Training Community Members to be Coaches to Deliver the HealthyLifetime Program

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age30+
SponsorUniversity of Michigan

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 volunteers

Qualifiers

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

Design model

Parallel

Treatments tested in this trial

  • HealthyLifetime

    Behavioral

    HealthyLifetimeTM \[HL\] 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

300 Participants
are divided into 2 treatment groups
Group A: Nurse CoachActive comparator 1 intervention
Group B: Health worker coachExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

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

Time frame
At 0, 8 and 20 weeks after study enrollment.
2

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",

Time frame
At 0, 8 and 20 weeks after study enrollment.
3

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)

Time frame
At 0, 8 and 20 weeks after study enrollment.
4

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)

Time frame
At 0, 8 and 12 weeks after study enrollment.

Secondary outcomes

1

Change in Sustained higher values of primary measures at 3 months

Are effects of program noted at 8 weeks still present at 20 weeks.

Time frame
20 weeks after study enrollment
2

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).

Time frame
At 0, 8 and 20 weeks after study enrollment.

Other outcomes

1

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,"

Time frame
At 0, 8 and 20 weeks after study enrollment.
2

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"

Time frame
At 0, 8 and 20 weeks after study enrollment.

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

Centers for Medicare and Medicaid Services

Collaborator