A Health-social Partnership Programme for Improving Health Self-management of Community-dwelling Older Adults

NCT04442867 | Completed

• 1 other identifier: HEIPS
• Study Type: interventional
• Target: 92
• Locations: 1 country
• Sites: 1

Brief Summary

Health-social partnership has been governed by regulations in many developed countries for some years. For instance, the government of United Kingdom has implemented a policy specifically designed to facilitate the discharge of older adults by collaborating health and social care workers in hospitals. The United States also formulated a policy to support the development of collaborative and multi-agency care services in community setting for helping those who are vulnerable and underserved including ethnic minorities, homeless people, and those without health insurance. While these services were shown to reduce the delays in hospital discharge and improve access to services, they were found to be health-dominated and the involvement of service users in strategic design and planning was lacking. As a result, the actual process in practice was reported to be poor and a true model of health and social care partnership was not attained. Currently in Hong Kong, health-social partnership has not yet been driven and guided by policy. It is still unknown for researchers and practitioners as how to effectively build a seamless working partnership among two different disciplines and sustain in the community to support the independent living of older adults.

Conditions

Healthy Aging

Keywords

hybrid effectiveness-implementation design; health-social partnership; community

Outcome Measures

Primary Outcomes (1)

• Change in self-efficacy

  The change of self-efficacy in three time-points. Self-efficacy will be measured by using the Chinese version of the General Self-efficacy Scale. The scale was validated in Chinese population and had a reliability alpha coefficient of 0.89. The scale consists of ten questions, scores ranging from 10 to 40, with higher scores representing better self-efficacy.

  baseline pre-intervention (T1), at three-month when the interventions are completed (T2), and three-month post-intervention (T3)

Secondary Outcomes (2)

• Change in quality of life

  baseline pre-intervention (T1), at three-month when the interventions are completed (T2), and three-month post-intervention (T3)

• change in health service utilisation

  baseline pre-intervention (T1), at three-month when the interventions are completed (T2), and three-month post-intervention (T3)

Study Arms (2)

Intervention group

EXPERIMENTAL

Subjects will receive nurse-led case management supported by a social service team.The nurse, functioning as a case manager, is involved in the initial assessment of the participant using the Omaha system. After the initial assessment, the NCM will equip participants with the skills required to perform self-care in health maintenance, including self-monitoring of vital signs, medication adherence, and sources of help if needed.

Other: Case management

Control group

OTHER

Participants in the control group will receive a monthly social control call from a trained research assistant

Other: Social call

Interventions

Case management OTHER

Based on the clients' problems, individualized and specific health education such as recognition of the early signs and symptoms of an exacerbation or deterioration of disease condition, the frequency, dosage, duration of each health-promoting activity that was of therapeutic value, and the techniques required to perform these activities will be provided by the Nurse Case Manager.

Intervention group

Social call OTHER

Provide social call to participants, such as ask the participants what TV program do you like most, and how are you recently.

Control group

Eligibility Criteria

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

You may qualify if:

• aged 60 or above
• cognitively competent with the Hong Kong version of Montreal Cognitive Assessment (HK-MoCA) with score ≥ 22

You may not qualify if:

• not communicable
• not reachable by phone
• not living at home
• bedbound
• with known psychiatric problems with recent hospitalization within last 6 months
• already engaged in structured health or social programmes
• will not stay in Hong Kong for the current three months

Sponsors & Collaborators

• The Hong Kong Polytechnic University: lead

Study Sites (1)

Hong Kong Lutheran Social Services

Hong Kong, Hong Kong

Location

Related Publications (2)

• Wong AKC, Wong FKY, Chow KKS, Kwan DKS, Lau DYS, Lau ACK. A health-social service partnership programme for improving the health self-management of community-dwelling older adults: a hybrid effectiveness-implementation pilot study protocol. Pilot Feasibility Stud. 2023 Nov 8;9(1):184. doi: 10.1186/s40814-023-01412-0.

  PMID: 37941087 DERIVED

• Wong AKC, Wong FKY, Wong MCS, Chow KKS, Kwan DKS, Lau DYS. A community-based health-social partnership program for community-dwelling older adults: a hybrid effectiveness-implementation pilot study. BMC Geriatr. 2022 Oct 7;22(1):789. doi: 10.1186/s12877-022-03463-z.

  PMID: 36207685 DERIVED

MeSH Terms

Interventions

Case Management

Intervention Hierarchy (Ancestors)

Patient Care Planning; Comprehensive Health Care; Patient Care Management; Health Services Administration

Study Officials

• Frances KY Wong

  The Hong Kong Polytechnic University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinical associate

Study Record Dates

• First Submitted: June 19, 2020
• First Posted: June 23, 2020
• Study Start: December 30, 2020
• Primary Completion: June 30, 2022
• Study Completion: July 10, 2022
• Last Updated: August 3, 2022

Record last verified: 2022-08

Data Sharing

• IPD Sharing: Will not share

Locations

HK (1)