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| Name | Class |
|---|---|
| Changi General Hospital | OTHER |
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With increased aging population, there is a higher rate of having chronic diseases and cognitive impairment. In order to achieve successful aging, it is important for community-dwelling older adults to perform better self-management with improved health literacy and various kinds of support. The study aims to develop a Community-based E-Health Program (CeHP) for Older Adults Living with Chronic Diseases , evaluate the effectiveness of CeHP, and refine the program based on the outcome measurement. A cluster controlled trial will be adopted. A follow-up process evaluation will be conducted to assess the acceptability, strengths and limitations of CeHP based on the participants' perspectives. The research contributes to engage and empower older adults living in the community to manage their chronic condition, and foster collaboration with the goal of translating evidence into action.
Background:
With increased aging population, there is a higher rate of having chronic diseases and cognitive impairment. In order to achieve successful aging, it is important for community-dwelling older adults to perform better self-management with improved health literacy and various kinds of support.
Objectives:
The study aims to develop a Community-based E-Health Program (CeHP), evaluate the effectiveness of CeHP, and refine the program based on the outcome measurement.
Method:
The research team will develop the Community-based E-Health Program, and assess the effects of the program. A needs assessment will be carried out using focus group discussion with the older adults. A cluster controlled trial will be adopted. A follow-up process evaluation will be conducted to assess the acceptability, strengths and limitations of Community-based E-Health Program based on the participants' perspectives
Discussion and conclusion:
The proposed research contributes to engage and empower older adults living in the community to manage their chronic condition, and foster collaboration with the goal of translating evidence into action. This research will offer important insights into the need for educating and engaging older adults in managing chronic conditions to promote health and well-being, and therefore contribute to health and well-being of the elderly population.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Community-based E-Health Program | Experimental | The intervention group will consist of 80 participants who will engage in Community-based E-Health Program. |
|
| usual self-management and follow up with doctors/nurse | Active Comparator | The participants will receive the usual self-management and follow up with doctors/nurse as planned. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Community-based E-Health Program | Behavioral | Community-based E-Health Program will be developed to engage and empower older adults to manage the chronic conditions effectively. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Self-care ability of Chronic disease | Self-care of Chronic Illness Inventory | baseline, 3 month, 6 month |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Patient Empowerment | Patient Empowerment scale | baseline, 3 month, 6 month |
| Change in Health Literacy | Health Literacy Scale, minimum value is 12, maximum value is 48, higher scores mean a better outcome. |
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Inclusion Criteria:
1) aged 60 or above; 2) able to understand and communicate in either English or Mandarin; 3) able to give consent to participate; 4) lives within the community setting; 5) diagnosed with chronic conditions (Hypertension, Hyperlipidemia, and Diabetes Mellites); 6) able to commit to the research program throughout the whole duration.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Vivien Xi Wu, PhD | National University of Singapore | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Brahm Centre @ Tampines | Singapore | Singapore | 520473 | Singapore | ||
| THK SAC @ Bedok Radiance |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29793001 | Background | van der Heide I, Poureslami I, Mitic W, Shum J, Rootman I, FitzGerald JM. Health literacy in chronic disease management: a matter of interaction. J Clin Epidemiol. 2018 Oct;102:134-138. doi: 10.1016/j.jclinepi.2018.05.010. Epub 2018 May 21. | |
