Nurse-led Primary Healthcare Intervention Model in Women's Health Management in Hong Kong

Summary

The goal of this randomized clinical trial is to learn if a nurse-led primary healthcare intervention can help improve health management in women adults aged 45 to 64, and to develop an evidence-based primary healthcare model for women. The questions it aims to answer are:

if the intervention improves medical resource use, especially at 3-month from the beginning of intervention? if the intervention improves health confidence, self-management, and quality-of-life? if the intervention improves health conditions as reflected by risk levels?

Researchers will compare the intervention with the control group over time to see if there are better medical resource use, health confidence, self-management, and quality-of-life, and health conditions risk levels.

All participants will be asked to answer a set of questionnaires assessing their social demographics, health-related status, and risk levels of the targeted health conditions. All participants will receive an education booklet containing essential knowledge and available medical resources. Participants in the intervention group will receive nurse-led 5As (ask, advice, assess, assist, arrange) intervention which offers risk-specific health services. Participants will be followed at 3-, 6-, 12-month; with high risk participants will be followed additionally at 1-month after the beginning of intervention. Participants in the waitlist control group will be given general health advice as minimal intervention, followed-up at 3- and 6-month, provided with intervention of the same content with intervention group at 6-month, followed-up at 7-month and 12-month.

Conditions

• Vasomotor Symptoms
• Urinary Incontinence
• Anxiety
• Depression - Major Depressive Disorder
• Osteoporosis
• Breast Cancer
• Hypertension
• Cervical Cancers
• Colorectal Cancer

Interventions

BEHAVIORAL

Minimal Intervention

Consisting general advice on women health with the education booklet. No risk-based services nor active referral will be offered during the waitlist control exposure. Participants will be switched to receive intervention from 6-month.

BEHAVIORAL

Nurse-Led Risk-Based 5As Primary Healthcare Model

The intervention is developed based on the 5As model (ask, advice, assess, assist, arrange). In this model, nurse will play the central role in delivering the service as a case manager. In Ask, all participants will be assessed on the demographics, health related status, and health risk stratification (i.e. 3-tier risk stratification). In Advice, all participants will be given the education booklet. Those assessed to be at low risks will receive general advice, while those at medium risk will receive condition-specific advice instead. High risk participants will be provided with referral suggestions. The assessment of medium or high risk participants willingness and any barriers in seeking changes will be conducted in Assess. In Assist, active referrals will be provided to high risk participants, with weekly advice messages provided to medium and high risk participants. In Arrange, all participants will receive their follow-ups.

Sponsors & Collaborators

• The Hong Kong Jockey Club Charities Trust

  collaborator OTHER

• Haven of Hope Hospital

  collaborator OTHER

• Hong Kong Sheng Kung Hui Welfare Council Limited

  collaborator OTHER

• Aberdeen Kai-fong Welfare Association

  collaborator OTHER

• The University of Hong Kong

  lead OTHER

Principal Investigators

• Siu Chee Chan, Professor · The University of Hong Kong

Study Design

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Model

CROSSOVER

Eligibility

Min Age

45 Years

Max Age

64 Years

Sex

FEMALE

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2024-10-04

Primary Completion

2026-05-26

Completion

2027-02-26

Countries

• Hong Kong

Study Locations