Clinical Trials Logo

Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04492527
Other study ID # COACH
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date July 28, 2020
Est. completion date June 30, 2021

Study information

Verified date August 2021
Source University of British Columbia
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of this study is to ensure effective health management among community-living older adults during unprecedented times, such as the current COVID-19 pandemic.


Description:

The novel coronavirus (COVID-19) outbreak has made the world transition to practices of quarantine, social distancing and social isolation. While they serve as prevention strategies for COVID-19, they may also cause an increase of other health problems. As well, closures of public areas and financial challenges act as barriers to exercise and dietary quality. Thus quarantine-type strategies, while needed, compromise the ability to self-manage one's health and increase their risk of adverse health events. Evidence suggests the negative effects of such quarantine-type strategies are especially being felt among Canada's seniors. A recent report by Statistics Canada indicates that 60% of Canadians, ≥65 years of age are 'very' concerned about their health due to social and economic consequences of COVID-19. Moreover, 80% of individuals reported being 'very' anxious about overloading the health system. This may in turn lead to rash decisions not to access health services as needed. Clearly, efforts are required to support older individuals to optimally manage their health to prevent disease and disability. In British Columbia (BC), various specialized health resources have emerged to support people during the COVID-19 pandemic. However, many are passive in that they require individuals to initiate contact in response to a concern, and none have a specific focus on health promotion or disease prevention and management. This study will ensure that community-living adults ages 65 years and older are effectively managing their health during these unprecedented times. Participants will receive a kit containing a self-help manual, a Health Report Card, and COVID-19 education. They will also received 6 telephone/video conference sessions with a student-coach who will utilize motivational interviewing techniques to foster lifestyle modification, and self-management. Objectives: 1. To quantitatively evaluate the effect of the two-month, six session (30-45 minutes/session) COACH program on health self-management, measured using the Health Directed Behaviour subscale in the Health Education Impact Questionnaire (heiQ),9 among community-living adults ≥65 years of age. 2. To qualitatively describe the subjective experiences of participants receiving the COACH program. Hypotheses: 1. COACH will improve health directed behaviour in community-living adults, ≥65 years of age. 2. COACH will also improve secondary outcomes in the areas of mood, social support, health-related quality of life, health promotion self-efficacy, and other self- management domains in the heiQ.


Recruitment information / eligibility

Status Completed
Enrollment 75
Est. completion date June 30, 2021
Est. primary completion date April 30, 2021
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 65 Years and older
Eligibility Inclusion Criteria: - age 65 years or older - living within a community in British Columbia - have access to a telephone or video conferencing program - able to communicate in English - have had no previous COVID-19 diagnosis by health professionals - have cognitive-communicative ability to participate as per clinical judgement - can provide informed consent Exclusion Criteria: - not medically stable - are participating in other health promotion programs - have severe hearing loss

Study Design


Intervention

Behavioral:
Telehealth coaching sessions
Participants will be receiving a 2-month coaching session intervention that will be delivered via telephone or video-conferencing. Each of the 6 sessions will be 30-45minutes long and one-on-one with a student coach. In each session, coaches will review the participants' health behaviours and assess their knowledge about behavioural risks factors for chronic diseases and their current behaviours. The coaches will then provide information about the health risks of poor health behaviours, and benefits of change. Health behavioural goals will be established through a collaborative process. The coaches will then assist participants to develop readily achievable action plans that participants will follow in between coaching sessions as a means to realize their health goals. Adherence and modifications to the action plans will be discussed at the follow-up coaching session to promote health accountability.

Locations

Country Name City State
Canada University of British Columbia Vancouver British Columbia

Sponsors (1)

Lead Sponsor Collaborator
University of British Columbia

Country where clinical trial is conducted

Canada, 

Outcome

Type Measure Description Time frame Safety issue
Primary Change from baseline: Health Directed Behaviour at 2 months Health Education Impact Questionnaire (HeiQ) that evaluates health directed behaviour for chronic disease management. Baseline, Post-intervention (immediately after the 2-month intervention)
Secondary Depression, Anxiety, Stress Scale 21-item survey scale that looks at perceived depression, anxiety and stress. Baseline, Post-intervention (immediately after the 2-month intervention)
Secondary Medical Outcomes Study (MOS): Social Support Survey 19-item survey that evaluates perceived social support. Baseline, Post-intervention (immediately after the 2-month session)
Secondary Medical Outcomes Study (MOS): Short Form-36 Survey scale that evaluates at health-related quality of life. Baseline, Post-intervention (immediately after the 2-month session)
Secondary Self-Rated Abilities for Health Practices Scale 28-item survey scale that looks at health promotion self-efficacy. Baseline, Post-intervention (immediately after the 2-month session)
Secondary Self-management Health Education Impact Questionnaire Baseline, Post-intervention (immediately after the 2-month session)
See also
  Status Clinical Trial Phase
Completed NCT05433233 - Effects of Lifestyle Walking on Blood Pressure in Older Adults With Hypertension N/A
Recruiting NCT06032065 - Sequential Multiple Assessment Randomized Trial of Exercise for PAD: SMART Exercise for PAD (SMART PAD) Phase 3
Completed NCT05293730 - Trial of the Impact of the Electronic Frailty Integrated With Social Needs N/A
Recruiting NCT03932162 - Gene Expression Changes In Young and Geriatric Skin Early Phase 1
Completed NCT04064528 - Effects of Age on Amino Acid Delivery to Tendon N/A
Completed NCT03366129 - Blood-Brain Barrier Disruption in People With White Matter Hyperintensities Who Have Had a Stroke
Completed NCT06029920 - Influence of Overground Walking on Biomarkers, Cognitive Function, and Quality of Life in Elderly With Mild Cognitive Impairment N/A
Recruiting NCT05543980 - Leg Heat Therapy in Elderly Individuals Phase 2
Recruiting NCT05566938 - Study to Design a Precision Nutrition Strategy at a Group Level in the Elderly N/A
Completed NCT04894929 - Comprehensive Geriatric Assessment in the Monitoring of Functional Improvement N/A
Not yet recruiting NCT06071130 - Emotion, Aging, and Decision Making N/A
Enrolling by invitation NCT04641663 - Multi-target Dietary Supplement Tolerability in an Aging Population (MTDSST) N/A
Completed NCT04088006 - The Evaluation of Efficacy and Safety of Hyaluronic Acid Injection on Skin Moisturization and Elasticity N/A
Completed NCT03695081 - Patient Pathway Pharmacist - Optimal Drug-related Care N/A
Recruiting NCT05424263 - Acetate and Age-associated Arterial Dysfunction Phase 2
Completed NCT05601713 - Mitigating Heat-induced Physiological Strain and Discomfort in Older Adults Via Lower Limb Immersion and Neck Cooling N/A
Completed NCT04551339 - Zinc Versus Multivitamin Micronutrient Supplementation in the Setting of COVID-19 N/A
Recruiting NCT04997577 - Speech Perception and High Cognitive Demand N/A
Completed NCT05922475 - Efficacy of Pre-sleep or Post-exercise Protein During 12 Weeks of Resistance Exercise Training N/A
Completed NCT04015479 - Peanut Protein Supplementation to Augment Muscle Growth and Improve Markers of Muscle Quality and Health in Older Adults N/A