Healthy Older Adults Through Movement and Engagement

Condition(s) studied

Investigational drug(s) / intervention(s)

Health dialogue: 1. Pre-visit 20 minutes including timed-up and go (TUG) walking test, length, weight, blood pressure, and blood tests ( HbA1C, PEth) 2. Structured health dialogue by a dedicated nurse practitioner for about 60 minutes covering living conditions, activity, everyday function, lifestyle habits and formation of a plan for improved health and referral to physician, physiotherapist or other primary care worker when appropriate 3. Follow-up call at 3 months with the nurse practitioner for evaluation and adjustment of the plan

Study summary

The HOME Project evaluates the effects of structured health dialogues with individuals aged 67-84 years in the municipality of Borgholm, Sweden. A combination of registry data and survey responses will be used to monitor quality of life, morbidity, healthcare needs, and lifestyle factors over a six-year period. Outcomes will be compared between randomized groups within Borgholm municipality and a matched control group from seven other municipalities in Region Kalmar.

The project also includes an analysis of cost-effectiveness and the reach of the intervention. A qualitative interview study will explore participants' perceptions of their health, their motivations for health improvement, and their experiences of how the health dialogues may influence these aspects.

In a substudy, machine learning models will be developed to predict functional decline and high healthcare needs among older adults. These models will be validated against established risk assessment tools such as the Adjusted Clinical Groups (ACG) system and the Charlson Comorbidity Index. Digital motion analysis using Skeleton Avatar Technology will be employed both independently and in combination with other variables to support model development.

Eligibility

Primary outcome measure(s)

• Change in health-related quality of life — Baseline, at 16 months and 6 years from start of intervention
  EQ5D-5L (Euroqol 5 dimensions 5 levels) collected via postal questionnaire
• Change in quality of life — Baseline, at 16 months and at 6 years from study start
  Quality of life measured by ICECAP-0 ( ICEpop CAPability measure for older people)

Trial sites (1)

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