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mHealth Person-centred Self-care Support for Homebound Older Adults: A Hybrid Effectiveness-implementation Study

ConditionsMobile HealthPerson-Centred CareSelf-CareHomeboundOlder Adults
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age60+
SponsorThe Hong Kong Polytechnic University

About this trial

The aim of the study is to evaluate the effectiveness and implementation of the mobile health (mHealth)-assisted, person-centred care (PCC) self-care support programme for homebound older adults. The researcher will compare PCC approach to a conventional care provider-led model. Participants (n = 130) will receive the intervention of six bi-weekly WhatsApp video call sessions over three months with nurse case managers (NCMs).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Aged 60 years or older;

Unable to leave home more than twice per week due to physical or functional health problems;

Own and have basic proficiency in using a smartphone;

Speak Cantonese;

Disqualifiers

Unable to hear, see, or communicate effectively;

Be completely bed-bound; or

Reside in an area without stable internet coverage.

Trial design

Design model

Parallel

Treatments tested in this trial

  • PCC-based mHealth-assisted self-care support intervention

    Behavioral

    Participants receive six bi-weekly WhatsApp video call sessions with a NCM over three months, using a person-centred care (PCC) approach.

  • Provider-led mHealth-assisted self-care support intervention

    Behavioral

    Participants receive six bi-weekly WhatsApp video call sessions with a NCM over three months, based on the conventional provider-led model.

Treatment groups

130 Participants
are divided into 2 treatment groups
Group A: Intervention GroupExperimental treatment 1 intervention
Group B: Control GroupActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Change in self-efficacy assessed using the Chinese version of the General Self-Efficacy Scale

Unit of Measure: Mean score on self-efficacy.

Time frame
At baseline, 3 months post-intervention , and 6 months post-intervention.
2

Change in instrumental activities of daily living assessed using the Chinese version of the Lawton Instrumental Activities of Daily Living Scale

Unit of Measure: Mean score on instrumental activities of daily living.

Time frame
At baseline, 3 months post-intervention , and 6 months post-intervention.

Secondary outcomes

1

Change in quality of life assessed using the Chinese version of the 12-item Short Form Health Survey version 2

Unit of Measure: Mean score on quality of life.

Time frame
At baseline, 3 months post-intervention , and 6 months post-intervention.
2

Change in psychological distress assessed using the Chinese version of 21-item Depression Anxiety Stress Scale

Unit of Measure: Mean score on psychological distress.

Time frame
At baseline, 3 months post-intervention , and 6 months post-intervention.
3

Change in perceived loneliness assessed using the Chinese version of the UCLA 3-item Loneliness Scale

Unit of Measure: Mean score on perceived loneliness.

Time frame
At baseline, 3 months post-intervention , and 6 months post-intervention.
4

Change in functional mobility assessed using the Timed Up and Go Test

Unit of Measure: Time in seconds.

Time frame
At baseline, 3 months post-intervention , and 6 months post-intervention.

Other outcomes

Sponsors and contacts

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The Hong Kong Polytechnic University

Lead sponsor

Source ClinicalTrials.gov
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