Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Centre for Person-Centred Care (GPCC), Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
BMC Geriatr. 2023 Mar 27;23(1):174. doi: 10.1186/s12877-023-03866-6.
Healthcare and welfare systems worldwide are unprepared to accommodate the growing population of older people. Simultaneously, the cost of reactive care for older people is increasing. However, healthcare systems in many countries are reforming towards integrated and person-centred care with a focus on health promotion and proactive actions. The Integrating Health Promotion with and for Older People - eHealth (IHOPe) project aims to describe and evaluate a person-centred e-support intervention that promotes a sustainable partnership between community-dwelling frail older people and health and social care professionals.
The IHOPe project is designed as a randomised controlled trial comparing a control group receiving standard care with an intervention group receiving standard care and add-on person-centred care through telephone support and a digital platform. The primary outcome measure is a composite score of changes in general self-efficacy and the need for unscheduled hospital care. The project is conducted in Gothenburg, Sweden. At least 220 participants aged ≥ 75 years will be included after being screened using a frailty instrument. The study design, intervention components, digital platform, and questionnaires were developed in close collaboration with an advisory group of inter-professional researchers, stakeholders, clinicians, and older representatives. Data will mainly be collected through questionnaires at baseline and 3, 6, and 12 months after inclusion in the study. Recruitment is ongoing and should be completed during 2023. Data will be analysed using quantitative and qualitative methods. The evaluation will include effectiveness, process, and health economics. The study was approved by the Regional Ethical Review Board in Gothenburg, Sweden (Dnr 2019-05364, Dnr 2020-03550, Dnr 2021-03255).
The findings will expand our knowledge of remotely integrated person-centred care for frail older people. Thereby, the IHOPe project is expected to fill highlighted knowledge gaps on intervention evaluations including the triad of person-centred, digital, and integrated care elements, as well as economic evaluations of remote health services for frail older people. The study is ongoing, and the results are not completed but if they turn out to be positive, implementation is not limited to time or location.
ClinicalTrial.gov: NCT04416815. Registered 07/06/2021.
全球的医疗保健和福利系统都没有做好准备来应对不断增长的老年人口。与此同时，对老年人的被动护理成本正在增加。然而，许多国家的医疗保健系统正在向以患者为中心的整合式护理改革，重点是促进健康和采取主动行动。“将健康促进融入老年人的医疗保健服务中——电子健康”（IHOPe）项目旨在描述和评估一种以患者为中心的电子支持干预措施，以促进社区中体弱老年人与医疗保健和社会护理专业人员之间的可持续伙伴关系。
IHOPe 项目设计为一项随机对照试验，比较对照组接受标准护理和干预组接受标准护理以及通过电话支持和数字平台提供附加的以患者为中心的护理。主要结局指标是一般自我效能感和非计划性住院需求变化的综合评分。该项目在瑞典哥德堡进行，将通过使用衰弱工具对至少 220 名年龄≥75 岁的参与者进行筛选后纳入研究。研究设计、干预措施组成部分、数字平台和问卷是在跨专业研究人员、利益相关者、临床医生和老年人代表组成的咨询小组的密切合作下制定的。数据主要通过基线和研究纳入后 3、6 和 12 个月的问卷调查收集。招募正在进行中，预计在 2023 年完成。将使用定量和定性方法进行数据分析。评估将包括有效性、过程和健康经济学。该研究已获得瑞典哥德堡地区伦理审查委员会的批准（Dnr 2019-05364、Dnr 2020-03550、Dnr 2021-03255）。
研究结果将扩展我们对体弱老年人远程整合以患者为中心的护理的知识。因此，IHOPe 项目有望填补以患者为中心、数字和整合护理元素的干预评估以及远程为体弱老年人提供健康服务的经济评估方面的知识空白。该研究正在进行中，结果尚未完成，但如果结果为阳性，则实施不受时间或地点限制。
ClinicalTrials.gov：NCT04416815。注册日期：2021 年 7 月 6 日。
