NCT02286375

Brief Summary

This paper aims to describe the research protocol that will be used to determine the effectiveness of a health-social partnership intervention programme among community-dwelling older adults

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
460

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Apr 2016

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

October 8, 2014

Completed
1 month until next milestone

First Posted

Study publicly available on registry

November 7, 2014

Completed
1.4 years until next milestone

Study Start

First participant enrolled

April 1, 2016

Completed
2.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2019

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2019

Completed
Last Updated

February 18, 2020

Status Verified

February 1, 2020

Enrollment Period

2.8 years

First QC Date

October 8, 2014

Last Update Submit

February 14, 2020

Conditions

Keywords

health-social partnershipself-efficacy

Outcome Measures

Primary Outcomes (1)

  • The primary outcome will measure the community living older adults the change from baseline in self-efficacy belief in self-care management at home at 3-months and 6-months

    All 10-item in the Chinese version are rated on a 4-point Likert scale ranging from 1= not at all true to 4= exactly true. Scores on the scale are summated and higher scores indicate greater self-efficacy.Measuring general self-efficacy can provide a way to evaluate the effectiveness of empowerment interventions.

    pre-intervention, 3-month, 6-month

Secondary Outcomes (8)

  • the change of medication adherence to chronic medications from baseline to 3-months and 6-months for community-living older adults

    pre-intervention, 3-month, 6-month

  • the change from baseline in physical activity level of community living older adults at 3-months and 6-months

    pre-intervention, 3-month, 6-month

  • the change from baseline in activity of daily living level at 3-months and 6-months

    pre-intervention, 3-month, 6-month

  • the change from baseline in Instrumental activity of daily living level at 3-months and 6-months

    pre-intervention, 3-month, 6-month

  • nutritional status of community-living older adults from pre-intervention to post intervention at 3-months and 6-months

    pre-intervention, 3-month, 6-month

  • +3 more secondary outcomes

Study Arms (2)

Intervention group

EXPERIMENTAL

Interventions include providing comprehensive assessment from Omaha system, giving information regarding the self-care management, assisting and coordinating self-regulating skills and abilities, and providing social support from health-social care team to community-dwelling older adults for three months

Behavioral: Intervention group

customary care group

PLACEBO COMPARATOR

Customary care includes receiving community services from the community center in the district, providing monthly social call by a reserch assistant for three months

Behavioral: Intervention group

Interventions

A structured assessment is conducted using the Omaha system. Problems will be identified in the four domains which include environment, psychosocial, physiological and health-related behavior. According to the identified problems, the nurse case manager and older adults will set contract goals and formulate an individual care plan. The nurse case manager will provide information on the basic knowledge of participants' own chronic illnesses; recognition, measurement and management of the early signs and symptoms of a deterioration or exacerbation of diseases; and the importance of health-promoting and self-care activities. A booklet will be given to them for easy reference and act as a reminder to consolidate the knowledge in case the important concepts are forgotten.

Intervention groupcustomary care group

Eligibility Criteria

Age60 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • People aged 60 or above
  • Living within the service area
  • Cognitively competent with Chinese version Mini-Mental Status Examination (C-MMSE) with score ≥ 20 (Wong, et al., 2011)

You may not qualify if:

  • Not communicable
  • Bed bound
  • Not reached by phone
  • With psychiatric problems
  • Already engaged in structured health or social programs
  • Will not stay in Hong Kong for the current two months

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Salvation army

Kowloon, Hong Kong

Location

Related Publications (5)

  • Wong GK, Lam SW, Wong A, Lai M, Siu D, Poon WS, Mok V. MoCA-assessed cognitive function and excellent outcome after aneurysmal subarachnoid hemorrhage at 1 year. Eur J Neurol. 2014 May;21(5):725-30. doi: 10.1111/ene.12363. Epub 2014 Jan 28.

  • Wong FK, Ho MM, Yeung S, Tam SK, Chow SK. Effects of a health-social partnership transitional program on hospital readmission: a randomized controlled trial. Soc Sci Med. 2011 Oct;73(7):960-9. doi: 10.1016/j.socscimed.2011.06.036. Epub 2011 Jul 22.

  • Wong FK, Chow SK, Chan TM, Tam SK. Comparison of effects between home visits with telephone calls and telephone calls only for transitional discharge support: a randomised controlled trial. Age Ageing. 2014 Jan;43(1):91-7. doi: 10.1093/ageing/aft123. Epub 2013 Aug 26.

  • Nicolaides-Bouman A, van Rossum E, Habets H, Kempen GI, Knipschild P. Home visiting programme for older people with health problems: process evaluation. J Adv Nurs. 2007 Jun;58(5):425-35. doi: 10.1111/j.1365-2648.2007.04235.x. Epub 2007 Apr 17.

  • Yoo H, Kim CJ, Jang Y, You MA. Self-efficacy associated with self-management behaviours and health status of South Koreans with chronic diseases. Int J Nurs Pract. 2011 Dec;17(6):599-606. doi: 10.1111/j.1440-172X.2011.01970.x.

MeSH Terms

Conditions

Health Behavior

Condition Hierarchy (Ancestors)

Behavior

Study Officials

  • Arkers Wong, Msc

    The Hong Kong Polytechnic University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

October 8, 2014

First Posted

November 7, 2014

Study Start

April 1, 2016

Primary Completion

January 1, 2019

Study Completion

March 1, 2019

Last Updated

February 18, 2020

Record last verified: 2020-02

Locations