Clinical Trials Logo

Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT05522140
Other study ID # 945095 PRG
Secondary ID
Status Recruiting
Phase N/A
First received
Last updated
Start date March 27, 2023
Est. completion date March 30, 2025

Study information

Verified date April 2023
Source Charles University, Czech Republic
Contact Iva Holmerová, Assoc. Prof.
Phone 00420602350848
Email iva.holmerova@gerontocentrum.cz
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

RECETAS (Re-imagine Environments for Connection and Engagement: Testing Actions for Social Prescribing in Natural Spaces) is an European project (H2020 No 945095) that aims to reduce loneliness by linking lonely pople to nature-based social actvitities through a group-based intervention. Background: Loneliness is a person's own perception when his/her need for satisfying social contact and relationships is not met. The feeling of loneliness can be experienced even by a person who is surrounded by people. RECETAS aims to design and test nature-based socila itervention (NBSI) that is group-based and includes access to nature as a main component. The testing will be conducted in six different citites: Barcelona, Helsinki, Prague, Marseille, Cuenca in Ecuador and Melbourne. If succesful, this will provide an evidence-based approach for using social prescribing to address loneliness. Objectives: to assess the effectiveness of a 10-week NBSI on loneliness and health-related quality of life in vulnerable people in the area of Prague suffering from it compared to usual social and health care at post-intervention, and at 6-, and 12-months post-randomization. A pilot study was conducted from May to June 2022 prior to the start of the study in January 2023. The main aim of the pilot study was to identify barriers and obstacles to conducting the trial itself. Methods: The study design is a randomized controlled trial (RCT) including a process evaluation based on Medical health Council guidance, a nested qualitative study and a Health Economics evaluation. Participants will be recruited mainly from primary care settings (health and social), third sector organisations, community groups, and volunteer organisations. A total of 316 participants will be randomly allocated in two arms after the baseline assessment: NBSI tratment and control arms. All of them will be asked to sign the informed consent form.


Description:

RECETAS (Re-imagine Environments for Connection and Engagement: Testing Actions for Social Prescribing in Natural Spaces) is project that adresses loneliness and the role of nature-based social prescription (NBSP) to reduce it. This project has received funding from European Union's Horizon research and innovation under grant agreement No 945094. More information at: https://recetasproject.eu/ Background: Loneliness is a person's own perception when his/her need for satisfying social contact and relationships is not met. The feeling of loneliness can be experienced even by a person who is surrounded by people. Loneliness is a modifiable health condition that is potentially dangerous to health and can reduce people's life span. In Europe, 30 million people European adults frequently felt lonely. Social prescription is a non-medical approach that aims to connect people with the community through social outdoor activities to improve their wellbeing. NBSP is an intervention where nature-based social activities connect people, places and institutions that form strong social networks and connections. Nature-based activities can facilitate a dynamic process and social interactions and can thus contribute to reducing feelings of loneliness. We will design and test nature-based social intervention (NBSI) that is group-based and includes access to nature as a main component. The testing will be conducted in six urban areas: Barcelona, Helsinki, Prague, Cuenca in Ecuador and Melbourne. Objectives: to assess the effectiveness of a 10-week NBSI on loneliness and health-related quality of life in vulnerable people in the area of Prague suffering from it compared to usual social and health care at post-intervention, and at 6-, and 12-months post-randomization. A pilot study was conducted from May to June 2022 prior to the start of the study in January 2023. The main aim of the pilot study was to identify barriers and obstacles to conducting the trial itself. Methods: A randomized controlled trial (RCT) will be used to assess the effect of NBSI on reducing feelings of loneliness. The RCT will use mixed-method approach collecting qunatitative information to assess the the main outcomes and qualitative methods to explore participant's and professional's experiences. ISGlobal coordinates the overall RECETAS project. Charles University leads the implementation of the RECETAS-PRG and is responsible for the recruitment process, intervention, assessment, evaluation, data analysis and qualitative part of the study. Recruitment will be carried out in cooperation with the Centre of Longevity and Long-Term Care, the Czech Alzheimer's Society, general practitioners and other outpatient specialists, and home care organizations based on a long-term focus on the target group. Participants will be recruited mainly from primary care settings (health and social), third sector organisations, community groups, and volunteer organisations. A total of 316 participants will be randomly allocated in two arm (158 each): NBSP intervention arm and control arm. All of them will be asked to sign the informed consent form. The intervention is a theory-informed, multicomponent, multi-level, behaviorally based complex intervention that requires a specific trainning to prepare facilitators. The intervention model is adapted from the "Circle of Friends" methodology developed by the University of Helsinky by Pitkälä KH et al. It consists in: a) individualized session with facilitators (one-to-one); b) group-based program (5-15 people) for 9 sessions, one a wiil, including nature-based activities in the area chosen by the participants. Control group participants will recieve usual care, and list of natrure-based activities available ti their area.


Recruitment information / eligibility

Status Recruiting
Enrollment 316
Est. completion date March 30, 2025
Est. primary completion date September 30, 2024
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: 1. Able to give informed consent in Czech 2. Aged 18 or over: 1. older adults (60+) with a risk of social isolation and loneliness or 2. family carers (18+) of home dwelling vulnerable older adults and people with dementia endangered by load of time as well as care management needed to support vulnerable older people and their caregiver or 3. dyads with/without MCI of one of these older adults (60+) living at home with a risk of social isolation and loneliness. 3. Currently experiencing loneliness according to the screening question "Do you suffer from loneliness?" 4. Willing to undergo study measurement. Exclusion Criteria: 1. Unable to go outdoors due to poor mobility or severe diseases. 2. Poor hearing or sight in case it prevents them to participate of the group dynamics and activities in the nature. 3. Severe, moderate or mild cognitive decline. 4. Any mental health disorders that might interfere with the group dynamics. 5. Severe disease with poor prognosis < 6 months.

