Community Health-Social Partnership Program to Support Self-Care and Health in Older Adults Aged 60 and Above

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 programs reach, adoption, implementation, and maintenance using focus groups and document reviews. The total participation duration covers these assessments and follow-up periods.

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