ClinicalTrials.gg
Status unknownNCT02832739USECAREUpdated Jul 11, 2017

Exploring Acceptance and Outcomes of an Online-based Self-management Support System in Chronic Illness

An interventional study of SENACA - ICT based self-management support system in Chronic Heart Failure, Diabetes Mellitus and Chronic Obstructive Pulmonary Disease, sponsored by Assuta Medical Center. Status unknown at 2 sites in 2 countries. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-07-11.

Sponsored by Assuta Medical Center · Not applicable, Interventional, and Health services research

The sponsor has not verified this record recently (last verified Jul 2017), so the status shown — last known as Active, not recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The aim of the USECARE project is to improve and test SENACA, an ICT-based self-management support system for chronically ill patients and informal caregivers. 60 end-users will be instructed to use SENACA for approx. 3 months (in Israel and Norway). Amongst others, clinical and behavioural outcomes will be recorded. Additionally, SENACA's usability will be evaluated to determine its potential future scalability.

Read the detailed description

In Switzerland, SENior health ACAdemy (SENACA, www.senaca.ch) has been developed by the European Medical Network EMN.

SENACA is a structured self-management support system with several interacting components, combining tele-monitoring devices and a solution for personalised health plans. This online support system's usability, the behaviour change techniques it builds on, modes of delivery and its effects on health-related behaviour, clinical and Quality-of-Life outcomes will be established in a larger group of end-users.

Testing the usability of SENACA and practical effectiveness of this intervention is the goal of this multi-national project USECARE (www.usecare.eu).

SENACA will be implemented in two countries (Israel and Norway ) via field test with community-dwelling older adults living with chronic conditions (i.e. diabetes, COPD, chronic heart failure) and their informal caregivers.

Key element of USECARE is a field-test including a study based upon pre-experimental design with three time point measurements and a pre-usability round. Multiple methods will be used to evaluate the usability and to observe clinical and process parameters before, during and after the implementation of the enhanced SENACA prototype.

All of the results combined will provide an insight into the end-user experience, usage pattern, usability perception and potential added value of the enhanced SENACA prototype for chronic disease management in the participating countries.

02

Conditions studied

  • Chronic Heart Failure
  • Diabetes Mellitus
  • Chronic Obstructive Pulmonary Disease
  • Special Orthopaedic Co-Morbidity After Hip/Knee Replacement

Keywords

  • Technology acceptance
  • Usability
  • eHealth
  • self-management support in chronic illness
  • prevention
  • Special Orthopaedic Co-Morbidity after hip/knee replacement
03

In context

Diabetes Mellitus

11,090 studies on the registry are indexed under Diabetes Mellitus; 1,319 are open to participants now.

This study's enrollment of 30 is below the median of 80 across 8,491 interventional studies indexed under Diabetes Mellitus.

Browse Diabetes Mellitus studies →

Lead sponsor

Assuta Medical Center is the lead sponsor of 43 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Inclusion community-dwelling older adults (primary end-users):

  • receive medical care for one or more of the following chronic diseases in hospital settings and outpatient clinics:

    1. Chronic Heart Failure (CHF, New York Heart Association NYHA IIIIIa);
    2. Diabetes Mellitus (DM, 6\< HbA1c\<9),
    3. Chronic Obstructive Pulmonary Disease (COPD, GOLD I-II)
    4. Special Orthopaedic Co-Morbidity (SOCM, after elective hip or knee replacement, health status temporarily destabilized respectively challenged, increased monitoring and formal/informal care).
  • having support of an informal caregiver that is aged 18 years or older
  • aged 50 years and older (primary end-users)

Exclusion community-dwelling older adults (primary end-users):

  • known illiteracy (reading and writing difficulties)
  • lack of local language proficiency
  • current major mental illness of moderate to severe level
  • major acute illness or surgery in past 3 months (except elective hip / knee surgery for patients with SOCM)
  • participation in another intervention study

Inclusion informal caregivers (secondary end-users):

  • aged 18 years or older
  • named by primary end-user as designated informal caregiver providing physical, emotional and/or social support for him or her

Both inclusion criteria primary and secondary end-users:

  • written informed consent
  • adequate functional, sensory and cognitive abilities to use the SENACA system

Both exclusion criteria primary and secondary end-users:

  • does not have a stable address of residence
  • no internet/computer access
  • inability to handle ICT-devices due to cognitive or functional disabilities
05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
30 participants (actual)

