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.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
150
Community-based E-Health Program will be developed to engage and empower older adults to manage the chronic conditions effectively.
usual self-management and follow up with doctors/nurse as planned in the community nurse post.
Brahm Centre @ Tampines
Singapore, Singapore, Singapore
THK SAC @ Bedok Radiance
Singapore, Singapore
THK SAC @ Kaki Bukit
Singapore, Singapore
Pap Community Foundation 3-in-1 Family Centre (Aged Care)
Singapore, Singapore
Brahm Centre @ Simei 227
Singapore, Singapore
Lb Sac @ 434 Tampines
Singapore, Singapore
Presbyterian Community Services - Evergreen Circle Seniors Activity Centre
Singapore, Singapore
Lb Sac @ 499C Tampines
Singapore, Singapore
Lb Sac (Sa) @ Tampines 494E
Singapore, Singapore
Change in Self-care ability of Chronic disease
Self-care of Chronic Illness Inventory
Time frame: baseline, 3 month, 6 month
Change in Patient Empowerment
Patient Empowerment scale
Time frame: 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.
Time frame: baseline, 3 month, 6 month
Change in Social support
Social support Questionnaire
Time frame: baseline, 3 month, 6 month
Change in Healthy Aging practice
Healthy Aging Instrument
Time frame: baseline, 3 month, 6 month
Montreal Cognitive Assessment
Singapore version 2010
Time frame: 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
Time frame: baseline, 3 month, 6 month
HbA1c
glycemic control
Time frame: baseline, 3 month
Lipid panel
HDL, LDL, triglycerides
Time frame: baseline, 3 month
Immunological profile
Cytokines (IL-1, IL6, IL15), TNFa, C1q, antinuclear antibody, antiDNA antibody
Time frame: baseline, 3 month
Hormones
Cortisol, DHEA, insulin
Time frame: baseline, 3 month
Fasting glucose
Plasma glucose concentration after fasting for 8 hours
Time frame: baseline, 3 month
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