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Student-delivered Telehealth Program for COVID-19 Education and Health Promotion

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ClinicalTrials.gov Identifier: NCT04492527
Recruitment Status : Recruiting
First Posted : July 30, 2020
Last Update Posted : July 31, 2020
Sponsor:
Information provided by (Responsible Party):
Brodie Sakakibara, University of British Columbia

Brief Summary:
The purpose of this study is to ensure effective health management among community-living older adults during unprecedented times, such as the current COVID-19 pandemic.

Condition or disease Intervention/treatment Phase
Chronic Disease Aging Aging Problems Health Behavior Multiple Chronic Conditions Chronic Illness Chronic Illnesses, Multiple Healthy Lifestyle Healthy Aging Aging Well Healthy Life Style Self-management Self Care Behavioral: Telehealth coaching sessions Not Applicable

Detailed Description:

The novel coronavirus (COVID-19) outbreak has made the world transition to practices of quarantine, social distancing and social isolation. While they serve as prevention strategies for COVID-19, they may also cause an increase of other health problems. As well, closures of public areas and financial challenges act as barriers to exercise and dietary quality. Thus quarantine-type strategies, while needed, compromise the ability to self-manage one's health and increase their risk of adverse health events.

Evidence suggests the negative effects of such quarantine-type strategies are especially being felt among Canada's seniors. A recent report by Statistics Canada indicates that 60% of Canadians, ≥65 years of age are 'very' concerned about their health due to social and economic consequences of COVID-19. Moreover, 80% of individuals reported being 'very' anxious about overloading the health system. This may in turn lead to rash decisions not to access health services as needed. Clearly, efforts are required to support older individuals to optimally manage their health to prevent disease and disability.

In British Columbia (BC), various specialized health resources have emerged to support people during the COVID-19 pandemic. However, many are passive in that they require individuals to initiate contact in response to a concern, and none have a specific focus on health promotion or disease prevention and management.

This study will ensure that community-living adults ages 65 years and older are effectively managing their health during these unprecedented times. Participants will receive a kit containing a self-help manual, a Health Report Card, and COVID-19 education. They will also received 6 telephone/video conference sessions with a student-coach who will utilize motivational interviewing techniques to foster lifestyle modification, and self-management.

Objectives:

  1. To quantitatively evaluate the effect of the two-month, six session (30-45 minutes/session) COACH program on health self-management, measured using the Health Directed Behaviour subscale in the Health Education Impact Questionnaire (heiQ),9 among community-living adults ≥65 years of age.
  2. To qualitatively describe the subjective experiences of participants receiving the COACH program.

Hypotheses:

  1. COACH will improve health directed behaviour in community-living adults, ≥65 years of age.
  2. COACH will also improve secondary outcomes in the areas of mood, social support, health-related quality of life, health promotion self-efficacy, and other self- management domains in the heiQ.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 75 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: A Student-delivered Community Outreach teleheAlth Program for Covid Education and Health Promotion (COACH)
Actual Study Start Date : July 28, 2020
Estimated Primary Completion Date : June 30, 2021
Estimated Study Completion Date : July 31, 2021

Arm Intervention/treatment
Experimental: Telehealth coaching sessions
Receives the Telehealth-delivered coaching sessions.
Behavioral: Telehealth coaching sessions
Participants will be receiving a 2-month coaching session intervention that will be delivered via telephone or video-conferencing. Each of the 6 sessions will be 30-45minutes long and one-on-one with a student coach. In each session, coaches will review the participants' health behaviours and assess their knowledge about behavioural risks factors for chronic diseases and their current behaviours. The coaches will then provide information about the health risks of poor health behaviours, and benefits of change. Health behavioural goals will be established through a collaborative process. The coaches will then assist participants to develop readily achievable action plans that participants will follow in between coaching sessions as a means to realize their health goals. Adherence and modifications to the action plans will be discussed at the follow-up coaching session to promote health accountability.




Primary Outcome Measures :
  1. Change from baseline: Health Directed Behaviour at 2 months [ Time Frame: Baseline, Post-intervention (immediately after the 2-month intervention) ]
    Health Education Impact Questionnaire (HeiQ) that evaluates health directed behaviour for chronic disease management.


Secondary Outcome Measures :
  1. Depression, Anxiety, Stress Scale [ Time Frame: Baseline, Post-intervention (immediately after the 2-month intervention) ]
    21-item survey scale that looks at perceived depression, anxiety and stress.

  2. Medical Outcomes Study (MOS): Social Support Survey [ Time Frame: Baseline, Post-intervention (immediately after the 2-month session) ]
    19-item survey that evaluates perceived social support.

  3. Medical Outcomes Study (MOS): Short Form-36 [ Time Frame: Baseline, Post-intervention (immediately after the 2-month session) ]
    Survey scale that evaluates at health-related quality of life.

  4. Self-Rated Abilities for Health Practices Scale [ Time Frame: Baseline, Post-intervention (immediately after the 2-month session) ]
    28-item survey scale that looks at health promotion self-efficacy.

  5. Self-management [ Time Frame: Baseline, Post-intervention (immediately after the 2-month session) ]
    Health Education Impact Questionnaire



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:   65 Years and older   (Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • age 65 years or older
  • living within a community in British Columbia
  • have access to a telephone or video conferencing program
  • able to communicate in English
  • have had no previous COVID-19 diagnosis by health professionals
  • have cognitive-communicative ability to participate as per clinical judgement
  • can provide informed consent

Exclusion Criteria:

  • not medically stable
  • are participating in other health promotion programs
  • have severe hearing loss

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 ClinicalTrials.gov identifier (NCT number): NCT04492527


Contacts
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Contact: Michelle C Yang, BSc 2508078505 michelle.yang@alumni.ubc.ca

Locations
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Canada, British Columbia
University of British Columbia Recruiting
Vancouver, British Columbia, Canada, V6T 1Z4
Contact: Michelle C Yang, BSc    2508078505    michelle.yang@alumni.ubc.ca   
Principal Investigator: Brodie Sakakibara, PhD         
Sub-Investigator: Cam Clayton, MSc         
Sub-Investigator: Devin Harris, MD         
Sub-Investigator: Chelsea Pelletier, PhD         
Sub-Investigator: Julia Schmidt, PhD         
Sub-Investigator: Jill Zwicker, PhD         
Sponsors and Collaborators
University of British Columbia
Investigators
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Principal Investigator: Brodie Sakakibara, PhD University of British Columbia
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Responsible Party: Brodie Sakakibara, Assistant Professor, University of British Columbia
ClinicalTrials.gov Identifier: NCT04492527    
Other Study ID Numbers: COACH
First Posted: July 30, 2020    Key Record Dates
Last Update Posted: July 31, 2020
Last Verified: July 2020
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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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 Brodie Sakakibara, University of British Columbia:
telehealth
prevention
self management
chronic disease
aging
healthy lifestyle
Additional relevant MeSH terms:
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Chronic Disease
Multiple Chronic Conditions
Disease Attributes
Pathologic Processes