Telephone Calls for Health for Homebound Older Adults
26 mars 2021 uppdaterad av: Maninder Kahlon, University of Texas at Austin
A randomized controlled trial of the effect of 4 weeks of regular check-in calls, up to 5 per week based on participant's choice and 2 survey collection calls and possible referral of other services, versus no daily check-in calls, on self-reported loneliness measures for current Meals on Wheels participants (MOW).
Studieöversikt
Status
Avslutad
Betingelser
Intervention / Behandling
Detaljerad beskrivning
The intervention arm will include 125 MOW clients to receive a call of between 5 - 10 minutes in length each by a consistent caller, five times a week, Monday through Friday for 4 consecutive weeks to check in on them. After the first week of calls, subjects in the intervention arm will be asked if the frequency of calls is acceptable or if they would like to reduce the call frequency, potentially to a minimum of twice per week.
Brief guidance and training will be provided for the daily conversation to maximize time spent speaking by the recipient but otherwise, the calls are unscripted other than specific prompts to ask about the recipient's general sense of well-being. "How are you doing today?"
The control Arm will include 125 MOW clients who will be randomized to a control group that will not receive the intervention calls. The control group will receive calls from a member of the research team at the beginning of the study to collect baseline survey data and at the post-4-week period to collect post-study survey data.
Studietyp
Interventionell
Inskrivning (Faktisk)
240
Fas
- Inte tillämpbar
Kontakter och platser
Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.
Studieorter
-
-
Texas
-
Austin, Texas, Förenta staterna, 78712
- University of Texas at Austin
-
-
Deltagandekriterier
Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.
Urvalskriterier
Åldrar som är berättigade till studier
18 år och äldre (Vuxen, Äldre vuxen)
Tar emot friska volontärer
Nej
Kön som är behöriga för studier
Allt
Beskrivning
Inclusion Criteria:
- Adult (18+) clients of Meals on Wheels of Central Texas
Exclusion Criteria:
- Cognitive impairment or in a hospice program.
Studieplan
Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Enda
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
|
Experimentell: Intervention - Calls
Participants randomized to the intervention will receive a call of between 5 - 10 minutes in length each by a consistent caller, five times a week, Monday through Friday for 4 consecutive weeks to check in on them.
After the first week of calls, subjects in the intervention arm will be asked if the frequency of calls is acceptable or if they would like to reduce the call frequency, potentially to a minimum of twice per week.
|
Calls were made by volunteers trained to engage with participants.
Call structure was unscripted and call length was recommended to be between 5-10 min.
|
|
Inget ingripande: Control - No calls
Participants randomized to a control group will not receive the intervention calls.
The control group will receive calls from a member of the research team at the beginning of the study to collect baseline survey data and at the post-4-week period to collect post-study survey data.
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Loneliness as assessed by the De Jong Gierveld Loneliness Scale
Tidsram: 4 weeks
|
Investigators will use the De Jong Gierveld Loneliness 6-Item Scale for Overall, Emotional, and Social Loneliness.
Scored from 0-6, a score of 0 indicates least lonely while a score of 6 indicates most lonely.
|
4 weeks
|
|
Loneliness as Assessed by the UCLA Short Scale for Measuring Loneliness in Large Surveys
Tidsram: 4 weeks
|
Investigators will use the UCLA Short Scale for Measuring Loneliness in Large Surveys to measure loneliness.
Scored from 3-9, higher scores indicate greater degrees of loneliness.
|
4 weeks
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Depression as Assessed by the 8-item Depression Health Questionnaire (PHQ-8)
Tidsram: 4 weeks
|
Investigators will use the Depression Patient Health Questionnaire (PHQ-8) to measure depression.
Scored from 0-3, and a score of 0 indicates lower levels of depression while a score of 3 indicates higher levels of depression.
|
4 weeks
|
|
Anxiety as Assessed by the 7-item Generalized Anxiety Disorder Scale (GAD-7)
Tidsram: 4 weeks
|
Investigators will use the Generalized Anxiety Disorder Scale (GAD-7) to measure anxiety.
