COVID-19 and Social Isolation and Loneliness Trial (SIL)
A Phase IIb 3 Arm Randomized Clinical Pilot Study to Assess the Impact of a Peer-support Program to Improve Social Isolation and Loneliness Due to COVID-19 - Comparing the Addition of a Secure, User Friendly Video-conference Solution and Telephone Support Alone to a Waiting List Control Group
Social isolation and loneliness worsen older peoples' quality of life, risk of dementia, and contributes to 45,000 deaths/year in Canada - as much as smoking. Isolated people use the health care system more often, but have worse outcomes. Effective, inexpensive interventions exist but unfortunately they have not been implemented in Canada.
We partnered with the Australian developer of HOW R U?, an effective and feasible intervention that uses specially trained, older, hospital volunteers to provide peer support to combat isolation and loneliness in isolated older peers.
Little is known about older people's preferences for virtual care (telephone vs. video) nor their relative effectiveness. Thus we will compare two ways of delivering HOW R U: telephone support and a tested, secure user-friendly video conferencing app, aTouch Away® to a common control arm.
We also partnered with Emergency Medicine, Family Medicine, Geriatrics and Psychiatry to identify people who will benefit from peer support; and with Volunteer Services to recruit volunteers.
Studieoversigt
Status
Betingelser
Intervention / Behandling
Undersøgelsestype
Tilmelding (Forventet)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
- Navn: Jacques Lee, MD
- Telefonnummer: 4168771447
- E-mail: Jacques.lee@sinaihealth.ca
Undersøgelse Kontakt Backup
- Navn: Joanna Yeung, HBSc
- Telefonnummer: 6473089440
- E-mail: Joanna.yeung@sinaihealth.ca
Studiesteder
-
-
Ontario
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Toronto, Ontario, Canada, M5G 1XS
- Rekruttering
- Mount Sinai Hospital
-
Kontakt:
- Jacques Lee, MD
- E-mail: Jacques.lee@sinaihealth.ca
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Any community-dwelling person 70 years of age and older receiving care from the ED, Family Medicine, or Geriatric clinics at our two participating sites (MSH and NYGH) will be eligible.
Exclusion Criteria:
- age less than 70 years; communication problems (critically ill, unconscious, language barrier, speech impairment or otherwise unable to provide consent), or admission to a hospital for > 72 hours. Patients with severe cognitive impairment or those living in nursing homes who are dependent on others for their activity of daily living will be excluded. To target the intervention for older people with loneliness a baseline de Jonge loneliness scores of 2.0 will be required for participation in the trial.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Støttende pleje
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Enkelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: HOW RU Intervention delivered by telephone
Group Phone will receive the HOW RU? intervention over the telephone.
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HOW RU? intervention uses trained volunteer peers to provide strength-based support sessions weekly for 12 weeks.
|
|
Eksperimentel: HOW RU Intervention delivered by video-call
Group Video will receive the HOW RU? intervention delivered over video-call using the aTouch Away platform.
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HOW RU? intervention uses trained volunteer peers to provide strength-based support sessions weekly for 12 weeks.
|
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Ingen indgriben: Wait-list Control Group
Control groups will be offered standard care through their referring service (i.e.
their routine clinical follow-up).
The control group will be offered HOW RU? telephone support outside of the main trial after their primary outcome assessment at 12 weeks
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Change in De Jong Gierveld Loneliness Scale at Baseline
Tidsramme: This scale will be collected at baseline and at 12 weeks.
|
We will use the 6-item De Jong Gierveld loneliness scale as our primary outcome measure.The minimum value is 0 and the maximum value is 6.
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This scale will be collected at baseline and at 12 weeks.
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Change in Social Network
Tidsramme: Baseline and at 12 weeks
|
Lubben's Social Network Scale
|
Baseline and at 12 weeks
|
|
Change in Mood
Tidsramme: Baseline and at 12 weeks
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Geriatric Depression Scale
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Baseline and at 12 weeks
|
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Change in Quality of life
Tidsramme: Baseline and at 12 weeks
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EQ-5D-5L survey
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Baseline and at 12 weeks
|
|
all-cause mortality
Tidsramme: Follow-up phone call at 12 weeks
|
Follow-up phone call at 12 weeks
|
Samarbejdspartnere og efterforskere
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Forventet)
Studieafslutning (Forventet)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Andre undersøgelses-id-numre
- 21-0074E
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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