Effect of Personalised Citizen Assistance for Social Participation(APIC) on Older Adults Health and Social Participation

Not Applicable

Active, not recruiting

• Conditions: Community-dwelling Older Adults

• 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

Study Timeline

• Study First Submitted: 2017-05-17
• Study First Submitted QC: 2017-05-18
• Study First Posted: 2017-05-22
• Study Start: 2017-10-04
• Status Verified: 2024-12
• Last Update Submitted: 2025-03-24
• Last Update Posted: 2025-03-28
• Primary Completion: 2025-08
• Study Completion: 2025-12

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 180

Inclusion Criteria

1. be aged 65 or older,
2. live at home or in seniors' residences,
3. be restricted in at least one instrumental activity of daily living (e.g. house cleaning, shopping), and
4. have a good understanding of French or English.

Exclusion Criteria

• Moderate to severe cognitive impairments

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

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)

Centre d'action bénévole Drummond; 🇨🇦 Drummondville, Quebec, Canada

Centre d'action bénévole Bellechasse-Lévis-Lotbinière; 🇨🇦 Lévis, Quebec, Canada

Service d'aide et de référencement Anjou (SARA-Anjou); 🇨🇦 Montréal, Quebec, Canada

Carrefour communautaire Montrose; 🇨🇦 Montréal, Quebec, Canada

Centre ABC; 🇨🇦 Montréal, Quebec, Canada

Accorderie de Sherbrooke, coopérative de solidarité; 🇨🇦 Sherbrooke, Quebec, Canada