Impact Evaluation of the Digital Connect Project for Homebound Older Adults
Impact Evaluation of the Digital Connect Project for Homebound Older Adults: A Target Trial Emulation
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
The Hong Kong Jockey Club Charities Trust is launching the Digital Connect project to increase the well-being and social connectedness of the homebound older adults. A total of 32 NGOs are applying for 7,500 tablets and data plan (in total) through this project. Different digital programs will be rolled out to enhance their well-being and social connectedness. This study aim is to capture the impact of this Digital Connect project on the health outcomes of the homebound older adults. The tablet intervention will be offered by the NGOs within a 2-year timeframe. Web-based multi-domain lifestyle training intervention will be conducted to promoted and focus three lifestyles: nutritional advice, exercise and cognitive training; chat communication with research team, and personalized agenda on daily activities and an information library.
The object of this study is to explore the dose-response relationship between online engagement in the different types of activity and the improvement in the corresponding health outcomes, including the five domains: (1) Physical function, (2) Cognitive function, (3) Psychological function, (4) Social function and (5) Health-related quality of life. One baseline assessment and four follow-ups will be arranged in every 3-month interval. To account for immortal time bias, each subject will be created with two clones at time zero and assigned each of the two clones to either treatment or control group, respectively.
The engagement experience will be explored by interviewing the participants and service stakeholders through the planning and delivery of the digital intervention for the homebound older adults.
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 3917 6319
- Email: dyu1@hku.hk
Study Locations
-
-
-
Hong Kong, Hong Kong
- The University of Hong Kong
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- age > 65
- consent to participate
- able to participate in the impact assessment as evidence by a test score of > 6 on the Abbreviated Mental Test
- has the functional ability to engage in the digital intervention
Exclusion Criteria:
-
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Treatment status
To account for immortal time bias, each subject will be created with two clones at time zero and assigned each of the two clones to either treatment or no-treatment status, respectively.
The treatment status in each evaluative endpoint (i.e., 3-month, 6-month, and 12-month) is defined as subjects who have received the digital intervention for the respective length of time since the time zero during which the intervention has just commenced.
|
Web-based multi-domain lifestyle training intervention will be conducted to promoted and focus three lifestyles: nutritional advice, exercise and cognitive training; chat communication with research team, and personalized agenda on daily activities and an information library.
|
|
Placebo Comparator: No-treatment status
To account for immortal time bias, each subject will be created with two clones at time zero and assigned each of the two clones to either treatment or no-treatment status, respectively.
The corresponding no-treatment status is defined as subjects who have not received the digital intervention for the corresponding length of time.
|
Web-based multi-domain lifestyle training intervention will be conducted to promoted and focus three lifestyles: nutritional advice, exercise and cognitive training; chat communication with research team, and personalized agenda on daily activities and an information library.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Health-related quality of life (HRQL)
Time Frame: Changes from baseline to 3 month, 6 month, 9 month, and 12 month post-intervention.
|
Measure by EQ-5D-5L (range from -0.59 to 1.0), higher score indicates better quality of life
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Changes from baseline to 3 month, 6 month, 9 month, and 12 month post-intervention.
|
|
Physical function
Time Frame: Changes from baseline to 3 month, 6 month, 9 month, and 12 month post-intervention.
|
Measured by Short Physical Performance Battery (range from 0 to 12), with higher score indicating better physical performance
|
Changes from baseline to 3 month, 6 month, 9 month, and 12 month post-intervention.
|
|
Cognitive function score
Time Frame: Changes from baseline to 3 month, 6 month, 9 month, and 12 month post-intervention.
|
Measured by 5-minute Montreal Cognitive Assessment (MoCA) (range from 0 to 30), A score of 26 or over is considered to be normal.
|
Changes from baseline to 3 month, 6 month, 9 month, and 12 month post-intervention.
|
|
Subjective Memory Score
Time Frame: Changes from baseline to 3 month, 6 month, 9 month, and 12 month post-intervention.
|
Measured by 7-item Memory Complaint Scale (MCS) (range from 0 to 14), lower score indicates better memory performance.
No MCs (0-2), Mild MCs (3-6), Moderate MCs (7-10), Severe MCs (11-14).
|
Changes from baseline to 3 month, 6 month, 9 month, and 12 month post-intervention.
|
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Loneliness score
Time Frame: Changes from baseline to 3 month, 6 month, 9 month, and 12 month post-intervention.
|
Measured by 3-item UCLA Loneliness Scale (range 3-9), higher score indicates greater loneliness.
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Changes from baseline to 3 month, 6 month, 9 month, and 12 month post-intervention.
|
|
Depression score
Time Frame: Changes from baseline to 3 month, 6 month, 9 month, and 12 month post-intervention.
|
Measured by The 8-item Geriatric Depression Scale (range 0 to 8), with higher score indicating higher risk of depression
|
Changes from baseline to 3 month, 6 month, 9 month, and 12 month post-intervention.
|
|
Social function
Time Frame: Changes from baseline to 3 month, 6 month, 9 month, and 12 month post-intervention.
|
Measured by 8-item Social Connectedness Scale Revised (range 0 to 48), <22 indicates lack of social connectedness
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Changes from baseline to 3 month, 6 month, 9 month, and 12 month post-intervention.
|
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 (Estimated)
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
- Digital Connect
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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