Exploring Acceptance and Outcomes of an Online-based Self-management Support System in Chronic Illness

Exploring Acceptance and Outcomes of an ICT-based Self-management Support System for Community-dwelling Older Adults With Chronic Diseases and Informal Caregivers: USECARE Study Protocol

Sponsors

Lead Sponsor: Assuta Medical Center

Collaborator: Norwegian Centre for Integrated Care and Telemedicine (NST)
Open-Evidence c/o Universitat Oberta de Catalunya
Institute for Health and Consumer Protection c/o University of Oslo, Faculty of Medicine
European Medical Network EMN AG

Source Assuta Medical Center
Brief Summary

The aim of the USECARE project is to improve and test SENACA, an ICT-based self-management support system for chronically ill patients and informal caregivers. 60 end-users will be instructed to use SENACA for approx. 3 months (in Israel and Norway). Amongst others, clinical and behavioural outcomes will be recorded. Additionally, SENACA's usability will be evaluated to determine its potential future scalability.

Detailed Description

In Switzerland, SENior health ACAdemy (SENACA, www.senaca.ch) has been developed by the European Medical Network EMN. SENACA is a structured self-management support system with several interacting components, combining tele-monitoring devices and a solution for personalised health plans. This online support system's usability, the behaviour change techniques it builds on, modes of delivery and its effects on health-related behaviour, clinical and Quality-of-Life outcomes will be established in a larger group of end-users. Testing the usability of SENACA and practical effectiveness of this intervention is the goal of this multi-national project USECARE (www.usecare.eu). SENACA will be implemented in two countries (Israel and Norway ) via field test with community-dwelling older adults living with chronic conditions (i.e. diabetes, COPD, chronic heart failure) and their informal caregivers. Key element of USECARE is a field-test including a study based upon pre-experimental design with three time point measurements and a pre-usability round. Multiple methods will be used to evaluate the usability and to observe clinical and process parameters before, during and after the implementation of the enhanced SENACA prototype. All of the results combined will provide an insight into the end-user experience, usage pattern, usability perception and potential added value of the enhanced SENACA prototype for chronic disease management in the participating countries.

Overall Status Unknown status
Start Date 2016-11-01
Completion Date 2017-08-31
Primary Completion Date 2017-08-31
Phase N/A
Study Type Interventional
Primary Outcome
Measure Time Frame
Level of and potential changes in technology acceptance in participants Up to three months
Secondary Outcome
Measure Time Frame
Level of and potential changes in selected clinical outcomes of participants : BMI, weight, fasting glucose as well as HbA1c levels (sample) Up to three months
Level of and potential changes in health-related quality of life of participants assessed by EQ5D5L Up to three months
Level of and potential changes in uptake and usage of the SENACA intervention by participants Up to three months
Level of and potential changes in self-efficacy of participants Up to three months
Level of and potential changes in health-related behaviour: nutrition & alcohol consumption, smoking, physical activity Up to three months
Level of and potential changes in eHealth Literacy in participants Up to three months
Enrollment 30
Condition
Intervention

Intervention Type: Device

Intervention Name: SENACA - ICT based self-management support system

Description: SENACA - ICT based self-management support system is a structured self-management support system with several interacting components, combining tele-monitoring devices and a solution for personalised health plans. ==> www.senaca.ch

Arm Group Label: SENACA - self-management support system

Eligibility

Criteria:

Inclusion community-dwelling older adults (primary end-users): - receive medical care for one or more of the following chronic diseases in hospital settings and outpatient clinics: 1. Chronic Heart Failure (CHF, New York Heart Association NYHA IIIIIa); 2. Diabetes Mellitus (DM, 6< HbA1c<9), 3. Chronic Obstructive Pulmonary Disease (COPD, GOLD I-II) 4. Special Orthopaedic Co-Morbidity (SOCM, after elective hip or knee replacement, health status temporarily destabilized respectively challenged, increased monitoring and formal/informal care). - having support of an informal caregiver that is aged 18 years or older - aged 50 years and older (primary end-users) Exclusion community-dwelling older adults (primary end-users): - known illiteracy (reading and writing difficulties) - lack of local language proficiency - current major mental illness of moderate to severe level - major acute illness or surgery in past 3 months (except elective hip / knee surgery for patients with SOCM) - participation in another intervention study Inclusion informal caregivers (secondary end-users): - aged 18 years or older - named by primary end-user as designated informal caregiver providing physical, emotional and/or social support for him or her Both inclusion criteria primary and secondary end-users: - written informed consent - adequate functional, sensory and cognitive abilities to use the SENACA system Both exclusion criteria primary and secondary end-users: - does not have a stable address of residence - no internet/computer access - inability to handle ICT-devices due to cognitive or functional disabilities

Gender:

All

Minimum Age:

18 Years

Maximum Age:

N/A

Healthy Volunteers:

Accepts Healthy Volunteers

Overall Official
Last Name Role Affiliation
Frank Larsen, MA Study Chair Norwegian Centre for Integrated Care and Telemedicine
Location
Facility:
Assuta Medical Center | Tel Aviv, 69710, Israel
University Hospital North Norway | Tromsoe, 9038, Norway
Location Countries

Israel

Norway

Verification Date

2017-07-01

Responsible Party

Type: Principal Investigator

Investigator Affiliation: Assuta Medical Center

Investigator Full Name: Jacob Gindin

Investigator Title: Director Geriatric Services

Keywords
Has Expanded Access No
Condition Browse
Number Of Arms 1
Arm Group

Label: SENACA - self-management support system

Type: Experimental

Description: Use of enhanced SENACA - ICT based self-management support system prototype by study participants at home for 75-100 days

Acronym USECARE
Patient Data No
Study Design Info

Allocation: N/A

Intervention Model: Single Group Assignment

Primary Purpose: Health Services Research

Masking: None (Open Label)

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