Adopting a Health-social Partnership Program to Promote Health and Self-care Management Among Older Adults in the Community: an Effectiveness-implementation Hybrid Design
Led by The Hong Kong Polytechnic University · Updated on 2024-10-17
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12 weeks
Total Duration
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What this Trial Is About
Researchers are investigating a community-based health-social partnership program designed to improve health and self-care management among older adults living in the community. This randomized effectiveness-implementation hybrid trial aims to evaluate both the health benefits of the program and how well it can be applied in real-life settings. The study focuses on older adults aged 60 and above who are cognitively competent, addressing the challenges of aging populations and the need for integrated care approaches.
Participants are divided into two groups. The intervention group receives a 3-month community-based program led by a nurse case manager and supported by social workers and community workers. This involves comprehensive health assessments, personalized guidance, counseling, treatments, and case management, including home visits and telephone calls. The control group receives usual community services plus a monthly social call to account for social interaction effects without health-related information. The study includes a cluster randomized controlled trial design with matched community centers.
Participants will be assessed at three time points: before the intervention, immediately after the 3-month program, and three months post-intervention. Evaluations include self-efficacy, instrumental activities of daily living, quality of life, pain, depression, daily living activities, health service use, blood pressure, body mass index, fall incidence, medication adherence, and blood glucose levels. Researchers will also study the program's reach, adoption, implementation, and maintenance using focus groups and document reviews. The total participation duration covers these assessments and follow-up periods.
CONDITIONS
Brief Title
Adopting a Health-social Partnership Program to Promote Health and Self-care Management Among Older Adults in the Community
Who Can Participate
Age: 60Years +
All Genders
Healthy Volunteers
Eligibility Criteria
You may qualify if you...
People aged 60 or above
Living within the service areas of respective community centers
Cognitively competent with Hong Kong version of Montreal Cognitive Assessment (HK-MoCA) with score 2 or higher
You will not qualify if you...
Unable to communicate
Not reachable by phone
Not living at home
Bed bound
Serious mental illness requiring hospitalization in recent 6 months
Already engaged in similar structured health or social programs
Will not stay in Hong Kong for the current three months
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Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - 3 months
Participants in the intervention group receive a 3-month community-based health-social partnership program led by a nurse case manager with support from social workers and community workers. The program includes home visits, telephone calls, and activation of health and social service referrals. Control group participants receive usual community services and monthly social control calls.
Home visits and telephone calls during the 3-month program; monthly social control calls for control group
Follow-up
Duration - 3 months post-intervention
Participants are assessed for outcomes three months after completing the intervention to evaluate lasting effects on health and self-care management.
Community-Based Health-Social Partnership Programme (C-HSPP) for enhancing self-care management among older adults: protocol for a hybrid effectiveness-implementation trial.
Wilson Yeung Yuk Kwok, Frances Kam Yuet Wong, Arkers Kwan Ching Wong...