Effects of a Video-based mHealth Program

NCT04304989 | Completed DMC

• 1 other identifier: P0031004
• Study Type: interventional
• Target: 68
• Locations: 1 country
• Sites: 1

Brief Summary

Homebound older adults are among the highest users in health care systems. The high use of health care services is related to their physical limitations compounded by complex health and social care needs. Homebound older adults can be difficult to reach because they seldom participate and engage in community services due to their functional limitations, which leaves their health needs largely unrecognized at an earlier stage. This study tries to bring this group of older adults to the providers' attention and design a health-social oriented self-care mHealth program and subject it to empirical testing.

Conditions

Mobile Health; Older Adult

Outcome Measures

Primary Outcomes (1)

• Self-efficacy will be measured by general self-efficacy scale

  measured by the general self-efficacy scale. The score is from 10-40, higher the better.

  Change from Baseline score of general self-efficacy scale at 3 months

Secondary Outcomes (8)

• instrumental activity of daily living

  Change from Baseline score of Lawton Instrumental activity of daily living scale at 3 months

• medication adherence

  Change from Baseline score of adherence to refills and mediaction scale at 3 months

• Activity of daily living will be measured by Barthel index scale

  Change from Baseline score of Barthel index at 3 months.

• depression

  Change from Baseline score of geriatric depression scale at 3 months

• Health service utilisation

  Change from Baseline attendance at 3 months

Study Arms (2)

Intervention

EXPERIMENTAL

This group of participants will receive a video-based mHealth program which includes two main elements: 1) nurse case management supported by a social service team, 2) individual-specific video messages covering self-care topics delivered via smartphone

Other: mHealth program

Control

OTHER

The participants in this group will receive usual care

Other: usual care

Interventions

mHealth program OTHER

mobile health applications

Intervention

usual care OTHER

usual care

Control

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• people who are aged 60 or above
• go outdoor less than once per week in current 6 months
• living within the service area of community centre
• using smartphone

You may not qualify if:

• diagnosed with dementia
• unable to hear, see or communicate
• bed-bound
• active psychiatric illness with recent hospital admission within last 6 months
• living within an area with no internet coverage
• already engaged in other mHealth programs

Sponsors & Collaborators

• The Hong Kong Polytechnic University: lead

Study Sites (1)

The Lutheran Group of social service

Hong Kong, Siu Sai Wan, 00000, Hong Kong

Location

Related Publications (1)

• Wong AKC, Wong FKY, Chow KKS, Wong SM, Lee PH. Effect of a Telecare Case Management Program for Older Adults Who Are Homebound During the COVID-19 Pandemic: A Pilot Randomized Clinical Trial. JAMA Netw Open. 2021 Sep 1;4(9):e2123453. doi: 10.1001/jamanetworkopen.2021.23453.

  PMID: 34499135 DERIVED

Study Officials

• Arkers Wong

  The Hong Kong Polytechnic University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant professor

Study Record Dates

• First Submitted: March 8, 2020
• First Posted: March 12, 2020
• Study Start: May 21, 2020
• Primary Completion: July 20, 2020
• Study Completion: October 20, 2020
• Last Updated: December 23, 2020

Record last verified: 2020-12

Data Sharing

• IPD Sharing: Will not share

Locations

HK (1)