services that work (7)Digital services that suit individual. The higher the score, the better the eHL.

  2. The eHealth Literacy Questionnaire scores at the end of intervention

    Time frame: The post-test 1 is completed at the end of the 6 weeks intervention

    Evaluate the patient's eHL level, including 7 dimensions (1) Using technology to process health information, (2) Understanding of health concepts and languages, (3)Ability to actively engage with digital service, (4)Feel safe and in control, (5) Motivated to engage with digital service, (6) Access to digital services that work (7)Digital services that suit individual. The higher the score, the better the eHL.

  3. The eHealth Literacy Questionnaire scores after intervention at 3 months

    Time frame: The post-test 2 is completed after intervention at 3 months

    Evaluate the patient's eHL level, including 7 dimensions (1) Using technology to process health information, (2) Understanding of health concepts and languages, (3)Ability to actively engage with digital service, (4)Feel safe and in control, (5) Motivated to engage with digital service, (6) Access to digital services that work (7)Digital services that suit individual. The higher the score, the better the eHL.

  4. The eHealth Literacy Questionnaire scores after intervention at 6 months

    Time frame: The post-test 3 is completed after intervention at 6 months

    Evaluate the patient's eHL level, including 7 dimensions (1) Using technology to process health information, (2) Understanding of health concepts and languages, (3)Ability to actively engage with digital service, (4)Feel safe and in control, (5) Motivated to engage with digital service, (6) Access to digital services that work (7)Digital services that suit individual. The higher the score, the better the eHL.

  5. Baseline of The acceptance of eHealth care scores

    Time frame: The pretest is completed when the patients agrees to join the intervention.

    The scale was developed base on Technology Acceptance Model to assess patients' behaviors intention of using the eHealth device

  6. The acceptance of eHealth care scores at the end of intervention

    Time frame: The post-test 1 is completed at the end of the 6 weeks intervention

    The scale was developed base on Technology Acceptance Model to assess patients' behaviors intention of using the eHealth device

  7. The acceptance of eHealth care scores after intervention at 3 months

    Time frame: The post-test 2 is completed after intervention at 3 months

    The scale was developed base on Technology Acceptance Model to assess patients' behaviors intention of using the eHealth device

  8. The acceptance of eHealth care scores after intervention at 6 months

    Time frame: The post-test 3 is completed after intervention at 6 months

    The scale was developed base on Technology Acceptance Model to assess patients' behaviors intention of using the eHealth device

  9. Baseline of Health Technology Usage Sore

    Time frame: The pretest is completed when the patients agrees to join the intervention.

    Use self-developed structured questionnaires to investigate the types of health technology use and monitoring items. Use types include computer or network systems, mobile apps, health monitoring systems or wearable devices (such as pedometers, smart bracelets, heart rate monitors, blood pressure monitors, Blood glucose meter, blood pressure meter, blood glucose meter or weight scale, etc.) or other, monitoring items include blood pressure, blood sugar, weight, diet, sleep, heart rate, steps or other health data. The higher the number, the more items are monitored, the total score The higher the level, the better the use of health technology.

  10. The Health Technology Usage Sore at the end of intervention

    Time frame: The post-test 1 is completed at the end of the 6 weeks intervention

    Use self-developed structured questionnaires to investigate the types of health technology use and monitoring items. Use types include computer or network systems, mobile apps, health monitoring systems or wearable devices (such as pedometers, smart bracelets, heart rate monitors, blood pressure monitors, Blood glucose meter, blood pressure meter, blood glucose meter or weight scale, etc.) or other, monitoring items include blood pressure, blood sugar, weight, diet, sleep, heart rate, steps or other health data. The higher the number, the more items are monitored, the total score The higher the level, the better the use of health technology.

  11. The Health Technology Usage Sore after intervention at 3 months

    Time frame: The post-test 2 is completed after intervention at 3 months

    Use self-developed structured questionnaires to investigate the types of health technology use and monitoring items. Use types include computer or network systems, mobile apps, health monitoring systems or wearable devices (such as pedometers, smart bracelets, heart rate monitors, blood pressure monitors, Blood glucose meter, blood pressure meter, blood glucose meter or weight scale, etc.) or other, monitoring items include blood pressure, blood sugar, weight, diet, sleep, heart rate, steps or other health data. The higher the number, the more items are monitored, the total score The higher the level, the better the use of health technology.

