Adopting a Health-social Partnership Program to Promote Health and Self-care Management Among Older Adults in the Community

NCT05621720 | Recruiting

• 1 other identifier: HSEARS20210401002
• Study Type: interventional
• Target: 788
• Locations: 1 country
• Sites: 1

Brief Summary

Hong Kong has notably the longest life expectancy in the world. Ever-increasing demand and challenges are posing to the healthcare, social welfare, and elderly care service system. As a global public health strategy to address the increasing burdens, there is a strong urge for an effective approach to enhance the health and self-care ability among the older adults dwelling in the community. Literature suggested that the effectiveness of community-based self-care management programs is inconclusive. In addition, though the concept of the health-social partnership has been widely promoted to improve primary care, literature addressed that the multiple barriers existed throughout the collaboration. More evidence should be sought in the local context to evaluate the effectiveness of self-care complex interventions program among older adults.

Conditions

Healthy Aging

Keywords

Community-dwelling older adults; Self-care; Health and social partnership

Outcome Measures

Primary Outcomes (2)

• Change in Self-efficacy

  The General Self-Efficacy Scale (GSE), developed based on social cognitive theory, initially consisted of 20 items and was later refined to a 10-item version that has been translated into Chinese. The scale items are rated on a 4-point Likert scale, ranging from 1 (not at all true) to 4 (exactly true). The total score ranges from 10 to 40, with higher scores indicating greater self-efficacy, meaning a stronger belief in one's ability to handle various situations effectively.

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

• Change in Instrumental Activities of Daily Living (IADL)

  The instrumental activities of daily living is measured by Lawton Instrumental Activities of Daily Living (IADL) Scale-Chinese version, a four-point scale with 9-items of activities which include use of telephone, transportation, shopping, meal preparation, housework, handyman work, laundry, medication management, and money management. Each item rate trichotomously (1 = unable, 2 = needs assistance, 3 = independent) and sum the night responses. Higher score means a worse IADL.

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

Secondary Outcomes (10)

• 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 self-report of pain

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

• Change in depression

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

• Change in activity of daily living

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

• Change in health service utilization

  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 in the intervention group will receive a 3-moth community-based health-social partnership program (C-HSPP) led by a nurse case manager, and supported by social workers and community workers.

Other: Case management

Control group

OTHER

Subjects in the control group will receive usual community services and a monthly social control call from trained community workers.

Other: Social control call and usual are

Interventions

Case management OTHER

On enrolment, the nurse case manager will perform the initial comprehensive assessment based on the Omaha domains of environment, psychosocial, physiological and health-related behavior. The nurse case manager will execute the intervention scheme of teaching, guidance \& counseling, treatments \& procedure, case management, and/or surveillance, with the mutual goal set with clients to promote health and self-efficacy. Home visits and telephone calls will be employed. The referral network to health and social service will be activated as appropriate.

Intervention group

Social control call and usual are OTHER

Subjects in the control group will receive usual community service. in addition, a monthly social control call from trained community workers will be given to rule out the possible social effects of the intervention. These social calls will not be related the participants' health condition nor delivery of any health information.

Control group

Eligibility Criteria

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

You may qualify if:

• (i) People aged 60 or above
• (ii) Living within the service areas of respective community centers
• (iii) Cognitively competent with Hong Kong version of Montreal Cognitive Assessment (HK-MoCA) with score ≥22

You may not qualify if:

• (i) Not communicable
• (ii) Not reachable by phone
• (iii) Not living at home
• (iv) Bed bound
• (v) With serious mental illness requiring hospitalization in recent 6 months
• (vi) Already engaged in similar structured health or social programs
• (vii) Will not stay in Hong Kong for the current three months

Sponsors & Collaborators

• The Hong Kong Polytechnic University: lead

Study Sites (1)

The Hong Kong Polytechnic University

Kowloon, Hong Kong

RECRUITING

Related Publications (1)

• Kwok WYY, Wong FKY, Wong AKC, Bayuo J. Community-Based Health-Social Partnership Programme (C-HSPP) for enhancing self-care management among older adults: protocol for a hybrid effectiveness-implementation trial. BMC Public Health. 2025 May 7;25(1):1678. doi: 10.1186/s12889-025-22846-6.

  PMID: 40335958 DERIVED

MeSH Terms

Interventions

Case Management

Intervention Hierarchy (Ancestors)

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

Study Officials

• Frances Kam-Yuet Wong

  The Hong Kong Polytechnic University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Wilson Yeung-Yuk Kwok

CONTACT

+852 2766 4112; wilson-yy.kwok@polyu.edu.hk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: The individual who evaluates the outcome(s) of interest would be blinded from having knowledge of the intervention and control group assignment.
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: June 13, 2022
• First Posted: November 18, 2022
• Study Start: June 6, 2022
• Primary Completion: January 31, 2025
• Study Completion: April 30, 2025
• Last Updated: October 17, 2024

Record last verified: 2024-10

Data Sharing

• IPD Sharing: Will not share

Locations

HK (1)