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Chronic DiseaseNCT04492527

Student-delivered Telehealth Program for COVID-19 Education and Health Promotion

A study testing Telehealth coaching sessions in people with Chronic Disease and Aging, run by University of British Columbia at 1 site in Canada.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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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. Read more about this study

Who is it for?
Ages 65 years and olderHealthy volunteers can take part
Conditions the study is for
Chronic Disease, Aging, Aging Problems
What is being tested?
Telehealth coaching sessions
Could I receive a placebo?
No, everyone receives an active treatment
How many people
75 participants
Where
1 siteCanada
Study dates
28 Jul 2020to 30 Jun 2021
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 65 years and older
  • All sexes
  • Healthy volunteers accepted
  • Older adult

Who may be able to join

  • 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

Who cannot join

  • not medically stable
  • are participating in other health promotion programs
  • have severe hearing loss

Trial locations and contacts

1 site in 1 country.

Canada1 site

  • University of British Columbia

    Vancouver, British Columbia, V6T 1Z4

Other trials in Canada

About this study

Official title: A Student-delivered Community Outreach teleheAlth Program for Covid Education and Health Promotion (COACH)

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.

Read the detailed 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.
Being tested
Telehealth coaching sessions
Keywords
telehealth, prevention, self management, chronic disease, aging, healthy lifestyle
Medical subject headings
Chronic Disease, Health Behavior, Multiple Chronic Conditions

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Telehealth coaching sessionsBehavioural

    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.

Study groups in NCT04492527
Study groupRoleWhat they receive
Telehealth coaching sessionsExperimentalReceives the Telehealth-delivered coaching sessions.
Receives: Behavioral: Telehealth coaching sessions

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change from baseline: Health Directed Behaviour at 2 months

    Health Education Impact Questionnaire (HeiQ) that evaluates health directed behaviour for chronic disease management.

    Measured: Baseline, Post-intervention (immediately after the 2-month intervention)

Secondary outcomes (5)

  1. Depression, Anxiety, Stress Scale

    21-item survey scale that looks at perceived depression, anxiety and stress.

    Measured: Baseline, Post-intervention (immediately after the 2-month intervention)

  2. Medical Outcomes Study (MOS): Social Support Survey

    19-item survey that evaluates perceived social support.

    Measured: Baseline, Post-intervention (immediately after the 2-month session)

  3. Medical Outcomes Study (MOS): Short Form-36

    Survey scale that evaluates at health-related quality of life.

    Measured: Baseline, Post-intervention (immediately after the 2-month session)

  4. Self-Rated Abilities for Health Practices Scale

    28-item survey scale that looks at health promotion self-efficacy.

    Measured: Baseline, Post-intervention (immediately after the 2-month session)

  5. Self-management

    Health Education Impact Questionnaire

    Measured: Baseline, Post-intervention (immediately after the 2-month session)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Jul 2020
  2. Study start28 Jul 2020
  3. Primary completion30 Apr 2021
  4. Study completion30 Jun 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
75 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04492527
Sponsor's protocol ID
COACH
Status last verified
Aug 2021
First submitted
28 Jul 2020
Last updated
30 Aug 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Yang MC, Clayton C, Harris D, Pelletier C, Schmidt J, Zwicker JG, Sakakibara BM. Qualitative Experiences of Older Adults Participating in a Student-Delivered Community Outreach TeleheAlth Program for COVID Education and Health Promotion. Health Promot Pract. 2026 May;27(3):483-492. doi: 10.1177/15248399251414647. Epub 2026 Jan 27.

    PubMed 41593434

  • Yang MC, Singh G, Clayton C, Harris D, Sakakibara BM. Experiences of Health Professional Students Delivering a Community-Outreach TeleheAlth Program for COVID Education and Health Promotion to Older Adults. J Med Educ Curric Dev. 2025 May 7;12:23821205251335723. doi: 10.1177/23821205251335723. eCollection 2025 Jan-Dec.

    PubMed 40351783

  • Yang MC, Singh G, Sakakibara BM. Social Cognitive Predictors of Health Promotion Self-Efficacy Among Older Adults During the COVID-19 Pandemic. Am J Health Promot. 2024 Nov;38(8):1147-1152. doi: 10.1177/08901171241256703. Epub 2024 May 30.

    PubMed 38816954

  • Yang MC, Clayton C, Harris D, Pelletier C, Schmidt J, Zwicker JG, Sakakibara BM. Preliminary investigation of the student-delivered Community Outreach teleheAlth program for Covid education and Health promotion (COACH). Fam Pract. 2023 Feb 9;40(1):30-38. doi: 10.1093/fampra/cmac079.

    PubMed 35899784

Questions about this trial

What is this clinical trial studying?

A study testing Telehealth coaching sessions in people with Chronic Disease and Aging, run by University of British Columbia at 1 site in Canada.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 30 Aug 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from baseline: Health Directed Behaviour at 2 months (time frame: Baseline, Post-intervention (immediately after the 2-month intervention)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04492527, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Aug 2021.

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