Hard-to-Reach Elderly
Conditions
Keywords
Hard-to-Reach, elderly, functional status
Brief summary
The goal of this study is to evaluate the impact of the Reach-and-Map project on increasing functional capacity to optimize the functional ability of the vulnerable group of Hard-to-Reach older adults through increase the compatibility between their intrinsic capacity and environment.
Detailed description
The overall aim of this project is to conduct a comprehensive impact assessment of the Jockey Club (JC) Reach & Map Program, utilizing a framework based on the World Health Organization (WHO) Health Impact Assessment. The study will evaluate how the program influences health outcomes among hard-to-reach older adults by assessing changes in key health determinants. The findings will be disseminated to relevant stakeholders to inform future policy setting and service planning, and long-term monitoring will be undertaken to evaluate the extent to which the impact assessment influences decision-making in aged care service development. The primary focus of the evaluation is on the functional abilities of older adults, including physical, cognitive, psychological, and social functioning. The assessment will also cover core outcomes such as quality of life, frailty, and health service use, alongside person-centered measures like loneliness and mental health. Given the diverse services received by beneficiaries, the study will account for structural and social health determinants-such as age, gender, socio-economic status, and chronic disease burden-as covariates in the analysis. In addition, the project will explore the broader effects of the JC Reach & Map Program on aged care service utilization and document both the experiences of service recipients and stakeholders involved. Specifically, the study objectives are: (1) to evaluate the impact of the JC Reach & Map Program on frailty, quality of life, and health service use among hard-to-reach older adults, focusing on physical, cognitive, psychological, and social functions; (2) to explore the engagement experiences and perceptions of older adults regarding the services received, and their impact on well-being, community engagement, and social integration; and (3) to explore the experiences of service stakeholders in reaching and working with this population, as well as to gather their insights on ideal service models and policies for hard-to-reach older adults.
Interventions
BEHAVIORALMapped intervention based on health status
Intervention will be conducted to improve lifestyle based on their needs which include 1) Home modification, 2) Lifestyle-based health promotion, 3) Geriatric symptom management, 4) Health counseling for chronic disease management, 5) Counseling-based service, 6) Social network optimization, 7) Social support optimization
Sponsors
The University of Hong Kong
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* age \> 60 * 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 * able to communicate with the researcher
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| EuroQoL-5 Dimension-5 Level | Changes from baseline to 1 month, 4 month, 10 month, and 13 month post-intervention. | Measuring Health-related quality of life (HRQL) (range from -0.59 to 1.0), higher score indicates better quality of life |
| Short Physical Performance Battery | Changes from baseline to 1 month, 4 month, 10 month, and 13 month post-intervention. | Measuring by (range from 0 to 12), with higher score indicating better physical performance |
| 5-minute Montreal Cognitive Assessment (MoCA) | Changes from baseline to 1 month, 4 month, 10 month, and 13 month post-intervention. | Measuring Cognitive function (range from 0 to 30), A score of 26 or over is considered to be normal. |
| 7-item Memory Complaint Scale (MCS) | Changes from baseline to 1 month, 4 month, 10 month, and 13 month post-intervention. | Measuring Subjective Memory Score (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). |
| 3-item University of California, Los Angeles (UCLA) Loneliness Scale | Changes from baseline to 1 month, 4 month, 10 month, and 13 month post-intervention. | Measuring Loneliness (range 3-9), higher score indicates greater loneliness. |
| The 8-item Geriatric Depression Scale | Changes from baseline to 1 month, 4 month, 10 month, and 13 month post-intervention. | Measuring Depression (range 0 to 8), with higher score indicating higher risk of depression |
| 8-item Social Connectedness Scale Revised | Changes from baseline to 1 month, 4 month, 10 month, and 13 month post-intervention. | Measuring Social connectedness (range 0 to 48), \<22 indicates lack of social connectedness |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Health service utilization | Changes from baseline to 1 month, 4 month, 10 month, and 13 month post-intervention. | Self-developed checklist on community care service for older adults in Hong Kong |
Countries
Hong Kong
Contacts
Primary ContactDoris Sau Fung YU, PhD
Outcome results
None listed