Adopting a Health-social Partnership Program to Promote Health and Self-care Management Among Older Adults in the Community

This randomized type 2 effectiveness-implementation hybrid trial study aims to examine the effectiveness of a community-based health-social partnership program in promoting health and self-care management among older adults dwelling in the community and to explore the reach, adoption, implementation, maintenance aspects of the implementation process of the program in a real-life setting.

This study has two parts. The first part involves a cluster randomized controlled trial with a two-arm, matched-pairs, equivalent allocation ratio, and parallel design to examine the effectiveness of this study. Based on socio-economic status, community centers will be matched into three comparable pair sets, and further randomized into three intervention and control groups. A total of 788 subjects (394 in each arm) aged 60 or above, dwelling in the community, and cognitively competent will be recruited. Three-time interval outcome measures will be collected. The second part of this study is an implementation research design concerning the implementation process of the program in a real-life setting. Focus group interviews with different stakeholders will be conducted and meeting minutes, and archives of documents will be studied. Summative data will be analyzed in the RE-AIM framework.

The findings of this study are anticipated to shed some light on the effectiveness and implementation of integrated health-social service in Hong Kong context. It will make important contributions, not only to the individuals, but also to the policymakers and service providers advocating the concept of ageing in place and health-social partnership approach care. The informed the health-social partnership collaboration practice in real-world setting can facilitate the translation of research evidence into practice to tackle the health burdens and challenges.

• Change in quality of life [Срок оценки: Baseline pre-intervention (T1), at three-month when the interventions are completed (T2), and three-month post-intervention (T3)]
• Change in self-report of pain [Срок оценки: Baseline pre-intervention (T1), at three-month when the interventions are completed (T2), and three-month post-intervention (T3)]
• Change in depression [Срок оценки: Baseline pre-intervention (T1), at three-month when the interventions are completed (T2), and three-month post-intervention (T3)]
• Change in activity of daily living [Срок оценки: Baseline pre-intervention (T1), at three-month when the interventions are completed (T2), and three-month post-intervention (T3)]
• Change in health service utilization [Срок оценки: Baseline pre-intervention (T1), at three-month when the interventions are completed (T2), and three-month post-intervention (T3)]
• Change in blood pressure [Срок оценки: Baseline pre-intervention (T1), at three-month when the interventions are completed (T2), and three-month post-intervention (T3)]
• Change in body mass index [Срок оценки: Baseline pre-intervention (T1), at three-month when the interventions are completed (T2), and three-month post-intervention (T3)]
• Change in fall incidence [Срок оценки: Baseline pre-intervention (T1), at three-month when the interventions are completed (T2), and three-month post-intervention (T3)]
• Change in medication adherence [Срок оценки: Baseline pre-intervention (T1), at three-month when the interventions are completed (T2), and three-month post-intervention (T3)]
• Change in capillary blood glucose [Срок оценки: Baseline pre-intervention (T1), at three-month when the interventions are completed (T2), and three-month post-intervention (T3)]