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Taiwan trial tests community care plan for older adults in rural areas

Opening soon · National Taiwan University Hospital

What this means

Researchers will randomly split older adults into a special care group or standard care group. They will track health over two years. This trial has not reported results yet, so it cannot show whether the plan works.

Plain-English summary written by an AI model from the registry listing.

Status
Opening soon
Who can join
Ages 55 and over
Where
Not listed

Contacts and how to join ↗

The science

Registered title
Holistic Integration for Healthy Longevity and Aging in Place
Phase
Not applicable
Study type
interventional
Conditions
Cognitive Decline, Sarcopenia, Depression Disorders, Nutrition Disorder, Swallowing Difficulties, Hearing Disorder, Visual Disorder, Osteoporosis, Urologic Disorders, Polypharmacy
What is tested
Local intervention program, Referral Process, Telehealth Education & Digital Integration
Sponsor
National Taiwan University Hospital
Ages
55 Years to no maximum
Dates
First posted Mar 18, 2025 · updated Mar 25, 2025

Registry summary

Background:

Taiwan is experiencing rapid population aging, with a growing prevalence of chronic diseases and functional impairments among older adults. Existing Integrated Care for Older People (ICOPE) programs focus primarily on screening but lack sufficient follow-up and intervention. In response, the HI-HOPE Project was developed to establish a community-based, multidisciplinary intervention model to enhance intrinsic capacity and promote healthy aging in rural elderly populations.

Survey and Screening:

The study will be conducted in 30 community centers across Yunlin County, targeting older adults aged ≥55 years. Participants will undergo biannual screenings over two years, assessing cognitive function, depression, mobility, vitality (nutrition), hearing, vision, osteoporosis, polypharmacy, urological health, and social participation \& welfare.

Intervention:

Participants will be randomly assigned to either:

HI-HOPE Integrated Care Group:

On-Site Community Interventions: Exercise training, mindfulness, social activities, oral and swallowing rehabilitation, hearing and vision training.

Telehealth \& Remote Education: Digital health monitoring, remote consultations, and health education.

Referral Services: Access to specialized medical care, transportation assistance, and follow-up support.

Control Group: Standard community care services without additional structured interventions.

Outcome Measures:

Primary outcomes include changes in intrinsic capacity of functional health metrics, including abnormalities of I-COPE components (mobility, cognitive status, depression, hearing, vision, vitality) . Secondary outcomes assess quality of life, activities of daily living, hospitalization, emergency visits, falls, and mortality rates over two years.

Significance:

This project integrates digital health technologies, interdisciplinary care, and community-based interventions to improve elderly health outcomes. The findings will guide the future scalability of integrated aging care models in Taiwan and beyond.

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