Effects of mHealth on Promoting Self-care Health Management Among Older Adults in the Community
1 other identifier
interventional
221
1 country
1
Brief Summary
Many of the existing mobile health (mHealth) apps designed in a reactive care approach, in which people do not receive individualized care until they consulted health care professionals through the apps. This proposal endeavors to develop a proactive mHealth application on promoting self-care ability and health among older adults to examine the differential benefits of adding nurse interaction supported by an integrated health-social partnership model in the use of mHealth.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Dec 2020
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 12, 2019
CompletedFirst Posted
Study publicly available on registry
March 18, 2019
CompletedStudy Start
First participant enrolled
December 1, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 30, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
July 31, 2022
CompletedAugust 3, 2022
August 1, 2022
1.4 years
March 12, 2019
August 1, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Quality of life (general well-being of individual)
Quality of life will be measured by SF-12v2 (physical and psychological component) version which has been translated, validated and proven reliable for use among the Hong Kong Chinese population.This questionnaire is a generic measure, as opposed to one that targets a specific age and disease. It has shown useful in Chinese elderly patients. The scale ranged from 0 to 100, with 50 indicating the standardized norm scale
3-month
Secondary Outcomes (6)
depression
3-month
self-efficacy
3-month
pain score
3-month
blood pressure
3-month
capillary blood glucose
3-month
- +1 more secondary outcomes
Study Arms (3)
mHealth+I
EXPERIMENTALThis group of participants will receive a proactive mHealth with interactivity program which includes two main elements: 1) mHealth application designed by the research team with the information technological support by Smartone and 2) nurse case management supported by a social service team
mHealth
ACTIVE COMPARATORThe mHealth group will have access to the health content on the mHealth platform. This group 2018 HMRF Open Call Proposal Section 13: Proposed Research Project 5 will enjoy the same content and client-initiated help if needed. Same as the above group, the client is invited to use the mHealth application. A reminder message will pop up on the screen of smartphone when participants have not used it for more than one week. The participants are encouraged to read the self-care information that is featured in the app. There is a button for the client-imitated call if they would like to consult a nurse.
Control
NO INTERVENTIONAll groups will receive usual community services. The study district provides community-based health talks and basic health checks such as measuring blood pressure and blood glucose that are accessible to all residents, and their participation is voluntary. Both health and social services are available in the community for those who need help, including referral for further help if appropriate. These services are however episodic with design for continuity of care. No mHealth application will be provided to the participants in this group but the individuals are free to do their own surfing for e-health information.
Interventions
a mHealth device with interactivity with nurse case manager
Eligibility Criteria
You may qualify if:
- people who are aged 60 or above
- with chief complaints of either pain, hypertension, or diabetes mellitus
- living within the service areas and (4) using smartphone
You may not qualify if:
- already engaged in other mHealth programs
- diagnosed with psychiatric problems
- bed-bound
- living in area with no internet coverage
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
The Lutheran Group of social service
Hong Kong, Siu Sai Wan, 00000, Hong Kong
Related Publications (3)
Wong AKC, Bayuo J, Wong FKY, Chow KKS, Wong SM, Lau ACK. The Synergistic Effect of Nurse Proactive Phone Calls With an mHealth App Program on Sustaining App Usage: 3-Arm Randomized Controlled Trial. J Med Internet Res. 2023 May 1;25:e43678. doi: 10.2196/43678.
PMID: 37126378DERIVEDWong AKC, Wong FKY, Chow KKS, Wong SM, Bayuo J, Ho AKY. Effect of a Mobile Health Application With Nurse Support on Quality of Life Among Community-Dwelling Older Adults in Hong Kong: A Randomized Clinical Trial. JAMA Netw Open. 2022 Nov 1;5(11):e2241137. doi: 10.1001/jamanetworkopen.2022.41137.
PMID: 36350651DERIVEDWong AKC, Wong FKY, Bayuo J, Chow KKS, Wong SM, Lee AYL. A randomized controlled trial of an mHealth application with nursing interaction to promote quality of life among community-dwelling older adults. Front Psychiatry. 2022 Oct 18;13:978416. doi: 10.3389/fpsyt.2022.978416. eCollection 2022.
PMID: 36329920DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Arkers Wong, Master
The Hong Kong Polytechnic University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal investigator
Study Record Dates
First Submitted
March 12, 2019
First Posted
March 18, 2019
Study Start
December 1, 2020
Primary Completion
April 30, 2022
Study Completion
July 31, 2022
Last Updated
August 3, 2022
Record last verified: 2022-08
Data Sharing
- IPD Sharing
- Will not share