The Pictou County Personal Empowerment Program is a comprehensive health promotion program aiming to improve the quality of life as well as both physical and mental health in Adults living with chronic medical conditions. The program includes daily email communications over 6 months that encourage a range of self-management and health promoting activities, including strength and aerobic exercise, yoga, stress reduction techniques, dietary improvements, relationship/intimacy education and more.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
185
The 6 month home-based program focuses on aerobic and strength training, meditation/relaxation techniques, social connection, and overall healthy lifestyle practices supported with daily email reminders. The aerobic (5 times/week) and strength (2 times/week) program will comprise of a single 30-minute session daily, the meditation/relaxation practice is 10 minutes daily, the intimacy and connection component consists of engaging in at least one form of intimacy practice prescribed, per day. Optional social connection components will be offered, such as pairing participants up with peers from the study, monthly Zoom videoconferences, and monthly in-person events in Pictou County to further promote healthy lifestyle habits.
QEII Health Sciences Centre
Halifax, Nova Scotia, Canada
Aberdeen Hospital
New Glasgow, Nova Scotia, Canada
Mental Health as assessed by the Kessler Kessler Psychological Distress Scale (K10)
A 10 item questionnaire that assesses psychological distress. The scale has a score range of 10-50, with higher scores indicating worse mental health.
Time frame: 6-12 months
Incidence and severity of participant self-reported adverse events
Time frame: 6-12 months
The Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-F)
A 40-item measure that assesses self-reported fatigue and its impact upon daily life, using a 5 point Likert-type scale with values ranging from 0-5, where higher scores represent worse outcomes.
Time frame: 6-12 months
Personality as assessed by the Ten-Item Personality Inventory (TIPI)
A 10 item questionnaire assessing the Big-Five personality dimensions (Extraversion, Agreeableness, Conscientiousness, Emotional Stability, Openness to Experiences). The scale has a score range of 1-14 for each dimension with higher scores indicating a higher level of that personality trait.
Time frame: 6-12 months
Alcohol Habit assessed by questions from the National Health Institute Alcohol Consumption questionnaire.
Questions assessing alcohol consumption using semantic differential scales that have a range of up to 11 response options. Response options range from never consuming alcohol to daily consumption, as well as consuming no alcohol each day to 25+ drinks a day on average, with higher scores being worse.
Time frame: 6-12 months
Smoking habit assessed by the Global Adult Tobacco Survey 2020 (GATS).
Questions assessing current and past smoking habit using semantic differential scales with possible answers ranging from daily smoking to not smoking at all. Lower scores indicate higher smoking habit/worse outcome.
Time frame: 6-12 months
Diet assessed by the Rapid Eating Assessment for Participants (REAP-S).
A 16 item questionnaire assessing diet quality. The scale has a score range of 13-39 with a higher score indicating a higher diet quality.
Time frame: 6-12 months
Comorbidity level assessed by the modified Charlson Comorbidity Index (CCI)
A 21 item questionnaire that uses a weighted index to assess the quantity and severity of comorbidities a patient has. Each comorbidity category has a related weight, ranging on a scale of 1-6, with higher scores representing worse outcomes.
Time frame: 6-12 months
Availability of social support assessed by the MOS Social Support Survey
A 19 item questionnaire that assesses emotional/informational support, positive social interaction, tangible support and affectionate support. Higher item scores reflect a higher level of social support.
Time frame: 6-12 months
Sleep Quality as assessed by the Pittsburgh Sleep Quality Index (PSQI)
A 19 item questionnaire that assesses sleep quality and disturbances. The scale has a score range of 0-21 with a higher score indicating worse sleep quality.
Time frame: 6-18 months
Sedentary behaviour measured by the Sedentary Behaviour Questionnaire (SBQ) for Adults.
Two 9 item questionnaires (weekday and weekend) with each item scored to none to 6 hours or more. The total score is the sum of the amount of time and as it increases it indicates higher amount of sedentary behaviour.
Time frame: 6-12 months
Anxiety severity assessed by the GAD-7.
A 7 item questionnaire with scores ranging from 0-21 higher scores indicating more severe level of anxiety.
Time frame: 6-12 months
Relationship satisfaction as assessed by the Dyadic Adjustment Scale (RDAS-14).
A 14 item questionnaire that measure an individual's perceptions of their relationship with an intimate partner. The scale has a total score range of 1-151 with a higher score indicating better satisfaction.
Time frame: 6-12 months
Center for Epidemiologic Studies Depression Scale (CES-D).
A 20 item questionnaire with a possible range of scores from zero to 60, with the higher scores indicating the presence of more depressive symptomatology.
Time frame: 6-12 months
Satisfaction with Life Scale (SWLS).
A 5 item questionnaire that was designed to measure subjective well-being. Scores range from 5-35 with higher scores indicating higher satisfaction with life.
Time frame: 6-12 months
Brief Illness Perception Questionnaire (BIPQ)
A 9 item scale that measures an individual's beliefs, feelings, and cognitive representations of one's illness. This questionnaire uses linear numeric scales with response options ranging from 0-10. Total scores can range from 0-80, with higher scores representing worse illness perceptions.
Time frame: 6-12 months
Perceived Stress Scale (PSS-10)
A 10-item scale that measures a person's perceived feelings of stress during the last month. This questionnaire uses a Likert-type scale with response options scores ranging from 0-4. Scores on the PSS-10 can range from 0-40 with higher scores indicating higher perceived stress.
Time frame: 6-12 months
WHO-5 Well-Being Index
A short, 5-item, generic global rating scale measuring subjective well-being using a Likert-type scale. Scores range from 0-5, with higher scores indicating better well-being.
Time frame: 6-12 months
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