District Health Centre Membership Among Older Adults in Hong Kong

Официальное название

Enhancing District Health Centre Membership Among Older Adults Through Intergenerational Home-based and AI-generated Digital Interventions

Обзор

This study is a cluster randomized controlled trial study to evaluate the feasibility, acceptability, and effectiveness of intergenerational home-based and AI-generated digital interventions in improving the proportion of District Health Centre members among older adults in Hong Kong.

Подробное описание

This is a two-group parallel cluster randomized controlled trial, involving 180 older adults recruited from 6 clusters. Clusters would be allocated to either the intervention or control arm in a 1:1 ratio Participants will receive home-based DHC intervention by trained students, followed by 1-month of AI-generated digital interventions, including infographics, videos, and messages on the introduction and promotion of DHC, via WhatsApp. The primary outcome is to increase the proportion of District Health Centre members. Secondary outcomes include the proportion of participants utilizing DHC services, physical well-being, mental health, and feasibility metrics. Data will be collected via surveys at baseline and follow-ups (1, 3, and 6 months).

This proposed pilot study aims to improve primary healthcare service uptake among older adults in Hong Kong. In doing so, it seeks to support healthier aging, improve health outcomes, alleviate pressure on hospitals, and offer evidence-based framework for addressing the needs of aging populations.

Вмешательства

• Поведенческое Home-based and AI-generated digital intervention
  The home-based intervention is a 90-minute face-to-face session, during which trained student interns collect health assessment data and deliver theme-based, tailored health interventions. The digital intervention is a 1-month follow-up support involving daily messages via instant messaging apps (e.g., WhatsApp) that include health-related infographics, videos, and personalized advice.

Первичные конечные точки

• District health centre membership [Срок оценки: 3 months]

Вторичные конечные точки (1)

• District health centre utilization [Срок оценки: 3 months]

Критерии участия

Критерии включения

• 65 years or older
• spoke Chinese
• are physically, mentally, and cognitively capable of engaging in simple physical tasks
• understanding survey questions
• non district health centre member

Критерии исключения

• All subjects have the right to withdraw if they wish not to continue

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Лечение

Центры проведения

Гонконг · 1 центр

• The University of Hong Kong — Гонконг

Публикации

• He AWJ, Yuan R, Luk TT, Wang KMP, Chan SSC. Boosting Digital Health Engagement Among Older Adults in Hong Kong: Pilot Pre-Post Study of the Generations Connect Project. JMIR Form Res. 2025 May 8;9:e69611. doi: 10.2196/69611. PMID 40340793
• Wan Jia Aaron H, Yuan R, Chan SCS. Socio-demographic and behavioral predictors of multiple-dose COVID-19 vaccine uptake among older adults in Hong Kong: A community-based cross-sectional study of the generations connect project. Vaccine. 2025 Aug 13;61:127308. doi: 10.1016/j.vaccine.2025.127308. Epub 2025 Jun 2. PMID 40460652

Идентификаторы

NCT: NCT07252934 · DHCRCT

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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