Effect of Personalised Citizen Assistance for Social Participation(APIC) on Older Adults Health and Social Participation
- Conditions
- Community-dwelling Older Adults
- Interventions
- Behavioral: Personalised citizen assistance for social participation(APIC)
- Registration Number
- NCT03161860
- Lead Sponsor
- Mélanie Levasseur
- Brief Summary
Global aging and the growing burden of chronic diseases represent a challenge. Innovative interventions acting upon health determinants, like social participation, are required. Social participation, defined as the involvement of a person in activities that provide interactions with others in the community is critical to promote health and prevent disabilities. Many older adults do not have equitable opportunities to achieve full social participation, and interventions under-empower their personal and environmental resources and only reach a minority. To optimize current practices, the Personalised citizen assistance for social participation (APIC), an intervention demonstrated as being feasible and having positive impacts, needs further evaluation.
The first aim of this study is evaluate the impacts of the APIC on older adults' health, social participation, life satisfaction and healthcare services utilisation. The second aim is to evaluate the cost-effectiveness of the intervention. In parallel, the implementation of the APIC, including factors facilitating and impeding it, will be documented.
Concerning the first two objectives, two hypotheses are formulated: 1) the APIC will prevent a decline in older women's and men's health, social participation and life satisfaction, and reduce their use of healthcare services, and 2) the APIC will be associated with lower costs, from older adults', healthcare system and societal perspectives, including healthcare expenditures.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- All
- Target Recruitment
- 180
- be aged 65 or older,
- live at home or in seniors' residences,
- be restricted in at least one instrumental activity of daily living (e.g. house cleaning, shopping), and
- have a good understanding of French or English.
- Moderate to severe cognitive impairments
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Personalised citizen assistance Personalised citizen assistance for social participation(APIC) The experimental group will receive the Personalised citizen assistance for social participation (APIC), i.e. weekly 3-hour personalised stimulation sessions by a trained volunteer over 12 months. Sessions will encourage empowerment, gradual mobilisation of personal and environmental resources, and community integration.
- Primary Outcome Measures
Name Time Method v2 of the 36-Item Short-Form Health Survey (SF-36) (''change'' is is being assessed) Baseline, 12, 18, 24 months Physical and mental health
- Secondary Outcome Measures
Name Time Method Social participation scale Baseline, 12, 18, 24 months Social participation
Use of healthcare services-Standardized questionnaire every two months over a 2-year period Use of healthcare services
Life Satisfaction Index-Z Baseline, 12, 18, 24 months Life Satisfaction
Trial Locations
- Locations (6)
Accorderie de Sherbrooke, coopérative de solidarité
🇨🇦Sherbrooke, Quebec, Canada
Carrefour communautaire Montrose
🇨🇦Montréal, Quebec, Canada
Centre d'action bénévole Bellechasse-Lévis-Lotbinière
🇨🇦Lévis, Quebec, Canada
Centre d'action bénévole Drummond
🇨🇦Drummondville, Quebec, Canada
Service d'aide et de référencement Anjou (SARA-Anjou)
🇨🇦Montréal, Quebec, Canada
Centre ABC
🇨🇦Montréal, Quebec, Canada