Hospitalization Clinical Trial
Official title:
The Effectiveness of Peer-to-Peer Community Support to Promote Aging in Place
The investigators' overall objective is to evaluate the effectiveness of peer-to-peer support
programs in preventing the necessity of acute health care and nursing home services for older
adult populations and in promoting their health and wellness. The investigators' Specific
Aims are:
1. To compare the effectiveness of peer-to-peer community support in preventing
hospitalization, emergency department (ED) use, and nursing home placement in an at-risk
older adult population relative to standard community services.
2. To compare the effect of peer-to-peer community support on intermediary measures of
health and wellness such as self-rated health, depression, and anxiety relative to
standard community services.
The investigators will accomplish the aims by conducting a longitudinal
comparative-effectiveness study in which at-risk older adult study participants in three
communities across the US are followed for 12-months. Using a quasi-experimental design,
investigators will compare outcomes in those receiving peer-to-peer community support to
those receiving standard community services.
At all three sites investigators will include 120 older adults in the peer-to-peer support
group and 120 in the standard community services group for a total intervention group size of
360 (120 from each site) and 360 in the control group (120 from each site).
Study Outcomes & Measures To meet the first two aims investigators will (1) compare
annualized rates of hospitalization, ED use, and nursing home placement and (2) examine the
changes in self-reported health, depression, anxiety, and other measures of well-being in the
group receiving peer-to-peer support compared to the group receiving standard community
services from baseline to the end of study enrolment. The investigators describe each of our
outcomes and additional study measures in detail below. Measures have been translated and
used in Spanish and have been shown to be valid or have high reliability in Spanish
;
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