Intensive tutoring versus flexible self-study to improve My Health Bank app use in adults over 50
Effectiveness of Intensive Tutoring vs. Flexible Self-Learning on Digital Health Literacy and Self-Efficacy for "My Health Bank" App Use Among Adults Over 50: A Randomized Controlled Trial Using AI-Co-Created Materials
This project will test whether one-on-one tutoring or flexible self-study with AI-created materials helps adults 50+ use the My Health Bank app more confidently and effectively.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 235 (estimated) |
| Ages | 50 Years and up |
| Sex | All |
| Sponsor | Tri-Service General Hospital Academic / other |
| Locations | 2 sites (Keelung, Anle District and 1 other locations) |
| Trial ID | NCT07515495 on ClinicalTrials.gov |
What this trial studies
This randomized, single-blind, two-arm study compares one-on-one intensive guided learning with a flexible self-study program built using AI-collaborative educational materials to improve use of the My Health Bank personal health record app in adults aged 50 and older. After pilot testing intervention materials, a full-scale randomized controlled trial will enroll 160 participants who are randomly assigned to either the intensive guided group or the flexible self-study group, with data collected at three time points. Key outcomes include digital health literacy, health-related self-efficacy, and actual app usage behavior, and analysis will include longitudinal tracking and structural equation modeling to explore empowerment mechanisms. The development phase includes expert validity review and pilot testing to ensure readability and feasibility of the AI-supported materials.
Who should consider this trial
Good fit: Adults aged 50 or older who own a smartphone, are comfortable with basic phone operations, speak Mandarin, and have used the My Health Bank app fewer than three times in the past year are ideal candidates.
Not a fit: People who already use the My Health Bank app regularly, those with severe cognitive impairment preventing participation, or those whose phones cannot support the NHI App are unlikely to benefit from this intervention.
Why it matters
Potential benefit: If successful, the intervention could help older adults use the My Health Bank app more confidently and manage their health information digitally.
How similar studies have performed: Prior work on guided training and tailored digital materials has shown mixed but generally promising improvements in eHealth literacy for older adults, while the use of generative AI to co-create materials is relatively new.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Participants aged 50 years and older. * Possession of a smartphone with basic operational skills (e.g., unlocking the phone, making calls, and using LINE). * Self-reported lack of familiarity with the "My Health Bank" App (used less than 3 times or never used in the past year). * Proficiency in listening, speaking, reading, and understanding Mandarin Chinese. Exclusion Criteria: * Regular users of the "My Health Bank" App (used 3 times or more in the past year). * Severe cognitive impairment identified through brief cognitive screening, the participant unable to follow instructions or complete questionnaires. * Smartphone operating system is too outdated to support the installation of the "NHI App" (National Health Insurance App). * Inability to complete the App download and installation process independently or with family assistance (e.g., lost App Store/Google Play password, insufficient storage space).
Where this trial is running
Keelung, Anle District and 1 other locations
- Anle District Health Center and Affiliated Community Centers — Keelung, Anle District, Taiwan (Recruiting)
- Tri-Service General Hospital, Department of Orthopaedics — Taipei, Neihu District, Taiwan (Recruiting)
Study contacts
- Principal investigator: Kun-Yi Lin, MD, PhD — Department of Orthopaedics, Tri-Service General Hospital
- Study coordinator: Yu-Wen Chen, PhD Student
- Email: viven0824@gmail.com
- Phone: +886-922-419-022
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.