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

Recruiting now · Not applicable

Conditions studied: Digital Health Literacy, Healthy Aging

In brief

The purpose of this study is to evaluate the effectiveness of two different educational models in improving the use of the "My Health Bank" App (a Personal Health Record system in Taiwan) among adults aged 50 and older. As Taiwan's population ages, digital health management has become essential, yet older adults often face a "digital divide." Participants will be randomly assigned to either a "Intensive Guided Learning group" (receiving one-on-one human instruction) or a "Flexible Self-study group" (using self-learning materials co-created with Generative AI). The study aims to compare the outcomes of these two groups in terms of enhancing digital health literacy, self-efficacy, and actual App usage behavior to identify more effective and scalable digital health education strategies.

Key facts

Study ID

NCT07515495

Run by

Tri-Service General Hospital (TSGH)

People needed

235

Starts

2026-04-02

Expected to finish

2027-03-09

Last updated by the study team

2026-04-13

Who can join

Age: 50 and older. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• 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.

You may not qualify if…

• 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 it is running

• Anle District Health Center and Affiliated Community Centers — Keelung, Anle District, Taiwan (enrolling)
• Tri-Service General Hospital, Department of Orthopaedics — Taipei, Neihu District, Taiwan (enrolling)

Full record on ClinicalTrials.gov

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