mHealth Person-centred Self-care Support for Homebound Older Adults: A Hybrid Effectiveness-implementation Study
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: PCC-based mHealth-assisted self-care support intervention, Provider-led mHealth-assisted self-care support intervention.
- Who it may be relevant to
- Registry conditions: Mobile Health, Person-Centred Care, Self-Care, Homebound. Basic parameters: from 60 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Hong Kong
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Empowering Homebound Older Adults in Self-care Using a Mobile Health-assisted, Person-centred Care Approach: A Hybrid Effectiveness-implementation Design
Overview
The aim of the study is to evaluate the effectiveness and implementation of the mobile health (mHealth)-assisted, person-centred care (PCC) self-care support programme for homebound older adults. The researcher will compare PCC approach to a conventional care provider-led model. Participants (n = 130) will receive the intervention of six bi-weekly WhatsApp video call sessions over three months with nurse case managers (NCMs).
Detailed description
This hybrid effectiveness-implementation, cluster-randomized controlled trial evaluates a mHealth-assisted, PCC self-care support programme for homebound older adults in Hong Kong. Participants (n = 130) receive six bi-weekly WhatsApp video call sessions with NCMs over three months. The study compares a PCC-based approach with a conventional provider-led model. Effectiveness outcomes include self-efficacy, functional independence, and psychosocial well-being. Implementation is assessed using the RE-AIM framework. Findings will inform scalable, digital health interventions for aging populations, improving functional independence, self-care engagement, and healthcare accessibility for homebound older adults.
Interventions
- Behavioral PCC-based mHealth-assisted self-care support intervention
Participants receive six bi-weekly WhatsApp video call sessions with a NCM over three months, using a person-centred care (PCC) approach. - Behavioral Provider-led mHealth-assisted self-care support intervention
Participants receive six bi-weekly WhatsApp video call sessions with a NCM over three months, based on the conventional provider-led model.
Primary outcome measures
- Change in self-efficacy assessed using the Chinese version of the General Self-Efficacy Scale [Time frame: At baseline, 3 months post-intervention , and 6 months post-intervention.]
- Change in instrumental activities of daily living assessed using the Chinese version of the Lawton Instrumental Activities of Daily Living Scale [Time frame: At baseline, 3 months post-intervention , and 6 months post-intervention.]
Secondary outcome measures (12)
- Change in quality of life assessed using the Chinese version of the 12-item Short Form Health Survey version 2 [Time frame: At baseline, 3 months post-intervention , and 6 months post-intervention.]
- Change in psychological distress assessed using the Chinese version of 21-item Depression Anxiety Stress Scale [Time frame: At baseline, 3 months post-intervention , and 6 months post-intervention.]
- Change in perceived loneliness assessed using the Chinese version of the UCLA 3-item Loneliness Scale [Time frame: At baseline, 3 months post-intervention , and 6 months post-intervention.]
- Change in functional mobility assessed using the Timed Up and Go Test [Time frame: At baseline, 3 months post-intervention , and 6 months post-intervention.]
- Change in sedentary behaviour assessed using the Chinese version of the Sedentary Behaviour Questionnaire for Elderly [Time frame: At baseline, 3 months post-intervention , and 6 months post-intervention.]
- Change in frequency of healthcare utilization assessed using the self-reported healthcare utilization survey [Time frame: At baseline, 3 months post-intervention , and 6 months post-intervention.]
- Participant reach and recruitment success measured by recruitment records [Time frame: At baseline.]
- Participant satisfaction with the intervention assessed using the Chinese version of four-dimension Client Satisfaction Questionnaire [Time frame: At 3 months post-intervention and 6 months post-intervention.]
- Service provider acceptability and adoption of person-centred care approach measured by focus group interview [Time frame: At 3 months post-intervention.]
- Implementation fidelity and adherence to person-centred care principles measured by session recordings and fidelity checklist [Time frame: Ongoing monitoring during intervention.]
- Long-term maintenance and retention of participants measured by cost-effectiveness analysis and retention and dropout records [Time frame: At 6 months post-intervention.]
- Barriers and Facilitators to the intervention measured by focus group interview [Time frame: At 3 months post-intervention.]
Eligibility criteria
Inclusion criteria
- Aged 60 years or older;
- Unable to leave home more than twice per week due to physical or functional health problems;
- Own and have basic proficiency in using a smartphone;
- Speak Cantonese;
- Indicate sufficient cognitive ability; and
- Be moderately frail or below.
Exclusion criteria
- Unable to hear, see, or communicate effectively;
- Be completely bed-bound; or
- Reside in an area without stable internet coverage.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Double blind
- Primary purpose
- Supportive care
Study locations
Hong Kong · 1 center
- Yan Oi Tong — Hong Kong
Publications
- Wong AKC, Wong FKY, Ng SSM, Wong MCS, Wolf A, Cheng ASK, Wu K, Choi NG, Lee PH, Kwan RYC, Liu R, Leung YP, Choi SY. Homebound older adults in self-care using a mobile health-assisted, person-centred care approach: study protocol for a hybrid effectiveness-implementation design. BMC Prim Care. 2026 Mar 29;27(1):181. doi: 10.1186/s12875-026-03287-5. PMID 41904377
Identifiers
NCT: NCT06879457 · HSEARS20240718004