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Project Impact

Implementation Progress:

As at 31 May 2019, the major Project deliverables are as follows:
  1. Telecare services: 5,569 elderly, recruited for participating in tele-care service have, started regular health monitoring twice or three times per week. The nurse team of SCHSA has conducted 370,156 caring calls to the elderly participants as well as conducted 5,991 outreach visits to the 80 centres at 18 districts on a monthly basis to distribute the health reports and engage with the participants.
  2. Well-being survey: A total of 10,028 elderly participants from 80 centres had completed the well-being survey. The NGOs or IoA had conducted follow-up interviews with the participants. General health tips were also provided at the interviews.
  3. Group programmes at elderly centres: In view of the well-being results, the elderly centres organised over 2,300 group programmes covering various topics including healthy lifestyle, frailty prevention, oral health, cognitive training, exercise and mental wellness for the elderly members. Apart from the participants of the Project, other elderly members of the centres could also join these health promotion programmes.

Interim Findings (As of 2 Aug 2019)
(The team would continue to update the latest findings as available)

  1. To estimate unmet needs of health and social care and use of health services in older people, cross sectional analyses were performed using Well Being Survey data, from 7,365 elderly participant.
    • The key unmet needs among the elderly participants are Subjective Memory Complaint (73.8%), Frailty (66.8%) and Occasional Incontinence (39%).
    • Results show degree of variation across 18 districts was lowest for Frailty, followed by Subjective Memory Complaint.
    • Significant district difference was observed with Poor Self-rated Health (highest in Yau Tsim Mong, followed Tsuen Wan) and Low Subjective Well-being (highest in Sai Kung, followed by Wong Tai Sin).
  2. After an average of 12 months of participation, the key outcomes of the well-being survey are:
    • After 12 months, most improvement observed in Low subjective well-being (-37.6%) and Poor self-rated health (-17.9%).
    • Participants with lower education level was 1.7-1.9 times more likely to have improved Subject Well Being at follow-up, after adjustment for age, gender, marital status, living arrangement, and disposable income.
    • Participants who reported insufficient disposable income was 3.7 times more likely to have improved Subject Well Being at follow-up after adjustment for age, gender, marital status, education, and living arrangement.
    • Participants have participated more in health-related activities (exercise classes (43%), cognitive training (24.5%), chronic diseases self-management activities (48%)).
  3. After an average of 12 months of participation, the key outcomes of the Telecare services are: 
    • Significant improvement in health literacy and self-management habit including better understanding of their Blood pressure and blood glucose conditions. Participants are also more willing to take regular measurement of their Blood Pressure and Blood Glucose, to keep Blood Pressure and Blood Glucose record, and to share their Blood Pressure and Blood Glucose record with family.
    • 80% of the participants can keep their blood pressure at optimal level, whilst 86% of participants with known diabetic history can keep their blood glucose at optimal level
    • The out-of-range incident rate per participant per month for blood pressure dropped from 4.5 times to 2.7 times;
    • Proportion of participants with mean SBP over 140 mmHg has reduced from 34% to 17.6%;
    • An average SBP or DBP net decrease of 5mmHg or 2mmHg was observed (Literature shows: lowing SBP by 10mmHg or DBP by 5mmHg reduces Stroke by 41%);
    • 37.2% of participants had a reduction in risk level (from High to Low, High to Medium and Medium to Low); 
    • Participants started to have better blood pressure control after 7 months of participation.

Project Impact

Implementation Progress:

As at 31 May 2019, the major Project deliverables are as follows:
  1. Telecare services: 5,569 elderly, recruited for participating in tele-care service have, started regular health monitoring twice or three times per week. The nurse team of SCHSA has conducted 370,156 caring calls to the elderly participants as well as conducted 5,991 outreach visits to the 80 centres at 18 districts on a monthly basis to distribute the health reports and engage with the participants.
  2. Well-being survey: A total of 10,028 elderly participants from 80 centres had completed the well-being survey. The NGOs or IoA had conducted follow-up interviews with the participants. General health tips were also provided at the interviews.
  3. Group programmes at elderly centres: In view of the well-being results, the elderly centres organised over 2,300 group programmes covering various topics including healthy lifestyle, frailty prevention, oral health, cognitive training, exercise and mental wellness for the elderly members. Apart from the participants of the Project, other elderly members of the centres could also join these health promotion programmes.

Interim Findings (As of 2 Aug 2019)
(The team would continue to update the latest findings as available)

  1. To estimate unmet needs of health and social care and use of health services in older people, cross sectional analyses were performed using Well Being Survey data, from 7,365 elderly participant.
    • The key unmet needs among the elderly participants are Subjective Memory Complaint (73.8%), Frailty (66.8%) and Occasional Incontinence (39%).
    • Results show degree of variation across 18 districts was lowest for Frailty, followed by Subjective Memory Complaint.
    • Significant district difference was observed with Poor Self-rated Health (highest in Yau Tsim Mong, followed Tsuen Wan) and Low Subjective Well-being (highest in Sai Kung, followed by Wong Tai Sin).
  2. After an average of 12 months of participation, the key outcomes of the well-being survey are:
    • After 12 months, most improvement observed in Low subjective well-being (-37.6%) and Poor self-rated health (-17.9%).
    • Participants with lower education level was 1.7-1.9 times more likely to have improved Subject Well Being at follow-up, after adjustment for age, gender, marital status, living arrangement, and disposable income.
    • Participants who reported insufficient disposable income was 3.7 times more likely to have improved Subject Well Being at follow-up after adjustment for age, gender, marital status, education, and living arrangement.
    • Participants have participated more in health-related activities (exercise classes (43%), cognitive training (24.5%), chronic diseases self-management activities (48%)).
  3. After an average of 12 months of participation, the key outcomes of the Telecare services are: 
    • Significant improvement in health literacy and self-management habit including better understanding of their Blood pressure and blood glucose conditions. Participants are also more willing to take regular measurement of their Blood Pressure and Blood Glucose, to keep Blood Pressure and Blood Glucose record, and to share their Blood Pressure and Blood Glucose record with family.
    • 80% of the participants can keep their blood pressure at optimal level, whilst 86% of participants with known diabetic history can keep their blood glucose at optimal level
    • The out-of-range incident rate per participant per month for blood pressure dropped from 4.5 times to 2.7 times;
    • Proportion of participants with mean SBP over 140 mmHg has reduced from 34% to 17.6%;
    • An average SBP or DBP net decrease of 5mmHg or 2mmHg was observed (Literature shows: lowing SBP by 10mmHg or DBP by 5mmHg reduces Stroke by 41%);
    • 37.2% of participants had a reduction in risk level (from High to Low, High to Medium and Medium to Low); 
    • Participants started to have better blood pressure control after 7 months of participation.
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