Evidence map›Paper›PMID 41118397›Full record

Trial reportAge and ageing2025

A community-based health social partnership programme to enhance self-care management amongst older adults: a cluster randomised controlled hybrid implementation-effectiveness study.

Jonathan Bayuo, Wilson Yueng Yuk Kwok, Frances Kam Yuet Wong, Arkers Kwan Ching Wong, Katherine Ka Wai Lam, Karen Kit Sum Chow

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Age and ageing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jonathan BayuoSchool of Nursing, The Hong Kong Polytechnic University, 11 Yuk Choi Road, Hung Hom, Kowloon, Hong Kong SAR 999077, Hong Kong.
Wilson Yueng Yuk KwokSchool of Nursing, The Hong Kong Polytechnic University, 11 Yuk Choi Road, Hung Hom, Kowloon, Hong Kong SAR 999077, Hong Kong.
Frances Kam Yuet WongSchool of Nursing, The Hong Kong Polytechnic University, 11 Yuk Choi Road, Hung Hom, Kowloon, Hong Kong SAR 999077, Hong Kong.ORCID 0000-0002-9844-451X
Arkers Kwan Ching WongSchool of Nursing, The Hong Kong Polytechnic University, 11 Yuk Choi Road, Hung Hom, Kowloon, Hong Kong SAR 999077, Hong Kong.ORCID 0000-0001-6708-3099
Katherine Ka Wai LamSchool of Nursing, The Hong Kong Polytechnic University, 11 Yuk Choi Road, Hung Hom, Kowloon, Hong Kong SAR 999077, Hong Kong.
Karen Kit Sum ChowElderly Centre Division, Hong Kong Lutheran Social Service, Kowloon, Hong Kong.

Funding

Health and Medical Research Fund from the Research Fund Secretariat, Health Bureau 18191101Joint Research Centre for Primary Health Care at the Hong Kong Polytechnic UniversityThe Government of the Hong Kong Special Administrative Region
6 · The paper itself

Abstract

backgroundService models employing health-social partnership is recognised as an important strategy to support ageing in place globally, but literature reported challenges in operational concerns.

objectiveTo evaluate the implementation and effectiveness of a community-based health-social partnership programme (C-HSPP) for community-dwelling older adults.

methodsThis was a cluster randomised controlled hybrid type-2 design. Implementation outcomes included reach, effectiveness, adoption, implementation and maintenance. Self-efficacy served as the primary effectiveness measure. The 12-week C-HSPP intervention involved nurse assessments and interventions supported by social workers. Data were collected at baseline (T1), post-intervention (T2) and follow-up (T3).

resultsEight older adult centres were randomised into four matched pairs (intervention: 4, control: 4), with 755 older adults assigned to intervention (n = 381) and control (n = 374) groups.Implementation evaluation revealed high programme reach amongst both providers and users, citing facilitators such as coordinated communication and structured protocols for the C-HSPP adoption. Key implementation challenges included the need for further role clarity within the interprofessional teams, varied degree of acceptability of home visits by users due to privacy concerns and logistic constraints, and the need for resource support for a health-social team to sustain the service. Significant group-time interaction effect was detected in self-efficacy at T3 (β = -0.928, P = .035), instrumental activities of daily living (IADL) at both T2 (β = -0.411, P = .032) and T3 (β = -0.437, P = .032), and reduced unplanned health service use at T2 (β = 0.493, P = .015), with better outcomes found in the intervention group.

conclusionThis study has provided a working framework to translate an evidence-based health-social partnership model in real-life settings, highlighting the essence of stakeholder engagement and interprofessional communication in aligning goals with service needs. Policy support for resource allocation is important to sustain the model in the community.

Indexed as

Community Health ServicesHealth Services for the AgedSelf CareAgedAged, 80 and overAge FactorsFemaleHumansIndependent LivingMaleProgram EvaluationSelf EfficacyTime Factorscommunity-dwelling older adultshealth–social partnershipimplementation-effectivenessolder peopleself-care

Identifiers

PMID41118397
PMCPMC12539570

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.