Health Behavior Clinical Trial
Official title:
Supporting Healthy Aging by Peer Education and Support (SHAPES) - A Stepped-Wedge Cluster Randomized Trial
Canadians are living longer than ever before. However, many in our society age with long term
chronic medical conditions which have a major impact on their need for healthcare, their
quality of life and well-being. Encouragement of lifestyle practices which promote healthy
aging and self-management techniques to deal with chronic disease is important in improving
peoples' well-being
The purpose of this study is to study the impact of peer delivered education and support for
seniors living in the community to see if training given to other seniors improves healthy
ageing behaviours and their health literacy.
In Canada, between 1960 and 2009, the proportion of seniors (people aged ≥65 years) rose from
8% to 14%; it is estimated that this proportion will increase to 23−25% by 2036. The number
of people in the population aged ≥80 years is projected to more than double between 2009 and
2036. This population ageing has, and will, have a major impact on healthcare, economics,
education, employment and social engagement. Many in our society age with long term chronic
medical conditions; the management of which is partly responsible for the increasing
consumption of health care resources in later life. There is a pressing need on the part of
health care providers and policy makers to contain these increasing expenditures.
Encouragement of lifestyle practices which promote successful or healthy aging and self -
management techniques to deal with chronic disease are therefore of paramount importance to
the achievement of this goal. Cost containment, however, is not the sole reason for pursuing
such practice; there is some evidence that self-management and an increase in health literacy
leads to an increased sense of empowerment and an improvement in health related quality of
life for seniors.
In the presence of chronic disease, self-management is seen as a critical element in
containing resource demand and in empowering patients whilst increasing their health
literacy. Self-management training courses have been developed for generic physical long term
conditions which have led to improved outcomes and some cost savings in chronic care. There
is therefore an opportunity to educate and empower seniors in both healthy ageing behaviours
and self-management of chronic disease, which has the potential to contain health care
resource use, improve perception of self-rated health and quality of life.
This study aims to explore the use of health coaches, where health coaching can be defined as
helping patients gain the knowledge, skills, tools and confidence to become active
participants in their care so that they can reach their self-identified health goals, drawn
from community dwelling seniors, rather than "expert patients" in educating and supporting
their peers in healthy aging behaviours and self-management of chronic disease.
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