Communication, Health Behavior
Conditions
Brief summary
This study intends to understand the longitudinal effectiveness of the smartphone- based Helper of Emotional Assessment &Relationship Teaching (HEART) videoconferencing program in enhancing residents and family health through the employment of a sequential-methods, triangulation research design. In the phase I lasing 18 months, it will employ: (a) a web-based RT/communication education programs which is develop based on understanding the experience of videoconferencing visit from family in nursing home, and (b) a HEA system which is for real-time face emotion recognition system used in videoconferencing will be developed and tested. In the phase II occupying the second 18 months it will evaluate the longitudinal effects of the HEART program on residents' and family's health change over time (baseline, 1 month, 3 months, and 6 months). Nursing homes in Taiwan will be automated computerized blocked randomly assigned to three groups: (a) An RT group, which receives the RT program and uses 3 months' smartphone-based videoconferencing without the HEA system, (b) A HEART group, which receives the RT program and uses 3 months smartphone-based videoconferencing along with the HEA system, and(c) A control group, which has only smartphone-based videoconferencing visits.
Interventions
receives the RT program and uses 3 months' smartphone-based videoconferencing without the HEA system.
receives the RT program and uses 3 months smartphone-based videoconferencing along with the HEA system
Sponsors
Study design
Eligibility
Inclusion criteria
1. residents were aged equal or higher than 60 years, resident's family were aged equal or higher than 20 years. 2. both residents and family could communicate in Mandarin or Taiwanese 3. both residents and family have no serious hearing problems 4. residents has a MMSE score equal or higher than 16 for residents with no formal education or higher than 24 for residents with at least a primary school education 5. both residents and family agree to participate, 6. family is the significant member of residents, such as caregivers.
Exclusion criteria
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Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| family's communication knowledge | baseline, 1 month, 3 months and 6 months | on-line test (questionnaire scored from 0 through to 100. Higher scores mean better outcome) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| resident health-Geriatric Depression Scale (GDS) | baseline, 1 month, 3 months and 6 months | scale for depression( scored from 0 through to 15.Scores of 0-4 are considered normal; 5-8 indicate mild depression; 9-11 indicate moderate depression; and 12-15 indicate severe depression.) |
| resident health-Activity of daily living (ADL) | baseline, 1 month, 3 months and 6 months | assess individual's ability to perform basic self-care tasks ( (scored from 0 through to 100. higher scores mean more independence) |
| resident health-heart rate variation (HRV) | baseline, 1 month, 3 months and 6 months | measurement of the variation in time between each heartbeat |
| resident health-profile of mood states(POMS) | baseline, 1 month, 3 months and 6 months | scale for mood states.(scored from 0 through to 232. A lower score describing better mood state) |
Countries
Taiwan