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In the post-COVID environment, we had great difficulty convincing a hospital to join us and collaborate with us, so the study was dropped. We did not formally start the study or recruit any participants.
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This study will assess "myHealthhub" in hospitalized older adults throughout 5 days of their hospital stay. The investigators propose a mixed method randomized controlled trial (RCT) comparing myHealthHub platform vs. a simplified HealthHub system that provides only TV access, in order to evaluate patients' loneliness, stress, quality of life, patient engagement, and other mental health outcomes in n=60 older adult inpatients. The investigators will also use qualitative methods to assess user and stakeholder experience, and engagement.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention: myHealthHub | Experimental |
| |
| Active control: TV-only | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| myHealthHub | Device | myHealthHub is a multimodal patient engagement platform delivered on bedside terminals to provide hospital inpatients with social connection, meal ordering services, entertainment (TV, etc.), and access to medical care team. |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in Loneliness | Loneliness measured by the UCLA 3-item Loneliness Scale (UCLA-3). This is a 3-item scale with scores ranging from 3-9, with higher scores indicating greater severity of loneliness. | Baseline, day 2, day 3, day 4, day 5 |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in Stress | Stress measured by Perceived Stress Scale (PSS). This is a 14-item scale with scores ranging from 0-56, with higher scores indicating greater severity of stress. | Baseline, day 3, day 5 |
| Changes in Patient Engagement |
| Measure | Description | Time Frame |
|---|---|---|
| Feasibility Outcome: Enrollment | Enrollment rate (percent of participants enrolled from eligible participants) | Day 5 |
| Feasibility Outcome: Recruitment | Recruitment target (ability to recruit 60 participants) |
Quantitative Component:
Inclusion Criteria:
Exclusion Criteria:
Qualitative Component:
Inclusion Criteria:
Exclusion Criteria:
• Hospital staff, nurses, clinicians who do not have experience with the service
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| ID | Term |
|---|---|
| D010358 | Patient Participation |
| ID | Term |
|---|---|
| D010342 | Patient Acceptance of Health Care |
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |
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| TV-only | Device | myHealthHub device equipped with the TV-only entertainment option. |
|
Patient engagement measured by Patient Activation Measure-13 (PAM-13). This is a 13-question scale.
| Baseline, day 3, day 5 |
| Changes in Quality of Life in Older Adults | Quality of life which will be measured by the Euro-Quality of Life (EQ-5D). This is a 5-component scale including mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. | Baseline, day 3, day 5 |
| Day 5 |
| Feasibility Outcome: Retention | Retention rate (percent of randomized participants who complete 5-day assessments in both arms) | Day 5 |
| Exploratory Outcome: Changes in Depression | Depression measured by the Patient Health Questionnaire-9 (PHQ-9). This is a 9-question scale with scores ranging from 0-27, with higher scores indicating greater severity of depression. | Baseline, day 5 |
| Exploratory Outcome: Changes in Anxiety | Anxiety measured by Generalized Anxiety Disorder-7 (GAD-7) scale. This is a 7-question scale with scores ranging from 0-21, with higher scores indicating greater severity of anxiety. | Baseline, day 5 |
| Qualitative Component: Semi-structured interviews | The qualitative outcome of this RCT will analyze the experiences, barriers, and engagement of older adults with the myHealthHub device. It will also explore the experiences and limitations of hospital support staff with myHealthHub service. | Day 5 |