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Supporting Healthy Aging by Peer Education and Support (SHAPES)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details. Identifier: NCT02745275
Recruitment Status : Recruiting
First Posted : April 20, 2016
Last Update Posted : November 8, 2017
Covenant Health
Information provided by (Responsible Party):
University of Alberta

Brief Summary:

Canadians are living longer than ever before. However, many in our society age with long term chronic medical conditions which have a major impact on their need for healthcare, their quality of life and well-being. Encouragement of lifestyle practices which promote healthy aging and self-management techniques to deal with chronic disease is important in improving peoples' well-being

The purpose of this study is to study the impact of peer delivered education and support for seniors living in the community to see if training given to other seniors improves healthy ageing behaviours and their health literacy.

Condition or disease Intervention/treatment Phase
Health Behavior Ageing Behavioral: Peer-led Health Education Not Applicable

Detailed Description:

In Canada, between 1960 and 2009, the proportion of seniors (people aged ≥65 years) rose from 8% to 14%; it is estimated that this proportion will increase to 23−25% by 2036. The number of people in the population aged ≥80 years is projected to more than double between 2009 and 2036. This population ageing has, and will, have a major impact on healthcare, economics, education, employment and social engagement. Many in our society age with long term chronic medical conditions; the management of which is partly responsible for the increasing consumption of health care resources in later life. There is a pressing need on the part of health care providers and policy makers to contain these increasing expenditures. Encouragement of lifestyle practices which promote successful or healthy aging and self - management techniques to deal with chronic disease are therefore of paramount importance to the achievement of this goal. Cost containment, however, is not the sole reason for pursuing such practice; there is some evidence that self-management and an increase in health literacy leads to an increased sense of empowerment and an improvement in health related quality of life for seniors.

In the presence of chronic disease, self-management is seen as a critical element in containing resource demand and in empowering patients whilst increasing their health literacy. Self-management training courses have been developed for generic physical long term conditions which have led to improved outcomes and some cost savings in chronic care. There is therefore an opportunity to educate and empower seniors in both healthy ageing behaviours and self-management of chronic disease, which has the potential to contain health care resource use, improve perception of self-rated health and quality of life.

This study aims to explore the use of health coaches, where health coaching can be defined as helping patients gain the knowledge, skills, tools and confidence to become active participants in their care so that they can reach their self-identified health goals, drawn from community dwelling seniors, rather than "expert patients" in educating and supporting their peers in healthy aging behaviours and self-management of chronic disease.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 90 participants
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Prevention
Official Title: Supporting Healthy Aging by Peer Education and Support (SHAPES) - A Stepped-Wedge Cluster Randomized Trial
Actual Study Start Date : September 1, 2017
Estimated Primary Completion Date : September 2018
Estimated Study Completion Date : December 2018

Arm Intervention/treatment
Experimental: Peer-led Health Education
A single 60 minute interactive workshop led by the trained health coach followed by a series of three one hour discussion groups
Behavioral: Peer-led Health Education
Peer-led health education

No Intervention: Control
No intervention

Primary Outcome Measures :
  1. Self-Rated Abilities for Healthy Practices Scale [ Time Frame: 18 months ]
    Change in proportion of participating seniors engaged in healthy aging behaviours following the intervention compared to unexposed controls

Secondary Outcome Measures :
  1. Change in physical activity levels measured by the Physical Activity Scale for the Elderly (PASE) [ Time Frame: 12 months ]
  2. Number of participants seeking health care as measured by Health care seeking and resource use questionnaire [ Time Frame: 12 months ]
  3. Measure self-efficacy for participating seniors using The General Self-Efficacy Scale (GES) [ Time Frame: 12 months ]
  4. Participant's willingness to change assessed by readiness to change ruler [ Time Frame: 12 months ]
  5. Number of participating seniors satisfied with the health coaches assessed by a semi-structured interviews [ Time Frame: 12 months ]

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • Both male and female community dwelling seniors who attend seniors centres in Edmonton
  • Able to commit their time to participate in the study and complete the required assessments
  • Speak and understand English
  • Be under the care of or have access to a Family doctor

Exclusion Criteria:

  • Medical or psychological impairment which might seriously impair adherence to the program

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT02745275

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Contact: Adrian S Wagg, MD 780-492-5338
Contact: Saima Rajabali, MBBS 7804923700

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Canada, Alberta
Division of Geriatric Medicine, Clinical Sciences Building, University of Alberta Hosp Recruiting
Edmonton, Alberta, Canada, T6G 2P4
Contact: Adrian Wagg, MD    780 492 5338   
Contact: Saima Rajabali, MBBS    780 492 3700   
Principal Investigator: Adrian S Wagg, MD         
Sub-Investigator: Kathleen F Hunter, PhD         
Sub-Investigator: Angela Juby, MD         
Sub-Investigator: William Dafoe, MD         
Sub-Investigator: Saima N Rajabali, MBBS         
Sponsors and Collaborators
University of Alberta
Covenant Health
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Principal Investigator: Adrian S Wagg, MD University of Alberta

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Responsible Party: University of Alberta Identifier: NCT02745275     History of Changes
Other Study ID Numbers: SHAPES-0915
First Posted: April 20, 2016    Key Record Dates
Last Update Posted: November 8, 2017
Last Verified: November 2017

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by University of Alberta:
Peer Education
Health Coaches
Community Dwelling Seniors
Health Literacy
Health Education
Healthy Ageing