Official websites use. Share sensitive information only on official, secure websites. Correspondence to Dr Monika Kastner; monika. In response to the burden of chronic disease among older adults, different chronic disease self-management tools have been created to optimise disease management.
However, these seldom consider all aspects of disease management are not usually developed specifically for seniors or created for sustained use and are primarily focused on a single disease. It incorporates the care for two or more chronic conditions from among the most prevalent high-burden chronic diseases.
We will evaluate the effectiveness, cost and uptake of KeepWell in a 6-month, pragmatic, hybrid effectiveness—implementation randomised controlled trial. All consenting participants will be randomly assigned to KeepWell or control. The allocation sequence will be determined using a random number generator. Primary outcome is perceived self-efficacy at 6 months. Implementation outcomes will include reach, effectiveness, adoption, fidelity, implementation cost and sustainability.
We will work with our team to develop a dissemination strategy which will include publications, presentations, plain language summaries and an end-of-grant meeting. We are using a hybrid implementation—effectiveness randomised control design to evaluate the KeepWell application, which will help identify important intervention—implementation interactions needed to optimise its applicability and uptake by older adults.
The KeepWell application is innovative as it provides evidence-based, customised lifestyle advice for any combination of the 10 most common high-burden chronic conditions affecting older adults.