Study arms

  • Experimental
    SENACA - self-management support system

    Use of enhanced SENACA - ICT based self-management support system prototype by study participants at home for 75-100 days

    Device: SENACA - ICT based self-management support system

Interventions

  • DeviceSENACA - ICT based self-management support system

    SENACA - ICT based self-management support system is a structured self-management support system with several interacting components, combining tele-monitoring devices and a solution for personalised health plans. ==\> www.senaca.ch

06

What researchers measure

Primary outcomes

  1. Level of and potential changes in technology acceptance in participants

    Technology acceptance (usability) of system is measured by assessing participants' intention to use, perceived ease of use, perceived usefulness, technology experience, preference in using technology, errors, and user satisfaction. Instruments used are: Technology Acceptance Model (TAM), Post-Study System Usability Questionnaire (PSSUQ), all self-reported questionnaires. In addition, system errors will be reported (number and type of problems).

    Time frame: Up to three months

Secondary outcomes

  1. Level of and potential changes in selected clinical outcomes of participants : BMI, weight, fasting glucose as well as HbA1c levels (sample)

    Changes in selected clinical outcomes will be assessed with automated measurements via the intervention devices concerning body fat (fat proportion of body in %), body weight (in kg), blood pressure (systolic/diastolic in mmHg), pulse (per minute), SpO2 (in %) and fasting glucose (mmol). In Norway sample laboratory test will be conducted to determine levels of cholesterols (HDL, LDL in mmol), triglyceride (in mmol), HbA1c (mmol) and BNP (pg/ml).

    Time frame: Up to three months

  2. Level of and potential changes in health-related quality of life of participants assessed by EQ5D5L

    Use of EQ-5DL a standardised instrument to measure health outcome and health-related quality of life.

    Time frame: Up to three months

  3. Level of and potential changes in uptake and usage of the SENACA intervention by participants

    Automated recording of relative frequency of usage of SENACA's modules (usage of single components that are not mandatory), adherence to SENACA (Number of days within program from initiation to discontinuation (time to event), errors of system during intervention (number and type of technical problems occurring)

    Time frame: Up to three months

  4. Level of and potential changes in self-efficacy of participants

    Measured with the Stanford Self-efficacy for managing chronic disease scale (SES6)

    Time frame: Up to three months

  5. Level of and potential changes in health-related behaviour: nutrition & alcohol consumption, smoking, physical activity

    Self-reported questionnaires on weekly unit consumption (nutrition/alcohol), exercise (in Norway) and walking (minutes or hours/week), smoking behaviour (tobacco products, consumption per day), alcohol (units/week).Physical activity will be recorded automatically via pedometer (device).

    Time frame: Up to three months

  6. Level of and potential changes in eHealth Literacy in participants

    eHealth Literacy is defined as the ability to read, use computers, search for information, understand health information, and put it into context.The eHealth Literacy Scale (eHEALS) as an 8-item measure will be used (self-reported questionnaire).

    Time frame: Up to three months

07

Study locations

2 sites
  • Assuta Medical Center
    Tel Aviv, 69710, Israel
  • University Hospital North Norway
    Tromsø, 9038, Norway
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Nov 2016 (actual). Primary completion is estimated for Aug 2017, 9 months after the start.

Of 2,196 non-industry interventional studies with no phase under Diabetes Mellitus, half reached primary completion within 21 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 38. This study's planned 9 months is below that.

Counting every sponsor, half of 2,388 studies reached it within 20 months; a quarter within 9 and three quarters within 37.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 8, 2016
First posted
Jul 14, 2016
StartActual
Nov 2016
Primary completionEst.
Aug 31, 2017
CompletionEst.
Aug 31, 2017
Last update
Jul 11, 2017
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 11, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02832739
Lead sponsor
Assuta Medical Center
Collaborators
Norwegian Centre for Integrated Care and Telemedicine, Open-Evidence c/o Universitat Oberta de Catalunya, Institute for Health and Consumer Protection c/o University of Oslo, Faculty of Medicine, European Medical Network EMN AG
Responsible party
Jacob Gindin (Director Geriatric Services, Assuta Medical Center) — Principal investigator
First posted
Jul 14, 2016
Start date
Nov 2016
Primary completion
Aug 31, 2017 (estimated)
Completion
Aug 31, 2017 (estimated)
Last update
Jul 11, 2017

Study contacts

Frank Larsen, MA
study chair · Norwegian Centre for Integrated Care and Telemedicine

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Jul 2017. You cannot join it, but the record below documents what was studied.

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