Multimorbidity
Conditions
Interventions
intervention group:The transitional intervention was delivered over 8 weeks via online platforms including WeChat and telephone. Core components included regular follow-up via WeChat, providing person
family members were also engaged to provide supervision and emotional support, and support strategies were adjusted in a timely manner based on dynamic assessments of adherence and self-management cap
Control group:Patients receive routine care and a telephone follow?up one week after discharge.
Sponsors
Fujian Medical University
Eligibility
Sex/Gender
All
Age
60 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1. Age >= 60 years; 2. Diagnosed with at least two chronic diseases at a secondary or tertiary hospital; 3. Prescribed at least one long-term medication (duration >= 6 months) before admission and after discharge; 4. Permanent resident of Fuzhou urban area, with no plans to travel abroad or leave the city in the next three months; 5. Own a smartphone and be able to use WeChat; 6. No communication barriers; 7. Willing to participate voluntarily in this study.
Exclusion criteria
Exclusion criteria: 1. Severe cognitive impairment or mental illness that prevents understanding of study requirements; 2. Critically ill and/or at end-stage of disease; 3. Complicated with severe cardiac, hepatic, or renal insufficiency, or malignant tumors; 4. Previously participated or currently participating in other clinical trials that may affect the results of this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Medication Adherence; | — |
Secondary
| Measure | Time frame |
|---|---|
| Self-efficacy for Appropriate Medication Use;Beliefs about Medicines;Medication Literacy;Social Support; | — |
Countries
China
Contacts
Public ContactTing Lin
Fujian Medical University
Outcome results
None listed