Using Mobile Health to Support Self-Care in Homebound Older Adults Through Person-Centred Care A Study Comparing Personalized and Provider-Led Approaches

What this Trial Is About

Researchers are evaluating a mobile health mHealth-assisted, person-centred care PCC self-care support program designed for homebound older adults. This hybrid effectiveness-implementation, cluster-randomized controlled trial compares the PCC approach to a conventional provider-led care model to understand its impact on self-efficacy, functional independence, and psychosocial well-being. The study aims to improve self-care engagement and healthcare accessibility for aging populations who have difficulty leaving home. Participants will be assigned to one of two groups the intervention group receives six bi-weekly WhatsApp video call sessions over three months with nurse case managers NCMs using a PCC approach that includes shared decision-making, goal-setting, and interdisciplinary support. The control group also receives six bi-weekly WhatsApp sessions over three months but follows a conventional care model where the NCM solely develops self-care plans without shared decision-making or personalized goal-setting. During the study, participants will complete assessments at baseline, 3 months post-intervention, and 6 months post-intervention. These include self-efficacy, daily living activities, quality of life, psychological distress, loneliness, functional mobility, sedentary behavior, and healthcare utilization. Researchers will also monitor participant reach, satisfaction, service provider adoption of PCC, intervention fidelity, and long-term maintenance. The total participation duration includes three months of intervention and follow-up assessments up to six months after the intervention ends.

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