Impact Assessment of the Jockey Club REACH & Map Program for Hard-to-reach Older Adults
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: Mapped intervention based on health status.
- Who it may be relevant to
- Registry conditions: Hard-to-Reach Elderly. 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
Impact Assessment of the Jockey Club REACH & Map Program for Hard-to-reach Older Adults in the Community: A Target Trial Emulation
Overview
The goal of this study is to evaluate the impact of the Reach-and-Map project on increasing functional capacity to optimize the functional ability of the vulnerable group of "Hard-to-Reach" older adults through increase the compatibility between their intrinsic capacity and environment.
Detailed description
The overall aim of this project is to conduct a comprehensive impact assessment of the Jockey Club (JC) Reach \& Map Program, utilizing a framework based on the World Health Organization (WHO) Health Impact Assessment. The study will evaluate how the program influences health outcomes among hard-to-reach older adults by assessing changes in key health determinants. The findings will be disseminated to relevant stakeholders to inform future policy setting and service planning, and long-term monitoring will be undertaken to evaluate the extent to which the impact assessment influences decision-making in aged care service development.
The primary focus of the evaluation is on the functional abilities of older adults, including physical, cognitive, psychological, and social functioning. The assessment will also cover core outcomes such as quality of life, frailty, and health service use, alongside person-centered measures like loneliness and mental health. Given the diverse services received by beneficiaries, the study will account for structural and social health determinants-such as age, gender, socio-economic status, and chronic disease burden-as covariates in the analysis. In addition, the project will explore the broader effects of the JC Reach \& Map Program on aged care service utilization and document both the experiences of service recipients and stakeholders involved.
Specifically, the study objectives are: (1) to evaluate the impact of the JC Reach \& Map Program on frailty, quality of life, and health service use among hard-to-reach older adults, focusing on physical, cognitive, psychological, and social functions; (2) to explore the engagement experiences and perceptions of older adults regarding the services received, and their impact on well-being, community engagement, and social integration; and (3) to explore the experiences of service stakeholders in reaching and working with this population, as well as to gather their insights on ideal service models and policies for hard-to-reach older adults.
Interventions
- Behavioral Mapped intervention based on health status
Intervention will be conducted to improve lifestyle based on their needs which include 1) Home modification, 2) Lifestyle-based health promotion, 3) Geriatric symptom management, 4) Health counseling for chronic disease management, 5) Counseling-based service, 6) Social network optimization, 7) Social support optimization
Primary outcome measures
- EuroQoL-5 Dimension-5 Level [Time frame: Changes from baseline to 1 month, 4 month, 10 month, and 13 month post-intervention.]
- Short Physical Performance Battery [Time frame: Changes from baseline to 1 month, 4 month, 10 month, and 13 month post-intervention.]
- 5-minute Montreal Cognitive Assessment (MoCA) [Time frame: Changes from baseline to 1 month, 4 month, 10 month, and 13 month post-intervention.]
- 7-item Memory Complaint Scale (MCS) [Time frame: Changes from baseline to 1 month, 4 month, 10 month, and 13 month post-intervention.]
- 3-item University of California, Los Angeles (UCLA) Loneliness Scale [Time frame: Changes from baseline to 1 month, 4 month, 10 month, and 13 month post-intervention.]
- The 8-item Geriatric Depression Scale [Time frame: Changes from baseline to 1 month, 4 month, 10 month, and 13 month post-intervention.]
- 8-item Social Connectedness Scale Revised [Time frame: Changes from baseline to 1 month, 4 month, 10 month, and 13 month post-intervention.]
Secondary outcome measures (2)
- Health service utilization [Time frame: Changes from baseline to 1 month, 4 month, 10 month, and 13 month post-intervention.]
- Health service utilization [Time frame: From baseline to 1 month, 4 month, 10 month, and 13 month post-intervention.]
Eligibility criteria
Inclusion criteria
- age > 60
- able to participate in the impact assessment as evidence by a test score of > 6 on the Abbreviated Mental Test
- has the functional ability to engage in the digital intervention
- able to communicate with the researcher
Exclusion criteria
\-
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Non-randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Prevention
Study locations
Hong Kong · 1 center
- The University of Hong Kong — Hong Kong
Identifiers
NCT: NCT07305441 · REACH & MAP