- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT05228782
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.
Studieöversikt
Status
Betingelser
Intervention / Behandling
Studietyp
Inskrivning (Förväntat)
Fas
- Inte tillämpbar
Kontakter och platser
Studiekontakt
- Namn: Jacques Lee, MD
- Telefonnummer: 4168771447
- E-post: Jacques.lee@sinaihealth.ca
Studera Kontakt Backup
- Namn: Joanna Yeung, HBSc
- Telefonnummer: 6473089440
- E-post: Joanna.yeung@sinaihealth.ca
Studieorter
-
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Ontario
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Toronto, Ontario, Kanada, M5G 1XS
- Rekrytering
- Mount Sinai Hospital
-
Kontakt:
- Jacques Lee, MD
- E-post: Jacques.lee@sinaihealth.ca
-
-
Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
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
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Stödjande vård
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Enda
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
---|---|
Experimentell: HOW RU Intervention delivered by telephone
Group Phone will receive the HOW RU? intervention over the telephone.
|
HOW RU? intervention uses trained volunteer peers to provide strength-based support sessions weekly for 12 weeks.
|
Experimentell: HOW RU Intervention delivered by video-call
Group Video will receive the HOW RU? intervention delivered over video-call using the aTouch Away platform.
|
HOW RU? intervention uses trained volunteer peers to provide strength-based support sessions weekly for 12 weeks.
|
Inget ingripande: 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
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
---|---|---|
Change in De Jong Gierveld Loneliness Scale at Baseline
Tidsram: 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.
|
This scale will be collected at baseline and at 12 weeks.
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
---|---|---|
Change in Social Network
Tidsram: Baseline and at 12 weeks
|
Lubben's Social Network Scale
|
Baseline and at 12 weeks
|
Change in Mood
Tidsram: Baseline and at 12 weeks
|
Geriatric Depression Scale
|
Baseline and at 12 weeks
|
Change in Quality of life
Tidsram: Baseline and at 12 weeks
|
EQ-5D-5L survey
|
Baseline and at 12 weeks
|
all-cause mortality
Tidsram: Follow-up phone call at 12 weeks
|
Follow-up phone call at 12 weeks
|
Samarbetspartners och utredare
Studieavstämningsdatum
Studera stora datum
Studiestart (Faktisk)
Primärt slutförande (Förväntat)
Avslutad studie (Förväntat)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Faktisk)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Nyckelord
Andra studie-ID-nummer
- 21-0074E
Läkemedels- och apparatinformation, studiedokument
Studerar en amerikansk FDA-reglerad läkemedelsprodukt
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Kliniska prövningar på HOW R U? Intervention
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Mount Sinai Hospital, CanadaKing's College London; University of Toronto; Sunnybrook Research Institute; North York General Hospital och andra samarbetspartnersRekryteringEnsamhet | Geriatrisk | Social isoleringKanada
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University of MiamiInstitute of Educational Sciences (IES)RekryteringKänslorFörenta staterna
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Merck KGaA, Darmstadt, GermanyAvslutad
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Biocon LimitedProfil Institut für Stoffwechselforschung GmbHAvslutad
-
Wake Forest University Health SciencesAktiv, inte rekryterandeKognitiv försämring | Lätt kognitiv funktionsnedsättningFörenta staterna
-
Eli Lilly and CompanyAvslutadDiabetes mellitus, typ 2Förenta staterna, Puerto Rico
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Harvard School of Public Health (HSPH)Boston Children's Hospital; Harvard University; Partners in HealthAvslutadÅngest | Depressiva symtom | FöräldraskapRwanda
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University of the West of EnglandUnilever R&D; C+R research agencyAvslutad
-
Eli Lilly and CompanyAvslutadDiabetes mellitus, typ 2Förenta staterna
-
Wake Forest University Health SciencesAktiv, inte rekryterandeKognitiv försämring | Lätt kognitiv funktionsnedsättningFörenta staterna