Hospitalization Clinical Trial
Official title:
The Effectiveness of Peer-to-Peer Community Support to Promote Aging in Place
Verified date | September 2019 |
Source | University of Wisconsin, Madison |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
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.
Status | Completed |
Enrollment | 456 |
Est. completion date | December 2017 |
Est. primary completion date | December 2017 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 65 Years and older |
Eligibility |
Inclusion Criteria: - Overall - =65 years of age - Speaks English or Spanish - Lives independently in their community year-round - Meet the community defined criterion for receiving peer-to-peer support (at least one of the following) - Low income (at or below poverty level) - On a fixed income that barely meets their living expenses - Social and/or familial isolation - Chronic Illness - In need of frequent community services or resources. Peer-to-peer support group (must meet the overall inclusion criteria as well as the following) - Enrolled in the peer-to-peer support program and have an assigned peer volunteer Exclusion Criteria: - < 65 - Score = 30 on the Telephone Interview of Cognitive Status (TICS) because they will not have the ability to complete the survey - State that it is unlikely that they will receive peer-to-peer support services for at least a year. Individuals who are unlikely to receive at least a year of services include those who need short-term help after a surgery and are likely to return to full functioning and those planning to transition to nursing home care or move away. - Currently receiving hospice services |
Country | Name | City | State |
---|---|---|---|
United States | Jewish Family Service | Los Angeles | California |
United States | University of Wisconsin | Madison | Wisconsin |
United States | Aliance For Children and Families | Milwaukee | Wisconsin |
United States | Community Place of Greater Rochester | Rochester | New York |
United States | Alpert Jewish Family and Children's Service | West Palm Beach | Florida |
Lead Sponsor | Collaborator |
---|---|
University of Wisconsin, Madison | Alliance for Children and Families, Alpert Jewish Family And Childrens Service, Community Place, Jewish Family Service of Los Angeles, Patient-Centered Outcomes Research Institute |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Number of Hospitalizations, Emergency Department Visits, and Urgent Care Visits | Investigators will ask participants to report their hospitalizations, ED and Urgent Care visits over the course of a 1 year follow up | 1 year | |
Secondary | Health Status and Quality of Life as Assessed by the Short Form-12 Question Physical Component Summary (SF-12 PCS) and the Short Form-12 Mental Component Summary (SF-12 MCS). | Investigators will use the Short Form-12 question Physical Component Summary (SF-12 PCS) and the Short Form-12 Mental component Summary (SF-12 MCS) to measure physical and mental health status. Summary scores range from 0-100, with higher scores indicating a better self-reported level of health. | 1 year | |
Secondary | Depressive Symptoms as Assessed by the 10 Item Version of the Center of Epidemiologic Studies-Depression Scale | Investigators will use the 10 item version of the Center of Epidemiologic Studies-Depression scale to assess depressive symptoms. The possible range of scores is 0 to 10, with a score of zero indicating no depressive symptoms and a score of 10 indicating the most depressive symptoms | 1 year | |
Secondary | Anxiety Symptoms as Assessed by the 5-item Version of the Geriatric Anxiety Inventory Short Form | Investigators will use the 5-item version of the Geriatric Anxiety Inventory Short Form to measure anxiety symptoms. The scale is 0 to 5, with 0 points indicating zero anxiety symptoms and 5 indicating the most anxiety symptoms. | 1 year | |
Secondary | Loneliness as Assessed by the Short Scale for Measuring Loneliness in a Large Survey | Investigators will use the Short Scale for Measuring Loneliness in a large survey. Three item measure with a three-point response scale from 1-3, with a score of 1 indicating the least loneliness and a score of 3 indicating the most loneliness. | 1 year | |
Secondary | Self-Efficacy as Assessed by the General Self-efficacy Scale to Measure an Individual's Sense of Perceived Self-efficacy. | Investigators will use the General Self-efficacy Scale to measure an individual's sense of perceived self-efficacy. The total score ranges between 1 and 4, with 1 indicating low self-efficacy and 4 indicating high self-efficacy. | 1 year | |
Secondary | Resilience as Assessed by the Brief Resilience Scale | Investigators will use the Brief Resilience Scale to measure the ability of individuals to bounce back from stress. Six item scale scored from 1-5, with a score of 1 indicating low resilience and a score of 5 indicating high resilience. | 1 year | |
Secondary | Social Support as Assessed by the 8-item Medical Outcomes Study Social Support Survey | Investigators will use the 8-item medical outcomes study social support survey to measure social support. Scored from 1-5, and a score of 1 indicates lower levels of social support while a score of 5 indicates higher levels of social support. | 1 year | |
Secondary | Mobility Disability as Assessed by the Rosow-Breslow Scale | The Rosow-Breslow scale is a composite measure of mobility disability. The composite score ranges from 0 to 3 with higher scores indicating greater disability. | 1 year | |
Secondary | Physical Health as Assessed by the NAGI Test | The NAGI test is a nine-item instrument scored from 1-5, with higher scores indicating less physical health. | 1 year | |
Secondary | Medical Conditions as Assessed by the Medical Conditions Questionnaire (MCQ) | Medical Conditions Questionnaire has 9 yes/no questions on whether or not participants have ever had a condition like heart disease, cancer, diabetes, etc. It ranges from 0 to 9, with 0 indicating better overall health and 9 indicating poor overall health. | 1 year |
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