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Effectiveness of Intensive Tutoring vs. Flexible Self-Learning on Digital Health Literacy and Self-Efficacy for "My Health Bank" App Use Among Adults Over 50: A Randomized Controlled Trial Using AI-Co-Created Materials
Led by Tri-Service General Hospital · Updated on 2026-04-13
235
Participants Needed
2
Research Sites
N/A
Total Duration
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AI-Summary
What this Trial Is About
Researchers are evaluating two educational approaches to improve the use of the "My Health Bank" App, a personal health record system in Taiwan, among adults aged 50 and older. The study aims to address the digital divide faced by older adults by comparing the effectiveness of intensive guided learning versus flexible self-study using AI-co-created educational materials. The trial is designed as a randomized controlled study to assess improvements in digital health literacy, self-efficacy, and app usage behavior. The study is conducted over 18 months and divided into three phases. The first phase involves developing AI-collaborative educational materials and testing their feasibility in a pilot trial. The second phase enrolls participants in a formal randomized controlled trial where they are assigned to either an intensive guided learning group with instructor support or a flexible self-study group using the same materials independently. The final phase focuses on data analysis and reporting. Both groups use the "My Health Bank" App and educational content designed to enhance digital health skills. Participants will undergo assessments at baseline, one week, and four weeks post-intervention, including measurements of eHealth literacy and general self-efficacy. Researchers will track changes in these scores and app usage behavior to evaluate the interventions. The study includes cognitive screening and monitoring of participants' ability to install and use the app. Data will be collected and analyzed to identify effective strategies for improving digital health management among adults over 50.
CONDITIONS
Brief Title
Effectiveness of Intensive Tutoring vs. Flexible Self-Learning on Digital Health Literacy and Self-Efficacy for "My Health Bank" App Use Among Adults Over 50
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Participants aged 50 years and older
- Own a smartphone and have basic skills such as unlocking the phone, making calls, and using LINE
- Have used the "My Health Bank" App less than 3 times or never in the past year
- Can listen, speak, read, and understand Mandarin Chinese
You will not qualify if you...
- Regular users of the "My Health Bank" App (used 3 times or more in the past year)
- Severe cognitive impairment preventing following instructions or completing questionnaires
- Smartphone operating system too outdated to install the National Health Insurance App
- Unable to download and install the app independently or with family help (e.g., lost password, insufficient storage)
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person or remote) to confirm eligibility and collect baseline information
Duration - Up to 8 weeks
Participants receive AI-collaborative educational materials to improve digital health literacy. The intensive guided learning group receives instructor-led guidance and hands-on practice, while the flexible self-study group engages in self-paced learning.
3 visits: baseline, 1-week post-intervention, and 4-weeks post-intervention assessments
Duration - 4 weeks after intervention
Participants complete post-intervention assessments to evaluate changes in digital health literacy, self-efficacy, and health management behavior.
1 visit at 4 weeks post-intervention
Trial Site Locations
Total: 2 locations
1
Anle District Health Center and Affiliated Community Centers
Keelung, Anle District, Taiwan, 204
Actively Recruiting
2
Tri-Service General Hospital, Department of Orthopaedics
Taipei, Neihu District, Taiwan, 114
Actively Recruiting
Research Team
Y
Yu-Wen Chen, PhD Student
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
HEALTH_SERVICES_RESEARCH
Number of Arms
2
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