myHealthHub for Older Adult Inpatients

myHealthHub for Older Adult Inpatients to Lower Loneliness and Improve Patient Engagement, Quality of Life and Mental Health

This study will assess "myHealthhub" in hospitalized older adults throughout 5 days of their hospital stay. The investigators propose a mixed method randomized controlled trial (RCT) comparing myHealthHub platform vs. a simplified HealthHub system that provides only TV access, in order to evaluate patients' loneliness, stress, quality of life, patient engagement, and other mental health outcomes in n=60 older adult inpatients. The investigators will also use qualitative methods to assess user and stakeholder experience, and engagement.

Study Overview

• Status: Not yet recruiting
• Conditions: Quality of Life; Stress; Patient Engagement; Loneliness
• Intervention / Treatment: Device: myHealthHub; Device: TV-only

• Study Type: Interventional
• Enrollment (Anticipated): 60
• Phase: Not Applicable

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 60 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Quantitative Component:

Inclusion Criteria:

• ≥60 years old
• Admitted to non-surgical hospital unit
• Speak English or French
• Capable of giving consent

Exclusion Criteria:

• Delirium
• Active suicidal ideation
• Moderate/severe dementia diagnosis

Qualitative Component:

Inclusion Criteria:

• Participants from quantitative component
• Hospital staff, nurses, clinicians facilitative use of the service
• ≥18 years old
• Speak English or French

Exclusion Criteria:

• Hospital staff, nurses, clinicians who do not have experience with the service

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Intervention: myHealthHub	Device: myHealthHub; myHealthHub is a multimodal patient engagement platform delivered on bedside terminals to provide hospital inpatients with social connection, meal ordering services, entertainment (TV, etc.), and access to medical care team.
Active Comparator: Active control: TV-only	Device: TV-only; myHealthHub device equipped with the TV-only entertainment option.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Changes in Loneliness	Loneliness measured by the UCLA 3-item Loneliness Scale (UCLA-3). This is a 3-item scale with scores ranging from 3-9, with higher scores indicating greater severity of loneliness.	Baseline, day 2, day 3, day 4, day 5

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Changes in Stress	Stress measured by Perceived Stress Scale (PSS). This is a 14-item scale with scores ranging from 0-56, with higher scores indicating greater severity of stress.	Baseline, day 3, day 5
Changes in Patient Engagement	Patient engagement measured by Patient Activation Measure-13 (PAM-13). This is a 13-question scale.	Baseline, day 3, day 5
Changes in Quality of Life in Older Adults	Quality of life which will be measured by the Euro-Quality of Life (EQ-5D). This is a 5-component scale including mobility, self-care, usual activities, pain/discomfort, and anxiety/depression.	Baseline, day 3, day 5

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Feasibility Outcome: Enrollment	Enrollment rate (percent of participants enrolled from eligible participants)	Day 5
Feasibility Outcome: Recruitment	Recruitment target (ability to recruit 60 participants)	Day 5
Feasibility Outcome: Retention	Retention rate (percent of randomized participants who complete 5-day assessments in both arms)	Day 5
Exploratory Outcome: Changes in Depression	Depression measured by the Patient Health Questionnaire-9 (PHQ-9). This is a 9-question scale with scores ranging from 0-27, with higher scores indicating greater severity of depression.	Baseline, day 5
Exploratory Outcome: Changes in Anxiety	Anxiety measured by Generalized Anxiety Disorder-7 (GAD-7) scale. This is a 7-question scale with scores ranging from 0-21, with higher scores indicating greater severity of anxiety.	Baseline, day 5
Qualitative Component: Semi-structured interviews	The qualitative outcome of this RCT will analyze the experiences, barriers, and engagement of older adults with the myHealthHub device. It will also explore the experiences and limitations of hospital support staff with myHealthHub service.	Day 5

Collaborators and Investigators

• Sponsor: Lady Davis Institute

Study record dates

Study Major Dates

• Study Start (Anticipated): September 1, 2022
• Primary Completion (Anticipated): September 1, 2023
• Study Completion (Anticipated): September 1, 2023

Study Registration Dates

• First Submitted: June 23, 2022
• First Submitted That Met QC Criteria: July 5, 2022
• First Posted (Actual): July 8, 2022

Study Record Updates

• Last Update Posted (Actual): July 8, 2022
• Last Update Submitted That Met QC Criteria: July 5, 2022
• Last Verified: July 1, 2022

More Information

Terms related to this study

• Keywords: Older adults; Technology; Hospital Inpatients
• Other Study ID Numbers: 2023-619

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No