| 27567871 | Background | Vijayan M, Reddy PH. Stroke, Vascular Dementia, and Alzheimer's Disease: Molecular Links. J Alzheimers Dis. 2016 Sep 6;54(2):427-43. doi: 10.3233/JAD-160527. |
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Cluster Controlled Study
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| usual self-management and follow up with doctors/nurse | Behavioral | usual self-management and follow up with doctors/nurse as planned in the community nurse post. |
|
| baseline, 3 month, 6 month |
| Change in Social support | Social support Questionnaire | baseline, 3 month, 6 month |
| Change in Healthy Aging practice | Healthy Aging Instrument | baseline, 3 month, 6 month |
| Montreal Cognitive Assessment | Singapore version 2010 | baseline, 3 month, 6 month |
| Symbol Digit modality test | Quickly screens for organic cerebral dysfunction in both children and adults, patient substitutes a number, either orally or written, for randomized presentations of geometric figures | baseline, 3 month, 6 month |
| HbA1c | glycemic control | baseline, 3 month |
| Lipid panel | HDL, LDL, triglycerides | baseline, 3 month |
| Immunological profile | Cytokines (IL-1, IL6, IL15), TNFa, C1q, antinuclear antibody, antiDNA antibody | baseline, 3 month |
| Hormones | Cortisol, DHEA, insulin | baseline, 3 month |
| Fasting glucose | Plasma glucose concentration after fasting for 8 hours | baseline, 3 month |
| Singapore |
| 460012 |
| Singapore |
| THK SAC @ Kaki Bukit | Singapore | 462509 | Singapore |
| Pap Community Foundation 3-in-1 Family Centre (Aged Care) | Singapore | 520209 | Singapore |
| Brahm Centre @ Simei 227 | Singapore | 520227 | Singapore |
| Lb Sac @ 434 Tampines | Singapore | 520434 | Singapore |
| Presbyterian Community Services - Evergreen Circle Seniors Activity Centre | Singapore | 521827 | Singapore |
| Lb Sac @ 499C Tampines | Singapore | 523499 | Singapore |
| Lb Sac (Sa) @ Tampines 494E | Singapore | 525494 | Singapore |
| 28346532 | Background | Tan HH, Xu J, Teoh HL, Chan BP, Seet RC, Venketasubramanian N, Sharma VK, Chen CL, Dong Y. Decline in changing Montreal Cognitive Assessment (MoCA) scores is associated with post-stroke cognitive decline determined by a formal neuropsychological evaluation. PLoS One. 2017 Mar 27;12(3):e0173291. doi: 10.1371/journal.pone.0173291. eCollection 2017. |
| 28152248 | Background | van de Bovenkamp HM, Dwarswaard J. The complexity of shaping self-management in daily practice. Health Expect. 2017 Oct;20(5):952-960. doi: 10.1111/hex.12536. Epub 2017 Feb 2. |
| 26549171 | Background | Koetsenruijter J, van Eikelenboom N, van Lieshout J, Vassilev I, Lionis C, Todorova E, Portillo MC, Foss C, Serrano Gil M, Roukova P, Angelaki A, Mujika A, Knutsen IR, Rogers A, Wensing M. Social support and self-management capabilities in diabetes patients: An international observational study. Patient Educ Couns. 2016 Apr;99(4):638-643. doi: 10.1016/j.pec.2015.10.029. Epub 2015 Nov 2. |
| 20562629 | Background | Beauchamp A, Peeters A, Tonkin A, Turrell G. Best practice for prevention and treatment of cardiovascular disease through an equity lens: a review. Eur J Cardiovasc Prev Rehabil. 2010 Oct;17(5):599-606. doi: 10.1097/HJR.0b013e328339cc99. |
| 22353433 | Background | Solomon M, Wagner SL, Goes J. Effects of a Web-based intervention for adults with chronic conditions on patient activation: online randomized controlled trial. J Med Internet Res. 2012 Feb 21;14(1):e32. doi: 10.2196/jmir.1924. |
| Result | Epidemiology & Disease Control Division, et al., The Burden of Disease in Singapore, 1990-2017: An overview of the Global Burden of Disease Study 2017results. 2019: Seattle, WA: IHME |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D006973 | Hypertension |
| D006949 | Hyperlipidemias |
| D002908 | Chronic Disease |
| D060825 | Cognitive Dysfunction |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D050171 | Dyslipidemias |
| D052439 | Lipid Metabolism Disorders |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D003072 | Cognition Disorders |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D009726 | Nurses |
| ID | Term |
|---|---|
| D006282 | Health Personnel |
| D005159 | Health Care Facilities Workforce and Services |
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