Loneliness and Health Outcomes in the High Need Population
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 23
- 试验地点
- 2
- 主要终点
- Change in Loneliness from Baseline at 0 and at 3, 6 and 9 months.
研究概览
简要总结
The high need population are patients who have three or more chronic diseases and have a functional limitation in their ability to take care for themselves. Investigators aim to understand the effects of a support group intervention, with the use of group medical visits and understand longitudinal effects in emotional wellbeing and loneliness.
详细描述
The high need population with functional limitations are patients who have three or more chronic diseases and have a functional limitation in their ability to care for themselves (such as bathing or dressing) or perform routine daily tasks. Two-thirds of the population is female, and three-quarters of them are white non-Hispanic and half of the population were described as low income. The High Need Population with functional limitations also utilizes the emergency department at twice the rate of adults with multiple chronic diseases and more than three times more likely to be hospitalized than adults of other populations.
Loneliness is seen as a significant independent risk factor for poor health behaviors, physical health problems and psychiatric conditions. Loneliness and isolation are becoming a more recognized entity that contributes to worsening depression.
Investigators aim to compare the of effects of a Social Worker and Physician/APP-led support group intervention on loneliness at 9 months, after up to 3 group visits.
Shared Medical Visits as a form of support Group increase clinician-patient contact time and provide patients with support and prevention of chronic conditions increasing patient empowerment.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patients who are enrolled into the VIC program. These are patients that are 18 years old and above, and have either
- •HCC Score 3.0 and above
- •HCC 2.0 - 3.0 and 2 or more unplanned admissions in last 12 months
- •HCC 0.24 - 0.35 + ESRD OR
- •Charlson Score >3, or LACE >30
排除标准
- 未提供
结局指标
主要结局
Change in Loneliness from Baseline at 0 and at 3, 6 and 9 months.
时间窗: 0, 3, 6, and 9 months
Using the Validated De Jong Giervald Loneliness Scale, scored from 0 (not lonely) to 11 (severely lonely),
次要结局
- Change in the number of ED visits, Inpatient, Observations(0, 3, 6 and 9 months)
- Change in Depression from Baseline (0), and at 3, 6, and 9 months(0, 3,6, and 9 months)
- Change in Active alcohol use disorders (including alcohol abuse or dependence) from Baseline (0), and at 3, 6, and 9 months(0,3,6, and 9 months)
研究者
Francis Balucan
Medical Director
Vanderbilt University Medical Center