Study Design


Related Conditions & MeSH terms


Intervention

Behavioral:
Nature-based social intervention (NBIS)
Nature-based social prescribing is a multicomponent, multi-level, behaviorally based complex intervention applaied by facilitators after a specific training. It comprises: a psychosocial component and nature-based activities. The psychosocial component is adapted from the group dynamic of "Circle of Friends" methodolgy focused on loneliness(Jansson A, Pitkälä KH, 2021) adapted to the cultural context of Prague and the target population (partitipants) of adults who lives in Prague. Participants start with an individual session and then meet once a week for two hours for 10 weeks. At the first meeting together, participants select the nature-based activities they wish to conduct through a co-created menu.
Usual care + menu with nature based activities
Social prescribing as existing in usual care plus a written menu with the list of nature-based activities in the area.

Locations

Country Name City State
Czechia Charles University Prag

Sponsors (2)

Lead Sponsor Collaborator
Vladimíra Dostálová Barcelona Institute for Global Health

Country where clinical trial is conducted

Czechia, 

References & Publications (1)

Jansson A, Pitkala KH. Editorial: Circle of Friends, an Encouraging Intervention for Alleviating Loneliness. J Nutr Health Aging. 2021;25(6):714-715. doi: 10.1007/s12603-021-1615-5. No abstract available. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary De Jong Gierveld Loneliness Scale 11 item Change in loneliness. De Jong Gierveld Loneliness Scale (minimum 0 (best) and maximum 11 (worst)) From baseline to 3months, 6months, 12 months
Primary 15D instrument of health-related quality of life Change in health related quality of life. Minimum 0 (worst) and maximum 1 (best). 15D will be used as an index ( 0 to 1) and the changes in various 15 dimensions will also be explored. From baseline to 3months, 6months, 12 months
Secondary Psychological Wellbeing Scale by Routasalo et al. 2009 Change in psychological wellbeing.Minimum 0 (worst) and maximum 1 (best). From baseline to 3months, 6months, 12 months
Secondary Clock drawing test Change in executive function. Minimum 0 (worst) and maximum 6 (best) From baseline to 3months, 6months, 12 months
Secondary Instrumental Activities of Daily Living Scale Change in instrumental activities of daily living. Minimum 0 (worst) and maximum 10 (best) From baseline to 3months, 6months, 12 months
Secondary International Physical Activity Questionnaire Change in physical activity. Minimum 1 (worst) and maximum 3 (best) From baseline to 3months, 6months, 12 months
Secondary Geriatric Depression Scale Change in depression. Minimum 0 (best) and maximum 15 (worst) From baseline to 3months, 6months, 12 months
Secondary Lubben Social Network Scale Change in social network. Minimum 0 (worst) and maximum 5 (best) From baseline to 3months, 6months, 12 months
Secondary EURO-QOL 5D-5L Health economic analyses. Cost of health services with EQ5D-5L From baseline to 3months, 6months, 12 months
Secondary ICEpop CAPability mesure for Adults (ICECAP-A) Self-reported measure of capability wellbeing for adults From baseline to 3months, 6months, 12 months
Secondary Nature connection index Relationship with nature. Min = 1 Max = 7. Higher scores indicating stronger connectedness to nature From baseline to 3months, 6months, 12 months
See also
  Status Clinical Trial Phase
Completed NCT04164654 - A Mobile App to Address Student Loneliness N/A
Recruiting NCT05831475 - LEAPTogether: An Intergenerational Intervention to Address Loneliness and Social Isolation N/A
Completed NCT05490979 - The Impact of Dyad Exercises on Well-being and Connection in Young Adults N/A
Not yet recruiting NCT05054660 - Applying a Chatbot to Geriatric Patients in Psychiatric Clinics: A Pilot Study N/A
Enrolling by invitation NCT04137432 - Oxytocin-augmented Cognitive-behavioral Group-based Short-term Intervention for Loneliness Phase 1
Not yet recruiting NCT05423899 - Humanoid Robot vs Treatment as Usual for Loneliness N/A
Active, not recruiting NCT05678985 - Evaluating Impact and Implementation of Choose to Move (Phase 4) N/A
Withdrawn NCT04797026 - Penpal Loneliness Project N/A
Completed NCT06018974 - Digital Gaming Intervention for Older People in Long-term Care N/A
Not yet recruiting NCT06424483 - Love Group for Geriatric Psychiatry Outpatients N/A
Enrolling by invitation NCT06434298 - Provincial Scale-up of Choose to Move (CTM) Phase 4 N/A
Recruiting NCT05520450 - Telematic Support Group in Patients With Feelings of Loneliness and Social Isolation
Not yet recruiting NCT05450445 - myHealthHub for Older Adult Inpatients N/A
Active, not recruiting NCT05646329 - The Effect of Motivational Interviewing on Problematic Internet Use and Loneliness N/A
Completed NCT04682535 - Daily Study of Caregiving Relationships and Health
Recruiting NCT04301167 - Loneliness and Health: The Moderating Role of Befriending Services N/A
Completed NCT03124446 - Mindfulness-Based College: Stage 1 N/A
Recruiting NCT04733300 - Online Mindfulness-Based College for Young Adults N/A
Completed NCT04907942 - Feasibility and Acceptability of Click's EMA and Text Message Intervention for STRESS Management Phase 1/Phase 2
Recruiting NCT05812989 - Modifiers and Mechanisms of Loneliness Interventions N/A