Student-delivered Telehealth Program for COVID-19 Education and Health Promotion

August 26, 2021 updated by: Brodie Sakakibara, University of British Columbia

A Student-delivered Community Outreach teleheAlth Program for Covid Education and Health Promotion (COACH)

The purpose of this study is to ensure effective health management among community-living older adults during unprecedented times, such as the current COVID-19 pandemic.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

The novel coronavirus (COVID-19) outbreak has made the world transition to practices of quarantine, social distancing and social isolation. While they serve as prevention strategies for COVID-19, they may also cause an increase of other health problems. As well, closures of public areas and financial challenges act as barriers to exercise and dietary quality. Thus quarantine-type strategies, while needed, compromise the ability to self-manage one's health and increase their risk of adverse health events.

Evidence suggests the negative effects of such quarantine-type strategies are especially being felt among Canada's seniors. A recent report by Statistics Canada indicates that 60% of Canadians, ≥65 years of age are 'very' concerned about their health due to social and economic consequences of COVID-19. Moreover, 80% of individuals reported being 'very' anxious about overloading the health system. This may in turn lead to rash decisions not to access health services as needed. Clearly, efforts are required to support older individuals to optimally manage their health to prevent disease and disability.

In British Columbia (BC), various specialized health resources have emerged to support people during the COVID-19 pandemic. However, many are passive in that they require individuals to initiate contact in response to a concern, and none have a specific focus on health promotion or disease prevention and management.

This study will ensure that community-living adults ages 65 years and older are effectively managing their health during these unprecedented times. Participants will receive a kit containing a self-help manual, a Health Report Card, and COVID-19 education. They will also received 6 telephone/video conference sessions with a student-coach who will utilize motivational interviewing techniques to foster lifestyle modification, and self-management.

Objectives:

  1. To quantitatively evaluate the effect of the two-month, six session (30-45 minutes/session) COACH program on health self-management, measured using the Health Directed Behaviour subscale in the Health Education Impact Questionnaire (heiQ),9 among community-living adults ≥65 years of age.
  2. To qualitatively describe the subjective experiences of participants receiving the COACH program.

Hypotheses:

  1. COACH will improve health directed behaviour in community-living adults, ≥65 years of age.
  2. COACH will also improve secondary outcomes in the areas of mood, social support, health-related quality of life, health promotion self-efficacy, and other self- management domains in the heiQ.

Study Type

Interventional

Enrollment (Actual)

75

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Canada
    • British Columbia
      • Vancouver, British Columbia, Canada, V6T 1Z4
        • University of British Columbia

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

65 years and older (Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • age 65 years or older
  • living within a community in British Columbia
  • have access to a telephone or video conferencing program
  • able to communicate in English
  • have had no previous COVID-19 diagnosis by health professionals
  • have cognitive-communicative ability to participate as per clinical judgement
  • can provide informed consent

Exclusion Criteria:

  • not medically stable
  • are participating in other health promotion programs
  • have severe hearing loss

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Prevention
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Telehealth coaching sessions
Receives the Telehealth-delivered coaching sessions.
Behavioral: Telehealth coaching sessions
Participants will be receiving a 2-month coaching session intervention that will be delivered via telephone or video-conferencing. Each of the 6 sessions will be 30-45minutes long and one-on-one with a student coach. In each session, coaches will review the participants' health behaviours and assess their knowledge about behavioural risks factors for chronic diseases and their current behaviours. The coaches will then provide information about the health risks of poor health behaviours, and benefits of change. Health behavioural goals will be established through a collaborative process. The coaches will then assist participants to develop readily achievable action plans that participants will follow in between coaching sessions as a means to realize their health goals. Adherence and modifications to the action plans will be discussed at the follow-up coaching session to promote health accountability.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change from baseline: Health Directed Behaviour at 2 months
Time Frame: Baseline, Post-intervention (immediately after the 2-month intervention)
Health Education Impact Questionnaire (HeiQ) that evaluates health directed behaviour for chronic disease management.
Baseline, Post-intervention (immediately after the 2-month intervention)

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Depression, Anxiety, Stress Scale
Time Frame: Baseline, Post-intervention (immediately after the 2-month intervention)
21-item survey scale that looks at perceived depression, anxiety and stress.
Baseline, Post-intervention (immediately after the 2-month intervention)
Medical Outcomes Study (MOS): Social Support Survey
Time Frame: Baseline, Post-intervention (immediately after the 2-month session)
19-item survey that evaluates perceived social support.
Baseline, Post-intervention (immediately after the 2-month session)
Medical Outcomes Study (MOS): Short Form-36
Time Frame: Baseline, Post-intervention (immediately after the 2-month session)
Survey scale that evaluates at health-related quality of life.
Baseline, Post-intervention (immediately after the 2-month session)
Self-Rated Abilities for Health Practices Scale
Time Frame: Baseline, Post-intervention (immediately after the 2-month session)
28-item survey scale that looks at health promotion self-efficacy.
Baseline, Post-intervention (immediately after the 2-month session)
Self-management
Time Frame: Baseline, Post-intervention (immediately after the 2-month session)
Health Education Impact Questionnaire
Baseline, Post-intervention (immediately after the 2-month session)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

University of British Columbia

Investigators

  • Principal Investigator: Brodie Sakakibara, PhD, University of British Columbia

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

July 28, 2020

Primary Completion (Actual)

April 30, 2021

Study Completion (Actual)

June 30, 2021

Study Registration Dates

First Submitted

July 28, 2020

First Submitted That Met QC Criteria

July 28, 2020

First Posted (Actual)

July 30, 2020

Study Record Updates

Last Update Posted (Actual)

August 30, 2021

Last Update Submitted That Met QC Criteria

August 26, 2021

Last Verified

August 1, 2021

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • COACH

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

No

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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