Community-based E-Health Program for Older Adults Living with Chronic Diseases

NCT04560296 | Completed DMC

• 1 other identifier: NUHSRO/2019/081/Startup/06
• Study Type: interventional
• Target: 150
• Locations: 1 country
• Sites: 9

Brief Summary

With increased aging population, there is a higher rate of having chronic diseases and cognitive impairment. In order to achieve successful aging, it is important for community-dwelling older adults to perform better self-management with improved health literacy and various kinds of support. The study aims to develop a Community-based E-Health Program (CeHP) for Older Adults Living with Chronic Diseases , evaluate the effectiveness of CeHP, and refine the program based on the outcome measurement. A cluster controlled trial will be adopted. A follow-up process evaluation will be conducted to assess the acceptability, strengths and limitations of CeHP based on the participants' perspectives. The research contributes to engage and empower older adults living in the community to manage their chronic condition, and foster collaboration with the goal of translating evidence into action.

Conditions

Diabetes Mellitus; Hypertension; Hyperlipidemias

Keywords

community-dwelling older adults; chronic diseases; self-management; e-health; cognitive impairment

Outcome Measures

Primary Outcomes (1)

• Change in Self-care ability of Chronic disease

  Self-care of Chronic Illness Inventory

  baseline, 3 month, 6 month

Secondary Outcomes (11)

• Change in Patient Empowerment

  baseline, 3 month, 6 month

• Change in Health Literacy

  baseline, 3 month, 6 month

• Change in Social support

  baseline, 3 month, 6 month

• Change in Healthy Aging practice

  baseline, 3 month, 6 month

• Montreal Cognitive Assessment

  baseline, 3 month, 6 month

Study Arms (2)

Community-based E-Health Program

EXPERIMENTAL

The intervention group will consist of 80 participants who will engage in Community-based E-Health Program.

Behavioral: Community-based E-Health Program

usual self-management and follow up with doctors/nurse

ACTIVE COMPARATOR

The participants will receive the usual self-management and follow up with doctors/nurse as planned.

Behavioral: usual self-management and follow up with doctors/nurse

Interventions

Community-based E-Health Program BEHAVIORAL

Community-based E-Health Program will be developed to engage and empower older adults to manage the chronic conditions effectively.

Community-based E-Health Program

usual self-management and follow up with doctors/nurse BEHAVIORAL

usual self-management and follow up with doctors/nurse as planned in the community nurse post.

usual self-management and follow up with doctors/nurse

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; 2) able to understand and communicate in either English or Mandarin; 3) able to give consent to participate; 4) lives within the community setting; 5) diagnosed with chronic conditions (Hypertension, Hyperlipidemia, and Diabetes Mellites); 6) able to commit to the research program throughout the whole duration.

You may not qualify if:

• severe cognitive impairment;
• severe psychiatric disorders;
• severe vision impairment;
• severe hearing impairment.

Sponsors & Collaborators

• National University of Singapore: lead
• Changi General Hospital: collaborator

Study Sites (9)

Brahm Centre @ Tampines

Singapore, Singapore, 520473, Singapore

Location

THK SAC @ Bedok Radiance

Singapore, 460012, Singapore

Location

THK SAC @ Kaki Bukit

Singapore, 462509, Singapore

Location

Pap Community Foundation 3-in-1 Family Centre (Aged Care)

Singapore, 520209, Singapore

Location

Brahm Centre @ Simei 227

Singapore, 520227, Singapore

Location

Lb Sac @ 434 Tampines

Singapore, 520434, Singapore

Location

Presbyterian Community Services - Evergreen Circle Seniors Activity Centre

Singapore, 521827, Singapore

Location

Lb Sac @ 499C Tampines

Singapore, 523499, Singapore

Location

Lb Sac (Sa) @ Tampines 494E

Singapore, 525494, Singapore

Location

Related Publications (8)

• Epidemiology & Disease Control Division, et al., The Burden of Disease in Singapore, 1990-2017: An overview of the Global Burden of Disease Study 2017results. 2019: Seattle, WA: IHME

  BACKGROUND

• van der Heide I, Poureslami I, Mitic W, Shum J, Rootman I, FitzGerald JM. Health literacy in chronic disease management: a matter of interaction. J Clin Epidemiol. 2018 Oct;102:134-138. doi: 10.1016/j.jclinepi.2018.05.010. Epub 2018 May 21.

  PMID: 29793001 BACKGROUND

• Vijayan M, Reddy PH. Stroke, Vascular Dementia, and Alzheimer's Disease: Molecular Links. J Alzheimers Dis. 2016 Sep 6;54(2):427-43. doi: 10.3233/JAD-160527.

  PMID: 27567871 BACKGROUND

• Tan HH, Xu J, Teoh HL, Chan BP, Seet RC, Venketasubramanian N, Sharma VK, Chen CL, Dong Y. Decline in changing Montreal Cognitive Assessment (MoCA) scores is associated with post-stroke cognitive decline determined by a formal neuropsychological evaluation. PLoS One. 2017 Mar 27;12(3):e0173291. doi: 10.1371/journal.pone.0173291. eCollection 2017.

  PMID: 28346532 BACKGROUND

• van de Bovenkamp HM, Dwarswaard J. The complexity of shaping self-management in daily practice. Health Expect. 2017 Oct;20(5):952-960. doi: 10.1111/hex.12536. Epub 2017 Feb 2.

  PMID: 28152248 BACKGROUND

• Koetsenruijter J, van Eikelenboom N, van Lieshout J, Vassilev I, Lionis C, Todorova E, Portillo MC, Foss C, Serrano Gil M, Roukova P, Angelaki A, Mujika A, Knutsen IR, Rogers A, Wensing M. Social support and self-management capabilities in diabetes patients: An international observational study. Patient Educ Couns. 2016 Apr;99(4):638-643. doi: 10.1016/j.pec.2015.10.029. Epub 2015 Nov 2.

  PMID: 26549171 BACKGROUND

• Beauchamp A, Peeters A, Tonkin A, Turrell G. Best practice for prevention and treatment of cardiovascular disease through an equity lens: a review. Eur J Cardiovasc Prev Rehabil. 2010 Oct;17(5):599-606. doi: 10.1097/HJR.0b013e328339cc99.

  PMID: 20562629 BACKGROUND

• Solomon M, Wagner SL, Goes J. Effects of a Web-based intervention for adults with chronic conditions on patient activation: online randomized controlled trial. J Med Internet Res. 2012 Feb 21;14(1):e32. doi: 10.2196/jmir.1924.

  PMID: 22353433 BACKGROUND

MeSH Terms

Conditions

Diabetes Mellitus; Hypertension; Hyperlipidemias; Chronic Disease; Cognitive Dysfunction

Interventions

Nurses

Condition Hierarchy (Ancestors)

Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases; Vascular Diseases; Cardiovascular Diseases; Dyslipidemias; Lipid Metabolism Disorders; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Cognition Disorders; Neurocognitive Disorders; Mental Disorders

Intervention Hierarchy (Ancestors)

Health Personnel; Health Care Facilities Workforce and Services

Study Officials

• Vivien Xi Wu, PhD

  National University of Singapore

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Model Details: Cluster Controlled Study

Study Record Dates

• First Submitted: September 3, 2020
• First Posted: September 23, 2020
• Study Start: September 15, 2020
• Primary Completion: June 30, 2023
• Study Completion: June 30, 2024
• Last Updated: November 15, 2024

Record last verified: 2024-11

Data Sharing

• IPD Sharing: Will not share

Locations

SG (9)