Loneliness, Patient Engagement, Quality of Life, Stress
Conditions
Keywords
Older adults, Hospital Inpatients, Technology
Brief summary
This study will assess myHealthhub in hospitalized older adults throughout 5 days of their hospital stay. The investigators propose a mixed method randomized controlled trial (RCT) comparing myHealthHub platform vs. a simplified HealthHub system that provides only TV access, in order to evaluate patients' loneliness, stress, quality of life, patient engagement, and other mental health outcomes in n=60 older adult inpatients. The investigators will also use qualitative methods to assess user and stakeholder experience, and engagement.
Interventions
DEVICEmyHealthHub
myHealthHub is a multimodal patient engagement platform delivered on bedside terminals to provide hospital inpatients with social connection, meal ordering services, entertainment (TV, etc.), and access to medical care team.
DEVICETV-only
myHealthHub device equipped with the TV-only entertainment option.
Sponsors
Lady Davis Institute
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Quantitative Component: Inclusion Criteria: * ≥60 years old * Admitted to non-surgical hospital unit * Speak English or French * Capable of giving consent
Exclusion criteria
* Delirium * Active suicidal ideation * Moderate/severe dementia diagnosis Qualitative Component: Inclusion Criteria: * Participants from quantitative component * Hospital staff, nurses, clinicians facilitative use of the service * ≥18 years old * Speak English or French
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in Loneliness | Baseline, day 2, day 3, day 4, day 5 | Loneliness measured by the UCLA 3-item Loneliness Scale (UCLA-3). This is a 3-item scale with scores ranging from 3-9, with higher scores indicating greater severity of loneliness. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in Stress | Baseline, day 3, day 5 | Stress measured by Perceived Stress Scale (PSS). This is a 14-item scale with scores ranging from 0-56, with higher scores indicating greater severity of stress. |
| Changes in Patient Engagement | Baseline, day 3, day 5 | Patient engagement measured by Patient Activation Measure-13 (PAM-13). This is a 13-question scale. |
| Changes in Quality of Life in Older Adults | Baseline, day 3, day 5 | Quality of life which will be measured by the Euro-Quality of Life (EQ-5D). This is a 5-component scale including mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Exploratory Outcome: Changes in Anxiety | Baseline, day 5 | Anxiety measured by Generalized Anxiety Disorder-7 (GAD-7) scale. This is a 7-question scale with scores ranging from 0-21, with higher scores indicating greater severity of anxiety. |
| Feasibility Outcome: Enrollment | Day 5 | Enrollment rate (percent of participants enrolled from eligible participants) |
| Qualitative Component: Semi-structured interviews | Day 5 | The qualitative outcome of this RCT will analyze the experiences, barriers, and engagement of older adults with the myHealthHub device. It will also explore the experiences and limitations of hospital support staff with myHealthHub service. |
| Feasibility Outcome: Recruitment | Day 5 | Recruitment target (ability to recruit 60 participants) |
| Feasibility Outcome: Retention | Day 5 | Retention rate (percent of randomized participants who complete 5-day assessments in both arms) |
| Exploratory Outcome: Changes in Depression | Baseline, day 5 | Depression measured by the Patient Health Questionnaire-9 (PHQ-9). This is a 9-question scale with scores ranging from 0-27, with higher scores indicating greater severity of depression. |
Outcome results
None listed