Healthy Lifetime - Phase 2

Official title

Healthy Lifetime - Sustainability and Quality Study - PHASE 2

Overview

HealthyLifetime (HL) is a person-centered program that enables older adults to maximize health and optimize functioning - the necessary requisite to successfully remaining independent in their preferred home setting as long as possible, i.e., to age in place.

Detailed description

HL seeks to intervene early in the aging process when individuals have the best chance for longer term benefits of changing their health behavior, as a means to stave off functional decline, and minimize the onset or exacerbation of chronic conditions. And, for individuals who are experiencing any of the barriers described above, our HL program's Nurse Coaches are prepared and experienced in helping them achieve their highest level of functioning and self-care capacity, while integrating and collaborating with, but not duplicating, their medical services such as primary care, specialty care, and case management or medical social services. While the latter medically oriented services support clinical management, they do not focus on helping older adults maximize health and function by building self-care capacity, long term health behavior change capacity and the functional resilience necessary to sustain or regain independent living.

Interventions

• Behavioral Nurse-led health coaching
  This project is an 6-month program providing an initial 2-month intensive evaluation and personalized virtual individual health coaching experience that is designed to prepare and equip the participant for improved self-care capacity, motivational insight, health-related problem solving and decision-making. This intensive period will then be followed by monthly 30-minute Nurse Coach assessment and individual coaching 'check-in' virtual visits, continued use of the electronic platform tools and h

Primary outcome measures

• Change in Participant Self- rated health score [Time frame: At 0, 8 and 20 weeks after study enrollment.]
• Change in Self-efficacy in ability to continue essential life activities score [Time frame: At 0, 8 and 20 weeks after study enrollment.]
• Change in Independent self-care agency score [Time frame: At 0, 8 and 20 weeks after study enrollment.]
• Change in Health Habits score [Time frame: At 0, 8 and 20 weeks after study enrollment.]
• Change in Goal attainment score [Time frame: At 0, 8 and 20 weeks after study enrollment.]
• Change in Quality of Life score [Time frame: At 0, 8 and 20 weeks after study enrollment.]
• Change in Lifestyle Habits [Time frame: At 0, 8 and 20 weeks after study enrollment.]
• Change in Food Consumption [Time frame: At 0, 8 and 20 weeks after study enrollment.]
• Change in Exercise and Activities [Time frame: At 0, 8 and 20 weeks after study enrollment.]
• Change in Vigorous Activity [Time frame: At 0, 8 and 20 weeks after study enrollment.]

Secondary outcome measures (4)

• Higher values of primary measures at 8 weeks: persistence at 20 weeks [Time frame: 20 weeks after study enrollment]
• Change in Self-reported medical visits [Time frame: At 0, 8 and 20 weeks after study enrollment.]
• Change in Social Network and Support score [Time frame: At 0, 8 and 20 weeks after study enrollment.]
• Change in type and source of At-home Support [Time frame: At 0, 8 and 20 weeks after study enrollment.]

Eligibility criteria

Inclusion criteria

• Be able to read, speak English and hear - but may use glasses or hearing aids, if needed;
• Be able to tell us their age, their date of birth, address, and phone number, as well as write down and explain their health problems;
• Have their own computer or iPad (Tablet) with an Internet connection, a working camera and microphone. and
• Be able to use their computer/tablet to connect to video chat sessions like Zoom in a private space in their home or a private room.

Exclusion criteria

• People who, in the last month, have used the Emergency Room (ER) or stayed in the hospital.
• Are not verified users of Medicaid Home Help services \[we will check with the Michigan Department of Health and Human Service to verify that you receive these services using your name, date of birth, and Medicaid identification number\];
• Have a new major health problem that they are seeing a doctor about more than once per month;
• Have been told their illness is not curable;
• Cannot remember their name, date of birth or their health problems;
• Cannot use glasses or a hearing aid to see or hear well enough to read materials on the computer or talk to the nurse easily; and,
• Do not have, or cannot use, a computer, iPad or other device with the Internet at home to use Zoom (e.g., internet streaming).

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation

N/A

Model

Single group

Masking

Open label

Primary purpose

Other

Study locations

United States · 1 center

• University of Michigan School of Nursing — Ann Arbor

Identifiers

NCT: NCT05920733 · HUM00223787

Primary sources (government registries)

• ClinicalTrials.gov (US NIH)

View this study on ClinicalTrials.gov ↗