Effect of Personalised Citizen Assistance for Social Participation (APIC) on Older Adults' Health and Social Participation: a Pragmatic Multicentre Randomised Controlled Trial (RCT)
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 发起方
- 入组人数
- 180
- 试验地点
- 12
- 主要终点
- v2 of the 36-Item Short-Form Health Survey (SF-36) (''change'' is is being assessed)
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
盲法说明
Due to the type of intervention, coordinators, volunteers and participants will not be blinded to the interventions. However, they will not be informed about the study hypotheses. Research assistants and the statistician responsible for the analysis will be blinded to the intervention until completion of the study.
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •Moderate to severe cognitive impairments
结局指标
主要结局
v2 of the 36-Item Short-Form Health Survey (SF-36) (''change'' is is being assessed)
时间窗: Baseline, 12, 18, 24 months
Physical and mental health
次要结局
- Use of healthcare services-Standardized questionnaire(every two months over a 2-year period)
- Social participation scale(Baseline, 12, 18, 24 months)
- Life Satisfaction Index-Z(Baseline, 12, 18, 24 months)
研究者
Mélanie Levasseur
Research Professor
Université de Sherbrooke