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Related Experiment Video

Updated: Jun 25, 2026

Development of a Virtual Reality Assessment of Everyday Living Skills

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Published on: April 23, 2014

The Victoria Assistive Devices and Coach (VADAC) study.

Patrick McGowan¹, Scott Hofer²

¹Institute on Aging & Lifelong Health, University of Victoria, Suite 210, 4907 Chisholm Street, Delta, BC, V4K 2K6, Canada. pmcgowan@uvic.ca.

Canadian Journal of Public Health = Revue Canadienne De Sante Publique

|December 12, 2022

Summary

This summary is machine-generated.

Peer coaching improved health outcomes for older adults with chronic conditions. Adding electronic devices further reduced depression and improved self-efficacy and overall well-being.

Keywords:

Assistive devices Chronic disease Coaching Elderly Patient-reported outcome measures Randomized controlled trial

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Area of Science:

Gerontology
Health Services Research
Digital Health

Background:

Older adults with chronic conditions often require ongoing support for self-management.
Peer coaching models show promise in enhancing patient engagement and health outcomes.
The integration of technology, such as home-based electronic devices, may further augment health interventions.

Purpose of the Study:

To evaluate the effectiveness of peer coaching in improving self-reported health outcomes for older adults.
To determine if home-based electronic devices enhance the benefits of peer coaching.

Main Methods:

A 90-day randomized controlled trial with three groups: control, peer coaching only, and peer coaching with devices.
163 older adults (65-98 years) with chronic conditions participated.
Health outcomes were assessed using validated questionnaires measuring self-efficacy, depression, patient activation, and general health.

Main Results:

Peer coaching significantly decreased depression, increased patient activation, and improved handling of role limitations compared to the control group.
The addition of electronic devices led to further reductions in depression severity and improvements in self-efficacy, emotional well-being, and pain.
Both peer coaching alone and with devices demonstrated sustained positive effects over 90 days.

Conclusions:

Peer coaching is an effective intervention for improving the health of older adults with chronic conditions.
Home-based electronic devices can augment peer coaching, leading to enhanced self-efficacy and reduced depression.
This approach has the potential to complement care provided by general practitioners.