About this trial
The goal of this randomized controlled study is to learn if, in addition to nurses, community members can be trained as health coaches to deliver the HealthyLifetime (HL) program to people without complex chronic health conditions, an intervention that provides a short-term and effective health coaching intervention delivered through a virtual platform to improve health, resiliency, and independent self-care to participants who are without complex chronic conditions. The main question it aims to answer is:
• Can Community Health Coaches achieve the same level of competency and outcome as Nurse Health Coaches in participants without complex chronic conditions?
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Be at least 30 years of age, with no more than three, uncomplicated chronic conditions and want to learn to take better care of their health.
Independent Living Index (ILI) greater than 35. ILI is derived by averaging the outcome measures scores.
A score of less than 4 on items related to anxiety and depressive symptoms
Have Medicare and/or Medicaid insurance.
Disqualifiers
● Are less than 30 years of age.
Have more than three, uncomplicated chronic conditions.
A score of more than 4 on items related to anxiety and depressive symptoms
Do not have Medicare and/or Medicaid insurance.
Trial design
Parallel
Treatments tested in this trial
HealthyLifetime
BehavioralHealthyLifetimeTM \[HL\] seeks to intervene early in the aging process when individuals have the best chance for longer-term benefits of changing their health behavior, staving off functional decline, and minimizing the onset or exacerbation of chronic conditions.
Treatment groups
Trial outcomes
Primary outcomes
Change in Participant Self- rated satisfaction with various aspects of their home and neighborhood.
Participants perception of their home and neighborhood on a scale of 1= Extremely Satisfied to 5 = Not at all satisfied
Satisfaction with Quality of Life
Questions are about how participant experiences their quality of life on a scale where "1" = "Do not agree at all" and "5" = "Agree completely",
Positive and negative Lifestyle Habits aggregate
Composite score of activities that participants engage in that affect health in a negative (lower score) or positive way (higher score) on a scale of 1 to 5. Smoking (yes or no), alcohol (number of drinks per week, 5= none, 5= more than eight), exercise (1 = none to 5= more than 3 hours/week), food choices (One serving or less a day to 5 or more servings a day of positive, e.g., vegetable, or negative food choice, e.g., sugary food), amount of sleep (1 = less than 4 to 5 = more than 7 hours)
Change in Goal attainment score
Health goals of participants (up to 3) confidence in achieving goal (1= Not confident at all to 10 = Completely Confident)
Secondary outcomes
Change in Sustained higher values of primary measures at 3 months
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 to 10), emergency room visits (0 to 10 ), overnight stay in hospital (0 to 10).
Other outcomes
CONFIDENCE IN MANAGING SYMPTOMS
Participant indicate confidence or certainty NOW that they can do the activity or task on scale scale where "1" = "Not confident" and "5" = "Very confident,"
PHYSICAL SYMPTOM INVENTORY
Participant indicates how often they experienced physical symptoms IN THE LAST WEEK on a scale where "1" = "Rarely" and "5" = "Almost always"
Sponsors and contacts
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University of Michigan
Lead sponsor
Michigan Department of Health and Human Services
Collaborator
Centers for Medicare and Medicaid Services
Collaborator