The goal of this study is to evaluate the feasibility of Health Web - Te@m 1.0 for older adults in selected primary healthcare settings in northern Sweden. More specifically, the feasibility will be assessed through the following objectives: * Explore older adults' experiences of the intervention process, acceptability, and perceptions of the value of participating in Health Web - Te@m. * Explore professionals' experiences of acceptability, value, and implementation potential of delivering Health Web - Te@m in primary healthcare settings. * Evaluate adherence to Health Web - Te@m among older adults and professionals. * Evaluate the assessments' ability to detect potential outcomes of Health Web - Te@m.
Ageing populations, together with constraints in healthcare workforce capacity, place increasing pressure on health systems, prompting structural and organizational transformations. In this context, there is a growing emphasis on person-centered, integrated care, where health-promoting interventions play a central role. Health is a multidimensional and dynamic concept that encompasses physical, mental, and social well-being, rather than merely the absence of disease. Consequently, healthy ageing requires a holistic and interdisciplinary approach that strengthens older adults' resources across physical, psychological, social, and environmental domains. A central component of these approaches is supporting individuals in maintaining engagement in meaningful everyday activities, as participation in daily life contributes to a sense of purpose, identity, and overall well-being. In response to this need, an interprofessional web-based group intervention was developed, focusing on strategies for healthy ageing and supporting individuals in managing their daily lives in a sustainable and health-promoting way. This feasibility study will be conducted using a pretest and posttest design without a control group to evaluate feasibility and potential results. Qualitative and quantitative data will be collected concurrently in a mixed-method design. The combination of data enables a comprehensive evaluation of feasibility. The intervention Health Web Team 1.0 is a health promoting intervention is targeting older adults 65+ and is delivered by an interprofessional team in selected primary healthcare settings in northern Sweden. This feasibility study provides important information to further evaluate and refine the intervention programme prior to larger-scale testing.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
27
The Health Web Te@m intervention is delivered by an interprofessional team via a digital communication platform. The intervention starts with an introduction session followed by six theme sessions and ends with a closing session one month after the last theme session. Each theme session includes a short educational video followed by a reflection assignment, and a group meeting moderated by one of the professionals in the interprofessional team. The intervention aims to support older adults to become aware of, reflect on, use and develop strategies for healthy ageing.
Luleå University of Technology
Luleå, Sweden
RECRUITINGThe Swedish RAND-36 Health Survey
RAND-36 comprises 35 items covering eight health dimensions: physical functioning, role limitations due to physical health, role limitations due to emotional problems, social functioning, mental well-being, vitality, pain, and general health. Also including a global item assessing perceived health change over the past 12 months. The time intervals vary for different questions: In general, compared to a year ago, current health (a typical day), and the last 4 weeks. The respondent rates the degree of discomfort within the different dimensions on a scale with three, four, five, or six response options, with the exception of two questions that are answered with yes or no.
Time frame: The outcome measure is completed within 2 weeks before the intervention is initiated and within 2 weeks after the intervention is completed
Occupational Balance Questionaire (OBQ)
The OBQ consists of 11 items that are graded on a 4-point ordinal scale from 0-3; these items range from "completely" disagree to "completely" agree and are summed to a total score ranging between 0 and 33. A higher score implies more satisfaction with the amount and variation of occupations, i.e., a higher level of occupational balance. Used to capture the satisfaction with, and the variation in daily activities.
Time frame: Within 2 weeks before the intervention is initiated and within 2 weeks after the intervention is completed
The general self-efficacy scale (S-GSE)
Each item consists of a statement about one's ability to cope with demands in life. The participant rates each item on a scale from 1-4, where 1 represents "disagree" and 4 represents "strongly agree" with the statement; thus, a higher score (total score 10-40) indicates greater self-efficacy. Used to measure self-perceived self-efficacy
Time frame: Within 2 weeks before the intervention is initiated and within 2 weeks after the intervention is completed
UCLA Loneliness scale
Perceived loneliness will be assessed using the UCLA Loneliness scale which is a 20-item scale that assesses three dimensions of loneliness: emotional loneliness, social loneliness, and existential loneliness. Each item is rated on a 4-point Likert scale (ranging from 1, "never," to 4, "often") and the total score can range from 20 to 80, with higher scores indicating greater feelings of loneliness.
Time frame: Within 2 weeks before the intervention is initiated and within 2 weeks after the intervention is completed
The Swedish version of UAB Study of Aging Life-Space Assessment (LSA-S)
LSA-S evaluates an individual's mobility within their environment by assessing levels of movement, frequency of mobility, and the degree of assistance required. The instrument maps movement patterns across five defined "life-space" levels. For each level, frequency and independence are recorded, generating a quantitative total score ranging from 0 to 120.The score for each level is calculated by multiplying the level (1-5) by a frequency factor (1-4) and a factor representing the degree of independence.
Time frame: Within 2 weeks before the intervention is initiated and within 2 weeks after the intervention is completed
Intervention-specific registration forms for older adults
These registration forms contain questions about content and delivery for which answers are self-reported on a 5-point Likert scale ranging from very low agreement (1) to very high agreement (5). Older adults will score their level of agreement as follows: a) gain of new and useful knowledge, b) value of reflection assignments, c) value of and engagement in group discussions, and d) use of the digital communication platform. Space is also provided in the registration form to write their own comments.
Time frame: Completed by older adults within 1 week after each theme session 1-6
Intervention-specific registration forms for professionals
These registration forms contain questions about delivery for which answers are self-reported on a 5-point Likert scale ranging from very low agreement (1) to very high agreement (5). The professionals will score their level of agreement with the following: a) compliance with the intervention guide, b) achieving the purpose of the session, c) perceived support from the intervention guide, d) confidence in the role as a group leader, e) satisfactory management of the digital communication platform and f) satisfactory management of the digital communication platform by older adults. Space is also provided in the registration form to write their own comments.
Time frame: Completed by the professionals within 1 week after each theme session 1-6
Individual semi-structured interviews with older adults
The pre-intervention questions aim to capture their current everyday activities, what they find meaningful and how they experience their health. Further, their motivators for participation and their expectations of participation in the intervention. Directly after the programme is completed, the interviews will explore experiences of the different parts of the intervention process and the perceived value of the intervention for their everyday activities, social participation and health.
Time frame: Within 2 weeks before the intervention is initiated and within 2 weeks after the intervention is completed
Group interviews with the interprofessional teams
The questions for the group interview before delivery will explore the interest in and motivation to deliver the intervention, expectations of conducting a digital intervention and their role as a group leader. In the group interviews after, the questions will explore experiences of delivering the intervention, compliance with the intervention guide, experiences of their role as a group leader, the digital delivery and time used, and the relevance of the content and the overall value of the intervention. Also, how the education programme prepared them for the delivery of the intervention.
Time frame: Within 2 weeks before the intervention is initiated and within 2 weeks after the intervention is completed
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