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February 1, 2021BMJ OpenOpen Access

Effectiveness of an eHealth self-management tool for older adults with multimorbidity (KeepWell): protocol for a hybrid effectiveness–implementation randomised controlled trial

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Why the study?

Existing chronic disease self-management tools rarely consider all aspects of management, are seldom developed specifically for seniors or sustained use, and typically focus on a single disease.

Does the KeepWell eHealth self-management application improve perceived self-efficacy at 6 months in older adults with one or more chronic conditions?

Population

Older adults age ≥65 years with one or more chronic conditions

Comparison

KeepWell eHealth self-management application vs control

Design

Pragmatic, hybrid effectiveness-implementation randomised controlled trial protocol

Follow-up

6 months

Authors

MKMonika KastnerJMJulie MakarskiLHLeigh Hayden

Discussion

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Overview

Protocol for KeepWell RCT in multimorbid older adults published; leaves open self-efficacy benefits pending trial completion.

Structured PICO

Does the KeepWell eHealth self-management application improve perceived self-efficacy at 6 months in older adults with one or more chronic conditions?

P
Population
Older adults age ≥65 years with one or more chronic conditions who are English speaking, able to consent, and have access to a computer or tablet device, internet and an email address
I
Intervention
KeepWell eHealth self-management application
C
Comparator
Control group (using a survey platform)
O
Outcome
Perceived self-efficacy at 6 monthspatient reported

This protocol outlines a trial to evaluate the effectiveness and implementation of an eHealth self-management tool designed to support older adults with multimorbidity in their homes.

Cite This Study

Kastner et al. (2021) studied this question.

synapsesocial.com/papers/6a109ae8d478ddac0ffd430dhttps://doi.org/10.1136/bmjopen-2020-048350
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Impact of the CareWell integrated care model for older patients with multimorbidity: a quasi-experimental controlled study in the Basque Country2020 · 38 citations
  2. 2Development and Effectiveness of a Mobile Health Intervention in Improving Health Literacy and Self-management of Patients With Multimorbidity and Heart Failure: Protocol for a Randomized Controlled Trial2022 · 4 citations
  3. 3The use of age-friendly implementation aids in self-management skills in elderly patients with chronic heart failure: a randomized controlled trial study protocol for a randomized controlled trial2026
  4. 4Effectiveness and cost-effectiveness of a telehealth intervention to support the management of long-term conditions: study protocol for two linked randomized controlled trials2014 · 37 citations
  5. 5Proactive health behaviour intervention strategies for older T2DM patients with multimorbidity: protocol for a cluster randomised controlled trial with hybrid type 2 effectiveness-implementation design2026