Diabetes Mellitus, Hyperlipidemias, Hypertension
Conditions
Keywords
community-dwelling older adults, chronic diseases, self-management, e-health, cognitive impairment
Brief summary
With increased aging population, there is a higher rate of having chronic diseases and cognitive impairment. In order to achieve successful aging, it is important for community-dwelling older adults to perform better self-management with improved health literacy and various kinds of support. The study aims to develop a Community-based E-Health Program (CeHP) for Older Adults Living with Chronic Diseases , evaluate the effectiveness of CeHP, and refine the program based on the outcome measurement. A cluster controlled trial will be adopted. A follow-up process evaluation will be conducted to assess the acceptability, strengths and limitations of CeHP based on the participants' perspectives. The research contributes to engage and empower older adults living in the community to manage their chronic condition, and foster collaboration with the goal of translating evidence into action.
Detailed description
Background: With increased aging population, there is a higher rate of having chronic diseases and cognitive impairment. In order to achieve successful aging, it is important for community-dwelling older adults to perform better self-management with improved health literacy and various kinds of support. Objectives: The study aims to develop a Community-based E-Health Program (CeHP), evaluate the effectiveness of CeHP, and refine the program based on the outcome measurement. Method: The research team will develop the Community-based E-Health Program, and assess the effects of the program. A needs assessment will be carried out using focus group discussion with the older adults. A cluster controlled trial will be adopted. A follow-up process evaluation will be conducted to assess the acceptability, strengths and limitations of Community-based E-Health Program based on the participants' perspectives Discussion and conclusion: The proposed research contributes to engage and empower older adults living in the community to manage their chronic condition, and foster collaboration with the goal of translating evidence into action. This research will offer important insights into the need for educating and engaging older adults in managing chronic conditions to promote health and well-being, and therefore contribute to health and well-being of the elderly population.
Interventions
BEHAVIORALCommunity-based E-Health Program
Community-based E-Health Program will be developed to engage and empower older adults to manage the chronic conditions effectively.
BEHAVIORALusual self-management and follow up with doctors/nurse
usual self-management and follow up with doctors/nurse as planned in the community nurse post.
Sponsors
Changi General Hospital
National University of Singapore
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
Cluster Controlled Study
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
1\) aged 60 or above; 2) able to understand and communicate in either English or Mandarin; 3) able to give consent to participate; 4) lives within the community setting; 5) diagnosed with chronic conditions (Hypertension, Hyperlipidemia, and Diabetes Mellites); 6) able to commit to the research program throughout the whole duration.
Exclusion criteria
1. severe cognitive impairment; 2. severe psychiatric disorders; 3. severe vision impairment; 4. severe hearing impairment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Self-care ability of Chronic disease | baseline, 3 month, 6 month | Self-care of Chronic Illness Inventory |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Immunological profile | baseline, 3 month | Cytokines (IL-1, IL6, IL15), TNFa, C1q, antinuclear antibody, antiDNA antibody |
| Hormones | baseline, 3 month | Cortisol, DHEA, insulin |
| Change in Patient Empowerment | baseline, 3 month, 6 month | Patient Empowerment scale |
| Change in Health Literacy | baseline, 3 month, 6 month | Health Literacy Scale, minimum value is 12, maximum value is 48, higher scores mean a better outcome. |
| Change in Social support | baseline, 3 month, 6 month | Social support Questionnaire |
| Fasting glucose | baseline, 3 month | Plasma glucose concentration after fasting for 8 hours |
| Montreal Cognitive Assessment | baseline, 3 month, 6 month | Singapore version 2010 |
| Symbol Digit modality test | baseline, 3 month, 6 month | Quickly screens for organic cerebral dysfunction in both children and adults, patient substitutes a number, either orally or written, for randomized presentations of geometric figures |
| HbA1c | baseline, 3 month | glycemic control |
| Lipid panel | baseline, 3 month | HDL, LDL, triglycerides |
| Change in Healthy Aging practice | baseline, 3 month, 6 month | Healthy Aging Instrument |
Countries
Singapore
Outcome results
None listed