An Effectiveness Evaluation for Pathway to Healthy Aging (Path-HA) Care on Health Status of Older Adults
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Doris Sau Fung YU, PhD
- Phone Number: 852 3817 6319
- Email: dyu1@hku.hk
Study Locations
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Hong Kong, Hong Kong
- The University of Hong Kong
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- 1) aged 60 or above,
- 2) with at least two risk factors of accelerating aging defined as including reduced physical functioning, malnutrition, depressed mood, loneliness, poor health perception, and presence of geriatric symptoms (e.g. insomnia, pain, etc), based on their health screening results,
- 3) community-dwelling,
- 4) communicable to engage in health education activity.
Exclusion Criteria:
- 1) any who is not at or at only one risk factor of accelerating aging,
- 2) any who has problems in communicating with the research team.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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No Intervention: Control
No care intervention will be provided.
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Experimental: Path-HA care
A 14-week care initiative comprising two phases is provided, which are the 2-week ICOPE-based personalized care planning phase, and the 12-week healthy aging empowerment phase.
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The ICOPE-based personalized care planning comprises two home visits.
In 1st visit, a comprehensive assessment proposed by the WHO-ICOPE model is conducted to identify eight possible health problems including malnutrition, reduced physical fitness, fall risk, cognitive decline, insomnia, pain, psychological distress and social loneliness.
After health problem identification, each participant receives a personalized care prescription.
2nd visit adopts a goal-oriented empowerment 3-step cycle to personalize the care planning: 1) communicating assessment results to increase healthy self-awareness; 2) supporting setting person-directed goals to address health problems; 3) identifying health actions and personalizing goal setting to participants' contexts.
The 12-week healthy aging empowerment comprises three core activities for healthy aging promotion, including interactive health education, health message broadcasts, and three case conferences for goal monitoring and health counseling.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Health-related quality of life
Time Frame: Changes from baseline to 3-month and 9-month post-intervention
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Measured by the EQ-5D-5L questionnaire (scores range from -0.59 to 1.0), with a higher score indicating better quality of life.
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Changes from baseline to 3-month and 9-month post-intervention
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Hand grip strength
Time Frame: Changes from baseline to 3-month and 9-month post-intervention
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Measured by hand-held dynamometer in unit of KG.
A larger count indicates a greater grip strength.
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Changes from baseline to 3-month and 9-month post-intervention
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Physical mobility level
Time Frame: Changes from baseline to 3-month and 9-month post-intervention
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Measured by the Short Physical Performance Battery (scores range from 0 to 12), with higher scores indicating better physical performance and better mobility functioning.
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Changes from baseline to 3-month and 9-month post-intervention
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Sarcopenia risk
Time Frame: Changes from baseline to 3-month and 9-month post-intervention
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Measured by Sarcopenia and calf circumference scale (SARC-CalF scale).
The score ranges from 0 to 20 points, with a score ≥ 11 points suggestive of sarcopenia.
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Changes from baseline to 3-month and 9-month post-intervention
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Nutritional status
Time Frame: Changes from baseline to 3-month and 9-month post-intervention
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Measured by the Mini Nutritional Assessment (scores range from 0 to 30), with a lower score indicating a higher risk of malnutrition.
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Changes from baseline to 3-month and 9-month post-intervention
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Cognitive functions
Time Frame: Changes from baseline to 3-month and 9-month post-intervention
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Measured by the 5-minute Montreal Cognitive Assessment Test (scores range from 0 to 30).
A raw score of < 25 in well-educated persons (education > 12 years) or a raw score of < 23 in less-educated persons (education ≤ 12 years) is defined as impaired cognition.
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Changes from baseline to 3-month and 9-month post-intervention
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Subjective memory
Time Frame: Changes from baseline to 3-month and 9-month post-intervention
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Measured by Memory Inventory for the Chinese (scores range from 0 to 108), with higher scores indicating more severe subjective memory loss.
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Changes from baseline to 3-month and 9-month post-intervention
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Loneliness
Time Frame: Changes from baseline to 3-month and 9-month post-intervention
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Measured by The 3-Item UCLA Loneliness Scale (scores range from 3 to 9), with higher scores suggesting a higher level of loneliness.
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Changes from baseline to 3-month and 9-month post-intervention
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Social connectedness
Time Frame: Changes from baseline to 3-month and 9-month post-intervention
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Measured by The 8-item version of Social Connectedness Scale (scores range from 8 to 48), with a higher score indicating a greater sense of social connectedness.
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Changes from baseline to 3-month and 9-month post-intervention
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Balancing function
Time Frame: Changes from baseline to 3-month and 9-month post-intervention
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Measured by the Timed Up and Go Test in unit of second.
A shorter completion time indicates better mobility and balance.
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Changes from baseline to 3-month and 9-month post-intervention
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Sleep quality
Time Frame: Changes from baseline to 3-month and 9-month post-intervention
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Measured by Insomnia Severity Index questionnaire (scores range from 0 to 28), with higher scores indicating greater severity of insomnia.
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Changes from baseline to 3-month and 9-month post-intervention
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Depressed mood
Time Frame: Changes from baseline to 3-month and 9-month post-intervention
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Measured by the 15-item Geriatric Depression Scale (scores range from 0 to 15), with a higher score indicating a higher risk of depression.
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Changes from baseline to 3-month and 9-month post-intervention
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Doris Sau Fung YU, PhD, The University of Hong Kong
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
Other Study ID Numbers
- PATHHA
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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