  12. The Health Technology Usage Sore after intervention at 6 months

    Time frame: The post-test 3 is completed after intervention at 6 months

    Use self-developed structured questionnaires to investigate the types of health technology use and monitoring items. Use types include computer or network systems, mobile apps, health monitoring systems or wearable devices (such as pedometers, smart bracelets, heart rate monitors, blood pressure monitors, Blood glucose meter, blood pressure meter, blood glucose meter or weight scale, etc.) or other, monitoring items include blood pressure, blood sugar, weight, diet, sleep, heart rate, steps or other health data. The higher the number, the more items are monitored, the total score The higher the level, the better the use of health technology.

  13. Baseline of Patient Health Engagement score

    Time frame: The pretest is completed when the patients agrees to join the intervention.

    The scale is thought of as a self-administering tool by the patient in order to diagnose his/ her This scale has a total of 5 questions. The higher the number, the higher the patient engagement it is.

  14. The Patient Health Engagement score at the end of the intervention

    Time frame: The post-test 1 is completed at the end of the 6 weeks intervention

    The scale is thought of as a self-administering tool by the patient in order to diagnose his/ her This scale has a total of 5 questions. The higher the number, the higher the patient engagement it is.

  15. The Patient Health Engagement score after intervention at 3 months

    Time frame: The post-test 2 is completed after intervention at 3 months

    The scale is thought of as a self-administering tool by the patient in order to diagnose his/ her This scale has a total of 5 questions. The higher the number, the higher the patient engagement it is.

  16. The Patient Health Engagement score after intervention at 6 months

    Time frame: The post-test 3 is completed after intervention at 6 months

    The scale is thought of as a self-administering tool by the patient in order to diagnose his/ her This scale has a total of 5 questions. The higher the number, the higher the patient engagement it is.

Secondary outcomes

  1. The change in renal function level at the end of the intervention

    Time frame: To collect two-time point data by chart review. Those were before the intervention and the end of the the 6 weeks intervention

    The health outcome indicator of management of renal disease by using the estimated Glomerular filtration rate(eGRF) .

  2. The change Trajectory of renal function level from baseline to after intervention at 6 months and 1 year

    Time frame: To collect three-time point data by chart review. Those were before the intervention, the end of the 6 weeks intervention, and after intervention at six months and 1 year

    The health outcome indicator of management of renal disease by using the estimated Glomerular filtration rate(eGRF) .

  3. The change in HbA1C level at the end of the intervention

    Time frame: To collect two-time point data by chart review. Those were before the intervention and the end of the the 6 weeks intervention

    The health outcome indicator of management of diabetes

  4. The change Trajectory of HbA1C level from baseline to after the intervention at 3, 6, and 12 months

    Time frame: To collect four-time point data by chart review. Those were before the intervention, the end of the 6 weeks intervention, after the intervention at three months, after the intervention at six months, and after the intervention at twelve months

    The health outcome indicator of management of diabetes

  5. The change in Triglycerides level at the end of the intervention

    Time frame: To collect two-time point data by chart review. Those were before the intervention and the end of the six weeks intervention

    The health outcome indicator of management of lipid

  6. The change Trajectory of Triglycerides level from baseline to after the intervention at 3 , 6 and 12 months

    Time frame: To collect four-time point data by chart review. Those were before the intervention, the end of the 6 weeks intervention, after the intervention at three months, after the intervention at six months, and after the intervention at twelve months.

    The health outcome indicator of management of lipid

  7. The change in Cholesterol level at the end of the intervention

    Time frame: To collect two-time point data by chart review. Those were before the intervention and the end of the 6 weeks intervention

    The health outcome indicator of management of lipid

  8. The change Trajectory of Cholesterol level from baseline to after the intervention at 3, 6 and 12 months

    Time frame: To collect two-time point data by chart review. Those were before the intervention, the end of the 6 weeks intervention, after the intervention at three months, after the intervention at six months, and after the intervention at twelve months.

    The health outcome indicator of management of lipid

Sponsors and collaborators

Lead sponsor

National Yang Ming Chiao Tung University

Other

Registry information

Official study title

Improving Patients With Chronic Disease to Engage in the eHealth Care Environment: the Application and Evaluation of eHealth Literacy Concept

Acronym: eHL

Important dates

Study start
2019
Primary completion
2021
Study completion
2021
First posted
Jan 6, 2022
Registry last updated
Jan 6, 2022

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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