Actively Recruiting

Phase Not Applicable
Age: 60Years +
All Genders
ID06879457

Empowering Homebound Older Adults in Self-care Using a Mobile Health-assisted, Person-centred Care Approach: A Hybrid Effectiveness-implementation Design

Led by The Hong Kong Polytechnic University · Updated on 2025-09-15

130

Participants Needed

1

Research Sites

52 weeks

Total Duration

On this page

AI-Summary

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.

CONDITIONS

Brief Title

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

Who Can Participate

Age: 60Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • 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
  • Be moderately frail or below
Not Eligible

You will not qualify if you...

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

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 screening and enrollment visit (in-person or remote)

Outpatient Treatment

Duration - 3 months

Participants receive six bi-weekly WhatsApp video call sessions with a nurse case manager over three months, supporting self-care using either a person-centred care approach or a conventional provider-led model.

6 bi-weekly video call sessions

Follow-up

Duration - 3 months post-treatment

Participants are followed up to assess changes in self-efficacy, functional independence, psychosocial well-being, and satisfaction with the intervention.

Assessments at 3 and 6 months post-intervention

Trial Site Locations

Total: 1 location

1

Yan Oi Tong

Hong Kong, Hong Kong

Actively Recruiting

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Research Team

P

Prof. Arkers Wong

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

SUPPORTIVE_CARE

Number of Arms

2

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Published Research Related To This Trial

Homebound older adults in self-care using a mobile health-assisted, person-centred care approach: study protocol for a hybrid effectiveness-implementation design.

Arkers Kwan Ching Wong, Frances Kam Yuet Wong, Shamay Sheung Mei Ng...

https://pubmed.ncbi.nlm.nih.gov/41904377