About this trial
The goal of this clinical trial is to learn whether a web-based program called the Adult Wellbeing CheckUp (AWC) can help older adults improve their wellbeing and take actions to support healthy aging. The study will include adults aged 60 years and older, including both older adults and people who care for someone living with Alzheimer's disease or related dementias.
The main questions this study aims to answer are:
1. Does using the Adult Wellbeing CheckUp increase participants' ability to manage their health and wellbeing, measured by the Patient Activation Measure (PAM-13)? 2. Do participants who use the Adult Wellbeing CheckUp take more actions to improve their wellbeing compared with those who do not use the program?
Researchers will compare participants who use the AWC platform with participants who receive general healthy aging information to see whether the AWC program leads to greater improvements in wellbeing and health engagement.
The AWC platform is an online tool that helps older adults review their wellbeing across several areas of life, such as physical health, mental health, social connections, and daily habits. After completing an online assessment, the platform provides personal action plans and specific recommendations to help participants improve areas where their wellbeing scores are low.
About 496 participants aged 60 and older will take part in this study. This group will include both older adults and care partners for people living with Alzheimer's disease or related dementias. Participants will take part in the study for about 24 weeks (6 months).
Participants will be randomly assigned (by chance) to one of two groups:
1. Intervention group: Participants will create an account and use the Adult Wellbeing CheckUp platform for 24 weeks. They will complete a wellbeing assessment and receive personal action plans and specific recommendations. They will also receive weekly encouragement messages and personalized check-ins by email or text. 2. Comparison group: Participants will complete the same baseline assessment but will not have access to the AWC platform during the study. Instead, they will receive weekly general healthy aging information by email.
All participants will complete surveys at the start of the study, at 12 weeks, and at 24 weeks. These surveys will measure health engagement, wellbeing, and actions taken to improve wellbeing. After the study ends, participants in the comparison group may be offered access to the platform in a future time.
Researchers will use the results of this study to learn whether the Adult Wellbeing CheckUp can help older adults take meaningful steps to improve their health and wellbeing.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
older adults aged 60 years or older,
able to speak and write in English,
a PHQ-2 depression screening score of less than 3,
has ability to access the internet,
Disqualifiers
less than 60 years of age
not able to speak and write in English
a PHQ-2 depression screening score of 3 or greater
not able to access the internet, and
Trial design
Parallel
Treatments tested in this trial
Adult Wellbeing CheckUp (AWC)
BehavioralThe Adult Wellbeing CheckUp (AWC) is a web-based wellbeing assessment and recommendation platform designed for older adults and care partners. Participants complete an online assessment of multiple wellbeing domains. The platform uses a rules-based algorithm to generate evidence-based guidance and actionable plans for domains with low scores or areas participants choose to improve. Participants in the intervention arm receive ongoing encouragement messages and check-ins via email or text over the 24-week study period.
General Healthy Aging Information
BehavioralParticipants receive weekly non-personalized informational messages about general healthy aging topics delivered by email during the 24-week study period. These messages provide general education but do not include personal recommendations, interactive features, or access to the Adult Wellbeing CheckUp platform.
Treatment groups
Trial outcomes
Primary outcomes
Change in Patient Activation Measure (PAM-13) Score
Patient activation measured using the 13-item Patient Activation Measure (PAM-13), a validated survey that assesses participants' knowledge, skills, and confidence for managing their health and wellbeing. Scores range from 0 to 100, with higher scores indicating greater activation. The primary analysis will compare change in PAM-13 scores between intervention and control groups.
Secondary outcomes
Change in Self-Reported Actions Taken
Participant-reported actions taken to improve wellbeing in prioritized domains based on recommendations provided during the study. Responses are used to assess follow-through on recommended wellbeing actions.
Change in Adult Wellbeing Assessment Score
Overall wellbeing measured using the Adult Wellbeing Assessment, a 13-item self-report questionnaire designed for older adults. The measure assesses multiple domains of wellbeing, including physical health, mental and emotional wellbeing, social connection, sense of purpose, and daily functioning. Responses are scored to produce an overall wellbeing score, with higher scores indicating better overall wellbeing.
Change in Patient Health Questionnaire-4 (PHQ-4) Score
Mental health symptoms measured using the Patient Health Questionnaire-4 (PHQ-4), a validated 4-item screening tool assessing anxiety and depression symptoms. Scores range from 0 to 12, with higher scores indicating greater symptom severity.
Change in Rapid Assessment of Physical Activity (RAPA) Score
Physical activity level measured using the Rapid Assessment of Physical Activity (RAPA). Aerobic activity (RAPA-1) is scored based on the highest numbered activity level endorsed (1-7), classifying participants from sedentary to active. Strength and flexibility activities (RAPA-2) are recorded separately and categorized as none (0), strength only (1), flexibility only (2), or both strength and flexibility activities (3).
Other outcomes
System Usability Scale (SUS) Score
Usability of the Adult Wellbeing Checkup (AWC) platform assessed among intervention participants using the System Usability Scale (SUS), a validated 10-item questionnaire evaluating perceived ease of use and usability of digital systems. Each item is rated on a 5-point Likert scale from strongly disagree to strongly agree. Responses are converted to a total score ranging from 0 to 100, with higher scores indicating greater perceived system usability.
Perceptions of Technology Usage
The first question would address whether the participant found the platform helpful and useful, and the second question would address whether the participant would desire to use the platform. Both questions are rated on a Likert scale (e.g., 1 = strongly disagree to 5 = strongly agree). Higher scores indicate greater perceived usefulness.
Sponsors and contacts
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