About this trial
HealthyLifetime (HL) is a person-centered program that enables older adults to maximize health and optimize functioning - the necessary requisite to successfully remaining independent in their preferred home setting as long as possible, i.e., to age in place.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Be able to read, speak English and hear - but may use glasses or hearing aids, if needed;
Be able to tell us their age, their date of birth, address, and phone number, as well as write down and explain their health problems;
Have their own computer or iPad (Tablet) with an Internet connection, a working camera and microphone. and
Be able to use their computer/tablet to connect to video chat sessions like Zoom in a private space in their home or a private room.
Disqualifiers
People who, in the last month, have used the Emergency Room (ER) or stayed in the hospital.
Are not verified users of Medicaid Home Help services [we will check with the Michigan Department of Health and Human Service to verify that you receive these services using your name, date of birth, and Medicaid identification number];
Have a new major health problem that they are seeing a doctor about more than once per month;
Have been told their illness is not curable;
Trial design
Single group
Treatments tested in this trial
Nurse-led health coaching
BehavioralThis project is an 6-month program providing an initial 2-month intensive evaluation and personalized virtual individual health coaching experience that is designed to prepare and equip the participant for improved self-care capacity, motivational insight, health-related problem solving and decision-making. This intensive period will then be followed by monthly 30-minute Nurse Coach assessment and individual coaching 'check-in' virtual visits, continued use of the electronic platform tools and health tracking system, and access to group 'virtual coaching' on tailored topics of interest to the cohort.
Treatment groups
Trial outcomes
Primary outcomes
Change in Participant Self- rated health score
Participants perception of their health on a scale of 1= Excellent to 5 = Poor
Change in Self-efficacy in ability to continue essential life activities score
Confidence of the participant in doing certain activities on a scale of 1= Not at all confident to 10 = Totally Confident. For the purposes of answering these questions, confidence is defined as the belief in the participant's chances of being able to do and/or complete an activity (e.g., hobbies and recreation, social visits, chores, errands, etc.) or task (e.g., hobbies and recreation, social visits, chores, errands, etc.) successfully however the participant defines it.
Change in Independent self-care agency score
Confidence in doing certain activities, e.g., stick to behavior changes, meet goals, and improve health, on a scale of 1= Not at all confident to 10 = Totally Confident
Change in Health Habits score
Activities that participants engage in that affect health in a negative or positive way, e.g., smoking (yes or no), alcohol (number of drinks per week), exercise (0 = none to 4= more than 3 hours/week), food choices (seldom or never to 2 or more times a day)
Secondary outcomes
Higher values of primary measures at 8 weeks: persistence at 20 weeks
Are effects of program noted at 8 weeks still present at 20 weeks.
Change in Self-reported medical visits
Number of unplanned medical visits with doctor or primary medical provider in past 2 months (0/none to 10), emergency room visits (0/none to10), overnight stay in hospital (0\\none to 10).
Change in Social Network and Support score
Number of friends and relatives participants interact with/rely on. Scale from None to Nine or more.
Change in type and source of At-home Support
Do the type (healthcare, chores, meals, etc) and source (Medicare, Medicaid, other insurance, etc.) of help received by participants indicated in answers to survey questions change over course of study.
Other outcomes
Change in Perception of health now and in 3 years score
Participant thinks health now is and in three years will be 1 = Excellent to 5 = Poor.
Change in Medication taking self care efficacy score
Confidence of participants (on a scale where 0 = Not at all Confident to 2 = very Confident) in taking their medications correctly under different conditions, e.g., if take several medication each day, are away from home, if cause side effects, etc.
Health Conditions
Participants are asked whether a medical provider may have told them that they have one or more common health problems, e.g., heart disease, high blood pressure, diabetes, etc.
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
University of Michigan
Lead sponsor
Michigan Department of Health and Human Services
Collaborator