PRISM 2.0 in Diverse Living Contexts

PRISM 2.0 in Diverse Living Contexts With Diverse Populations of Older Adults

The focus of the study is to evaluate the expanded version of PRISM 1.0 for a broad array of seniors with different needs and circumstances. The aims of the study are to: 1) obtain information on perceptions of the usefulness and usability of PRISM 2.0 and interface design issues; 2) examine the impact of access to PRISM 2.0 on social connectivity, engagement, social support, and perceived loneliness; 3) examine the impact of access to PRISM 2.0 on perceived isolation, well-being, and quality of life; 4) examine the impact of access PRISM 2.0 on computer attitudes, self-efficacy, technology proficiency and technology uptake; 5) gather data on usefulness of system features and if these vary by living condition; and 6) examine, in our statistical models, the influence of factors such as age, cognitive abilities, ethnicity, education on system use and outcomes.

Study Overview

• Status: Completed
• Conditions: Social Isolation in Older Adults
• Intervention / Treatment: Behavioral: PRISM 2.0 Condition; Behavioral: Tablet Condition

Detailed Description

This study is part of the CREATE center. The focus of the study is to evaluate the expanded version of PRISM 1.0 for a broad array of seniors with different needs and circumstances. The aims of the study are to: 1) obtain information on perceptions of the usefulness and usability of PRISM 2.0 and interface design issues; 2) examine the impact of access to PRISM 2.0 on social connectivity, engagement, social support, and perceived loneliness; 3) examine the impact of access to PRISM 2.0 on perceived isolation, wellbeing, and quality of life; 4) examine the impact of access PRISM 2.0 on computer attitudes, self-efficacy, technology proficiency and technology uptake; 5) gather data on usefulness of system features and if these vary by living condition; and 6) examine, in our statistical models, the influence of factors such as age, cognitive abilities, ethnicity, education on system use and outcomes. The design of the PRISM 2.0 is well grounded and the chosen features will be based on: 1) the findings from the PRISM 1.0 trial; 2) the cognitive, human factors and engineering; 3) emerging findings in aging (e.g., findings related to technology acceptance, social isolation, social networks, life engagement); 4) existing theories of aging (e.g., Stress-Process Model; Active Theory; Social Isolation/Engagement; 5) findings regarding the benefits of technology for seniors; 6) findings from previous work from CREATE regarding interface design, training, provision of environmental support, and the needs of older adults; 7) recent findings regarding Internet use among older adults; 8) findings from our prior focus groups on barriers to access of technology and technology preferences; 9) findings from our technology-based community intervention programs with older adults; 10) existing models of technology adoption and diffusion; 11) the literature on implementation science our planned focus groups and pilot testing of PRISM 2.0.

• Study Type: Interventional
• Enrollment (Actual): 248
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Florida
    • Miami, Florida, United States, 33136
      • University of Miami
    • Tallahassee, Florida, United States, 32306
      • Florida State University
  • Georgia
    • Atlanta, Georgia, United States, 30332
      • Georgia Institute of Technology
  • Illinois
    • Urbana, Illinois, United States, 61801
      • University of Illinois at Urban-Champagne

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 65 years and older (Older Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Age 65+ years
• Able to read English at the 6th grade level
• Passing score of Social Isolation Screening
• Passing score of brief Technology Proficiency Screen
• Passing score of Telephone Interview for Cognitive Status (TICS)
• Passing score of Woodcock Johnson Reading Comprehension (Spanish equivalent)
• Passing score of Fuld Object Memory Evaluation

Exclusion Criteria:

• Blind or deaf
• Has terminal Illness or severe motor impairment
• Significant use of computer/Internet/email in the home or elsewhere
• Working for a paid more than 5 hours/week
• Participate as formal volunteer more than 5 hours/week
• Attend senior center or another formal organization for than 10 hours/week

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: PRISM 2.0 Condition; Exposing participants to the PRISM 2.0 interface.	Behavioral: PRISM 2.0 Condition; Access to the PRISM 2.0 program
Placebo Comparator: Tablet Condition; Exposing participants to the regular computer/tablet	Behavioral: Tablet Condition; Access to the tablet

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in Functional Health/Well-being as Measured by Modified SF-36, a Self-report Measure of Functional Health and Well-being.	Higher score means better functional health/well-being. A lower score reflects poorer health. Range (0-1400)	Baseline, 6 month follow-up and 9 month follow-up

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in Loneliness as Measured by Loneliness Scale, a 20-item Scale to Measure One's Subjective Feelings of Loneliness and Feelings of Social Isolation.	Higher score indicates a greater degree of loneliness. A lower score reflects a lower degree of loneliness. Range (0-80)	Baseline, 6 month follow-up and 9 month follow-up

Collaborators and Investigators

• Sponsor: Weill Medical College of Cornell University
• Collaborators: National Institute on Aging (NIA)
• Investigators: Principal Investigator: Sara J. Czaja, PhD, Weill Medical College of Cornell University

Study record dates

Study Major Dates

• Study Start (Actual): April 20, 2017
• Primary Completion (Actual): March 2, 2021
• Study Completion (Actual): March 2, 2021

Study Registration Dates

• First Submitted: March 27, 2017
• First Submitted That Met QC Criteria: April 11, 2017
• First Posted (Actual): April 17, 2017

Study Record Updates

• Last Update Posted (Actual): July 26, 2022
• Last Update Submitted That Met QC Criteria: June 30, 2022
• Last Verified: June 1, 2022

More Information

Terms related to this study

• Keywords: Older adults; Social Support; Technology uptake
• Other Study ID Numbers: 1811019713; 3P01AG017211 (U.S. NIH Grant/Contract)

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No