Scored from 0-3, and a score of 0 indicates lower levels of anxiety while a score of 3 indicates higher levels of anxiety.
|
4 weeks
|
|
Health Status and Quality of Life as Assessed by the Short Form-12 Question Survey
Tidsram: 4 weeks
|
Investigators will use the Short Form-12 question survey to measure physical and mental health status.
Summary scores range from 0-100, with higher scores indicating a better self-reported level of health.
|
4 weeks
|
|
Social Engagement as Assess by the Short Lubben Social Network Scale (LSNS)
Tidsram: 4 weeks
|
Investigators will use the 6-item Short Lubben Social Network Scale to measure social engagement.
For the LSNS-6, the score ranges between 0 and 30, with a higher score indicating more social engagement.
|
4 weeks
|
|
Empathy as Assessed by The Consultation and Relational Empathy (CARE) Measure
Tidsram: After the 4 week intervention (follow-up)
|
Investigators will use the CARE Measure to evaluate measures of empathy in the context of the caller/participant relationship
|
After the 4 week intervention (follow-up)
|
|
Toronto Empathy Questionnaire
Tidsram: Prior to the 4 week intervention (baseline)
|
The Toronto Empathy Questionnaire will be used to assess characteristics of callers that align with measures of ability to be empathetic.
|
Prior to the 4 week intervention (baseline)
|
Samarbetspartners och utredare
Det är här du hittar personer och organisationer som är involverade i denna studie.
Sponsor
Samarbetspartners
Publikationer och användbara länkar
Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.
Allmänna publikationer
- Holt-Lunstad J, Smith TB, Baker M, Harris T, Stephenson D. Loneliness and social isolation as risk factors for mortality: a meta-analytic review. Perspect Psychol Sci. 2015 Mar;10(2):227-37. doi: 10.1177/1745691614568352.
- Anderson, G., Thayer, C. . Loneliness and Social Connections: A National Survey of Adults 45 and Older. Washington, DC: AARP Research, September 2018. https://doi.org/10.26419/res.00246.001.
- Cacioppo JT, Hughes ME, Waite LJ, Hawkley LC, Thisted RA. Loneliness as a specific risk factor for depressive symptoms: cross-sectional and longitudinal analyses. Psychol Aging. 2006 Mar;21(1):140-51. doi: 10.1037/0882-7974.21.1.140.
- Steger MF, Kashdan TB. Depression and Everyday Social Activity, Belonging, and Well-Being. J Couns Psychol. 2009 Apr;56(2):289-300. doi: 10.1037/a0015416.
- Derksen F, Bensing J, Lagro-Janssen A. Effectiveness of empathy in general practice: a systematic review. Br J Gen Pract. 2013 Jan;63(606):e76-84. doi: 10.3399/bjgp13X660814.
- Kahlon MK, Aksan N, Aubrey R, Clark N, Cowley-Morillo M, Jacobs EA, Mundhenk R, Sebastian KR, Tomlinson S. Effect of Layperson-Delivered, Empathy-Focused Program of Telephone Calls on Loneliness, Depression, and Anxiety Among Adults During the COVID-19 Pandemic: A Randomized Clinical Trial. JAMA Psychiatry. 2021 Jun 1;78(6):616-622. doi: 10.1001/jamapsychiatry.2021.0113.
Studieavstämningsdatum
Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.
Studera stora datum
Studiestart (Faktisk)
6 juli 2020
Primärt slutförande (Faktisk)
24 september 2020
Avslutad studie (Faktisk)
26 september 2020
Studieregistreringsdatum
Först inskickad
14 oktober 2020
Först inskickad som uppfyllde QC-kriterierna
14 oktober 2020
Första postat (Faktisk)
20 oktober 2020
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
30 mars 2021
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
26 mars 2021
Senast verifierad
1 mars 2021
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- 2020-05-0009
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