Effect of Personalised Citizen Assistance for Social Participation(APIC) on Older Adults Health and Social Participation

Community-dwelling Older Adults Clinical Trial

— APIC  

Official title:

Effect of Personalised Citizen Assistance for Social Participation (APIC) on Older Adults' Health and Social Participation: a Pragmatic Multicentre Randomised Controlled Trial (RCT)

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT03161860
• Other study ID #: MP-31-2018-2424
• Status: Active, not recruiting
• Phase: N/A
• Start date: October 4, 2017
• Est. completion date: December 2024

Study information

• Verified date: May 2023
• Source: Université de Sherbrooke
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Global aging and the growing burden of chronic diseases represent a challenge. Innovative interventions acting upon health determinants, like social participation, are required. Social participation, defined as the involvement of a person in activities that provide interactions with others in the community is critical to promote health and prevent disabilities. Many older adults do not have equitable opportunities to achieve full social participation, and interventions under-empower their personal and environmental resources and only reach a minority. To optimize current practices, the Personalised citizen assistance for social participation (APIC), an intervention demonstrated as being feasible and having positive impacts, needs further evaluation.

The first aim of this study is evaluate the impacts of the APIC on older adults' health, social participation, life satisfaction and healthcare services utilisation. The second aim is to evaluate the cost-effectiveness of the intervention. In parallel, the implementation of the APIC, including factors facilitating and impeding it, will be documented.

Concerning the first two objectives, two hypotheses are formulated: 1) the APIC will prevent a decline in older women's and men's health, social participation and life satisfaction, and reduce their use of healthcare services, and 2) the APIC will be associated with lower costs, from older adults', healthcare system and societal perspectives, including healthcare expenditures.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 180
• Est. completion date: December 2024
• Est. primary completion date: September 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 65 Years and older

Eligibility

Inclusion Criteria:

1. be aged 65 or older,

2. live at home or in seniors' residences,

3. be restricted in at least one instrumental activity of daily living (e.g. house cleaning, shopping), and

4. have a good understanding of French or English.

Exclusion Criteria:

• Moderate to severe cognitive impairments

Related Conditions & MeSH terms

• Community-dwelling Older Adults

Intervention

Behavioral:
• Personalised citizen assistance for social participation(APIC)
The APIC involves a non-professional attendant who, after 2 to 5 days of training, provides a two to three-hour stimulation session each week over a six to eighteen-month period targeting significant social and leisure activities that are otherwise difficult for older adults to accomplish.

Locations

Country	Name	City	State
Canada	Centre d'action bénévole Drummond	Drummondville	Quebec
Canada	Centre d'action bénévole Bellechasse-Lévis-Lotbinière	Lévis	Quebec
Canada	Carrefour communautaire Montrose	Montréal	Quebec
Canada	Centre ABC	Montréal	Quebec
Canada	Service d'aide et de référencement Anjou (SARA-Anjou)	Montréal	Quebec
Canada	Accorderie de Sherbrooke, coopérative de solidarité	Sherbrooke	Quebec

Sponsors (2)

Lead Sponsor	Collaborator
Mélanie Levasseur	Canadian Institutes of Health Research (CIHR)

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	v2 of the 36-Item Short-Form Health Survey (SF-36) (''change'' is is being assessed)	Physical and mental health	Baseline, 12, 18, 24 months
Secondary	Social participation scale	Social participation	Baseline, 12, 18, 24 months
Secondary	Life Satisfaction Index-Z	Life Satisfaction	Baseline, 12, 18, 24 months
Secondary	Use of healthcare services-Standardized questionnaire	Use of healthcare services	every two months over a 2-year period