Improving Adult Protective Services Client Outcomes: A Stepped-Care Social and Mental Health Engagement Program
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 400
- 试验地点
- 1
- 主要终点
- Change in loneliness as assessed by the University of California Los Angeles (UCLA )loneliness scale
研究概览
简要总结
The purpose of this study is to ascertain the feasibility and effectiveness of an 8-week social engagement program aimed at reducing depression and increasing social engagement among seniors who are transitioning out of Adult Protective Services (APS) for either elder abuse or self-neglect.
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
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Older Adults
- •an APS validated EM/SN case
- •able to provide informed consent
- •able to speaks English or Spanish
- •able to hear sufficiently using the telephone
- •transitioning out of APS intervention (i.e. in the case closure phase of the APS service).
- •college or university student
- •enrolled in a health-related program
- •commit to making 8-weekly consecutive calls
- •complete the required 1-hour training and assessment.
排除标准
- •Older Adults
- •Individuals needing a proxy to consent
- •suspected or confirmed decision-making capacity impairments or uncontrolled psychiatric illnesses such as schizophrenia, paranoia, delusion, or delirium
- •only engaging in the program to fulfill some educational requirement
研究组 & 干预措施
Usual Care
干预措施: APS Usual care (Behavioral)
Treatment
干预措施: Stepped-care social and mental health engagement (Behavioral)
Treatment
干预措施: APS Usual care (Behavioral)
结局指标
主要结局
Change in loneliness as assessed by the University of California Los Angeles (UCLA )loneliness scale
时间窗: baseline, 4-week and 8-week follow-up
This is a 20-item questionnaire , each item is rated as either O ("I often feel this way"), S ("I sometimes feel this way"), R ("I rarely feel this way"), N ("I never feel this way") for a score range of 0-3,for a maximum score of 60, higher score indicating worse outcome
Recurrence of Elder mistreatment (EM)
时间窗: From participant's first call to 1 month post final call
This is a yes or no questionnaire that will be answered by adult protective services (APS)
Recurrence of self neglect (SN)
时间窗: From participant's first call to 1 month post final call
This is a yes or no questionnaire that will be answered by adult protective services (APS)
Change in social isolation assessed by the Duke Social Support Index (DSSI-6)
时间窗: baseline, 4-week and 8-week follow-up
This is a 6-item questionnaire and each is measured from 1(hardly ever) to 3(most of the time) for a maximum score of 18, higher score indicating greater social support
Change in depression as assessed by the PATIENT HEALTH QUESTIONNAIRE (PHQ-9)
时间窗: baseline, 4-week and 8-week follow-up
This is a 9 item questionnaire and each is scored from 0(not at all) to 3(nearly every day) , for a maximum score of 27 , higher score indicating more depression
次要结局
- Change in anxiety as assessed by the Generalized Anxiety Disorder scale (GAD-7)(baseline, 4-week and 8-week follow-up)
- Change in resilience as assessed by the Brief Resilience Scale(baseline, 4-week and 8-week follow-up)
- Change in Anxiety as Assessed by the Generalized Anxiety Disorder 2-Item Scale (GAD-2)(baseline, 4-week and 8-week follow-up)
- Change in Depressive Symptoms as Assessed by the Patient Health Questionnaire-2 (PHQ-2)(baseline, 4-week and 8-week follow-up)
研究者
Jason Burnett
Associate Professor
The University of Texas Health Science Center, Houston