Aging Well
Conditions
Keywords
Ageing, Digital intervention, Functional capacity
Brief summary
The goal of this study is to evaluate the impact of the Digital Connect Project on increasing functional capacity defined by the WHO-ICOPE and health-related quality of life (HRQL) among homebound older adults.
Detailed description
The Hong Kong Jockey Club Charities Trust is launching the Digital Connect project to increase the well-being and social connectedness of the homebound older adults. A total of 32 NGOs are applying for 7,500 tablets and data plan (in total) through this project. Different digital programs will be rolled out to enhance their well-being and social connectedness. This study aim is to capture the impact of this Digital Connect project on the health outcomes of the homebound older adults. The tablet intervention will be offered by the NGOs within a 2-year timeframe. Web-based multi-domain lifestyle training intervention will be conducted to promoted and focus three lifestyles: nutritional advice, exercise and cognitive training; chat communication with research team, and personalized agenda on daily activities and an information library. The object of this study is to explore the dose-response relationship between online engagement in the different types of activity and the improvement in the corresponding health outcomes, including the five domains: (1) Physical function, (2) Cognitive function, (3) Psychological function, (4) Social function and (5) Health-related quality of life. One baseline assessment and four follow-ups will be arranged in every 3-month interval. To account for immortal time bias, each subject will be created with two clones at time zero and assigned each of the two clones to either treatment or control group, respectively. The engagement experience will be explored by interviewing the participants and service stakeholders through the planning and delivery of the digital intervention for the homebound older adults.
Interventions
BEHAVIORALDigital intervention through Tablet
Web-based multi-domain lifestyle training intervention will be conducted to promoted and focus three lifestyles: nutritional advice, exercise and cognitive training; chat communication with research team, and personalized agenda on daily activities and an information library.
Sponsors
The University of Hong Kong
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* age \> 65 * consent to participate * able to participate in the impact assessment as evidence by a test score of \> 6 on the Abbreviated Mental Test * has the functional ability to engage in the digital intervention
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Health-related quality of life (HRQL) | Changes from baseline to 3 month, 6 month, 9 month, and 12 month post-intervention. | Measure by EQ-5D-5L (range from -0.59 to 1.0), higher score indicates better quality of life |
| Physical function | Changes from baseline to 3 month, 6 month, 9 month, and 12 month post-intervention. | Measured by Short Physical Performance Battery (range from 0 to 12), with higher score indicating better physical performance |
| Cognitive function score | Changes from baseline to 3 month, 6 month, 9 month, and 12 month post-intervention. | Measured by 5-minute Montreal Cognitive Assessment (MoCA) (range from 0 to 30), A score of 26 or over is considered to be normal. |
| Subjective Memory Score | Changes from baseline to 3 month, 6 month, 9 month, and 12 month post-intervention. | Measured by 7-item Memory Complaint Scale (MCS) (range from 0 to 14), lower score indicates better memory performance. No MCs (0-2), Mild MCs (3-6), Moderate MCs (7-10), Severe MCs (11-14). |
| Loneliness score | Changes from baseline to 3 month, 6 month, 9 month, and 12 month post-intervention. | Measured by 3-item UCLA Loneliness Scale (range 3-9), higher score indicates greater loneliness. |
| Depression score | Changes from baseline to 3 month, 6 month, 9 month, and 12 month post-intervention. | Measured by The 8-item Geriatric Depression Scale (range 0 to 8), with higher score indicating higher risk of depression |
| Social function | Changes from baseline to 3 month, 6 month, 9 month, and 12 month post-intervention. | Measured by 8-item Social Connectedness Scale Revised (range 0 to 48), \<22 indicates lack of social connectedness |
Countries
Hong Kong
Contacts
PRINCIPAL_INVESTIGATORDoris Sau Fung YU, PhD
The University of Hong Kong
Outcome results
None listed