Community-based E-Health Program for Older Adults Living with Chronic Diseases (CeHP)

November 12, 2024 updated by: Vivien Xi WU, PhD, National University of Singapore

Community-based E-Health Program for Older Adults Living with Chronic Diseases - a Cluster Controlled Study with Process Evaluation

With increased aging population, there is a higher rate of having chronic diseases and cognitive impairment. In order to achieve successful aging, it is important for community-dwelling older adults to perform better self-management with improved health literacy and various kinds of support. The study aims to develop a Community-based E-Health Program (CeHP) for Older Adults Living with Chronic Diseases , evaluate the effectiveness of CeHP, and refine the program based on the outcome measurement. A cluster controlled trial will be adopted. A follow-up process evaluation will be conducted to assess the acceptability, strengths and limitations of CeHP based on the participants' perspectives. The research contributes to engage and empower older adults living in the community to manage their chronic condition, and foster collaboration with the goal of translating evidence into action.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Background:

With increased aging population, there is a higher rate of having chronic diseases and cognitive impairment. In order to achieve successful aging, it is important for community-dwelling older adults to perform better self-management with improved health literacy and various kinds of support.

Objectives:

The study aims to develop a Community-based E-Health Program (CeHP), evaluate the effectiveness of CeHP, and refine the program based on the outcome measurement.

Method:

The research team will develop the Community-based E-Health Program, and assess the effects of the program. A needs assessment will be carried out using focus group discussion with the older adults. A cluster controlled trial will be adopted. A follow-up process evaluation will be conducted to assess the acceptability, strengths and limitations of Community-based E-Health Program based on the participants' perspectives

Discussion and conclusion:

The proposed research contributes to engage and empower older adults living in the community to manage their chronic condition, and foster collaboration with the goal of translating evidence into action. This research will offer important insights into the need for educating and engaging older adults in managing chronic conditions to promote health and well-being, and therefore contribute to health and well-being of the elderly population.

Study Type

Interventional

Enrollment (Actual)

150

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

  • Singapore
      • Singapore, Singapore, 460012
        • THK SAC @ Bedok Radiance
      • Singapore, Singapore, 462509
        • THK SAC @ Kaki Bukit
      • Singapore, Singapore, 520209
        • Pap Community Foundation 3-in-1 Family Centre (Aged Care)
      • Singapore, Singapore, 520227
        • Brahm Centre @ Simei 227
      • Singapore, Singapore, 520434
        • Lb Sac @ 434 Tampines
      • Singapore, Singapore, 520473
        • Brahm Centre @ Tampines
      • Singapore, Singapore, 521827
        • Presbyterian Community Services - Evergreen Circle Seniors Activity Centre
      • Singapore, Singapore, 523499
        • Lb Sac @ 499C Tampines
      • Singapore, Singapore, 525494
        • Lb Sac (Sa) @ Tampines 494E

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

55 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

1) aged 60 or above; 2) able to understand and communicate in either English or Mandarin; 3) able to give consent to participate; 4) lives within the community setting; 5) diagnosed with chronic conditions (Hypertension, Hyperlipidemia, and Diabetes Mellites); 6) able to commit to the research program throughout the whole duration.

Exclusion Criteria:

  1. severe cognitive impairment;
  2. severe psychiatric disorders;
  3. severe vision impairment;
  4. severe hearing impairment.

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: Supportive Care
  • Allocation: Non-Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Community-based E-Health Program
The intervention group will consist of 80 participants who will engage in Community-based E-Health Program.
Behavioral: Community-based E-Health Program
Community-based E-Health Program will be developed to engage and empower older adults to manage the chronic conditions effectively.
Active Comparator: usual self-management and follow up with doctors/nurse
The participants will receive the usual self-management and follow up with doctors/nurse as planned.
Behavioral: usual self-management and follow up with doctors/nurse
usual self-management and follow up with doctors/nurse as planned in the community nurse post.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in Self-care ability of Chronic disease
Time Frame: baseline, 3 month, 6 month
Self-care of Chronic Illness Inventory
baseline, 3 month, 6 month

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
HbA1c
Time Frame: baseline, 3 month
glycemic control
baseline, 3 month
Change in Patient Empowerment
Time Frame: baseline, 3 month, 6 month
Patient Empowerment scale
baseline, 3 month, 6 month
Change in Health Literacy
Time Frame: baseline, 3 month, 6 month
Health Literacy Scale, minimum value is 12, maximum value is 48, higher scores mean a better outcome.
baseline, 3 month, 6 month
Change in Social support
Time Frame: baseline, 3 month, 6 month
Social support Questionnaire
baseline, 3 month, 6 month
Change in Healthy Aging practice
Time Frame: baseline, 3 month, 6 month
Healthy Aging Instrument
baseline, 3 month, 6 month
Montreal Cognitive Assessment
Time Frame: baseline, 3 month, 6 month
Singapore version 2010
baseline, 3 month, 6 month
Symbol Digit modality test
Time Frame: baseline, 3 month, 6 month
Quickly screens for organic cerebral dysfunction in both children and adults, patient substitutes a number, either orally or written, for randomized presentations of geometric figures
baseline, 3 month, 6 month
Lipid panel
Time Frame: baseline, 3 month
HDL, LDL, triglycerides
baseline, 3 month
Immunological profile
Time Frame: baseline, 3 month
Cytokines (IL-1, IL6, IL15), TNFa, C1q, antinuclear antibody, antiDNA antibody
baseline, 3 month
Hormones
Time Frame: baseline, 3 month
Cortisol, DHEA, insulin
baseline, 3 month
Fasting glucose
Time Frame: baseline, 3 month
Plasma glucose concentration after fasting for 8 hours
baseline, 3 month

Collaborators and Investigators

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

Sponsor

National University of Singapore

Collaborators

Changi General Hospital

Investigators

  • Principal Investigator: Vivien Xi Wu, PhD, National University of Singapore

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)

September 15, 2020

Primary Completion (Actual)

June 30, 2023

Study Completion (Actual)

June 30, 2024

Study Registration Dates

First Submitted

September 3, 2020

First Submitted That Met QC Criteria

September 17, 2020

First Posted (Actual)

September 23, 2020

Study Record Updates

Last Update Posted (Actual)

November 15, 2024

Last Update Submitted That Met QC Criteria

November 12, 2024

Last Verified

November 1, 2024

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • NUHSRO/2019/081/Startup/06

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

product manufactured in and exported from the U.S.

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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