mHealth Person-centred Self-care Support for Homebound Older Adults: A Hybrid Effectiveness-implementation Study

NCT06879457 | Recruiting

• 1 other identifier: HSEARS20240718004
• Study Type: interventional
• Target: 130
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of the study is to evaluate the effectiveness and implementation of the mobile health (mHealth)-assisted, person-centred care (PCC) self-care support programme for homebound older adults. The researcher will compare PCC approach to a conventional care provider-led model. Participants (n = 130) will receive the intervention of six bi-weekly WhatsApp video call sessions over three months with nurse case managers (NCMs).

Conditions

Mobile Health; Person-Centred Care; Self-Care; Homebound; Older Adults

Outcome Measures

Primary Outcomes (2)

• Change in self-efficacy assessed using the Chinese version of the General Self-Efficacy Scale

  Unit of Measure: Mean score on self-efficacy.

  At baseline, 3 months post-intervention , and 6 months post-intervention.

• Change in instrumental activities of daily living assessed using the Chinese version of the Lawton Instrumental Activities of Daily Living Scale

  Unit of Measure: Mean score on instrumental activities of daily living.

  At baseline, 3 months post-intervention , and 6 months post-intervention.

Secondary Outcomes (12)

• Change in quality of life assessed using the Chinese version of the 12-item Short Form Health Survey version 2

  At baseline, 3 months post-intervention , and 6 months post-intervention.

• Change in psychological distress assessed using the Chinese version of 21-item Depression Anxiety Stress Scale

  At baseline, 3 months post-intervention , and 6 months post-intervention.

• Change in perceived loneliness assessed using the Chinese version of the UCLA 3-item Loneliness Scale

  At baseline, 3 months post-intervention , and 6 months post-intervention.

• Change in functional mobility assessed using the Timed Up and Go Test

  At baseline, 3 months post-intervention , and 6 months post-intervention.

• Change in sedentary behaviour assessed using the Chinese version of the Sedentary Behaviour Questionnaire for Elderly

  At baseline, 3 months post-intervention , and 6 months post-intervention.

Study Arms (2)

Intervention Group

EXPERIMENTAL

The intervention group emphasizes shared decision-making, goal-setting, and interdisciplinary support. The NCM will co-develop self-care plans with participants.

Behavioral: PCC-based mHealth-assisted self-care support intervention

Control Group

ACTIVE COMPARATOR

The control group does not include shared decision-making or personalized goal-setting. Self-care plans will be developed solely by the nurse case manager (NCM).

Behavioral: Provider-led mHealth-assisted self-care support intervention

Interventions

PCC-based mHealth-assisted self-care support intervention BEHAVIORAL

Participants receive six bi-weekly WhatsApp video call sessions with a NCM over three months, using a person-centred care (PCC) approach.

Intervention Group

Provider-led mHealth-assisted self-care support intervention BEHAVIORAL

Participants receive six bi-weekly WhatsApp video call sessions with a NCM over three months, based on the conventional provider-led model.

Control Group

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Aged 60 years or older;
• Unable to leave home more than twice per week due to physical or functional health problems;
• Own and have basic proficiency in using a smartphone;
• Speak Cantonese;
• Indicate sufficient cognitive ability; and
• Be moderately frail or below.

You may not qualify if:

• Unable to hear, see, or communicate effectively;
• Be completely bed-bound; or
• Reside in an area without stable internet coverage.

Sponsors & Collaborators

• The Hong Kong Polytechnic University: lead

Study Sites (1)

Yan Oi Tong

Hong Kong, Hong Kong

RECRUITING

Study Officials

• Prof. Arkers Wong

  School of Nursing, The Hong Kong Polytechnic University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Prof. Arkers Wong

CONTACT

+852 3400 3805; arkers.wong@polyu.edu.hk

Study Design

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

Study Record Dates

• First Submitted: March 10, 2025
• First Posted: March 17, 2025
• Study Start: March 10, 2025
• Primary Completion (Estimated): December 31, 2026
• Study Completion (Estimated): December 31, 2027
• Last Updated: September 15, 2025

Record last verified: 2025-09

Locations

HK (1)