A Phase IIb 3 Arm Randomized Clinical Pilot Study to Assess the Impact of a Peer-support Program to Improve Social Isolation and Loneliness Due to COVID-19 - Comparing the Addition of a Secure, User Friendly Video-conference Solution and Telephone Support Alone to a Waiting List Control Group
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Social Isolation
- Sponsor
- Mount Sinai Hospital, Canada
- Enrollment
- 141
- Locations
- 1
- Primary Endpoint
- Change in De Jong Gierveld Loneliness Scale at Baseline
- Last Updated
- 4 years ago
Overview
Brief Summary
Social isolation and loneliness worsen older peoples' quality of life, risk of dementia, and contributes to 45,000 deaths/year in Canada - as much as smoking. Isolated people use the health care system more often, but have worse outcomes. Effective, inexpensive interventions exist but unfortunately they have not been implemented in Canada.
We partnered with the Australian developer of HOW R U?, an effective and feasible intervention that uses specially trained, older, hospital volunteers to provide peer support to combat isolation and loneliness in isolated older peers.
Little is known about older people's preferences for virtual care (telephone vs. video) nor their relative effectiveness. Thus we will compare two ways of delivering HOW R U: telephone support and a tested, secure user-friendly video conferencing app, aTouch Away® to a common control arm.
We also partnered with Emergency Medicine, Family Medicine, Geriatrics and Psychiatry to identify people who will benefit from peer support; and with Volunteer Services to recruit volunteers.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Any community-dwelling person 70 years of age and older receiving care from the ED, Family Medicine, or Geriatric clinics at our two participating sites (MSH and NYGH) will be eligible.
Exclusion Criteria
- •age less than 70 years; communication problems (critically ill, unconscious, language barrier, speech impairment or otherwise unable to provide consent), or admission to a hospital for \> 72 hours. Patients with severe cognitive impairment or those living in nursing homes who are dependent on others for their activity of daily living will be excluded. To target the intervention for older people with loneliness a baseline de Jonge loneliness scores of 2.0 will be required for participation in the trial.
Outcomes
Primary Outcomes
Change in De Jong Gierveld Loneliness Scale at Baseline
Time Frame: This scale will be collected at baseline and at 12 weeks.
We will use the 6-item De Jong Gierveld loneliness scale as our primary outcome measure.The minimum value is 0 and the maximum value is 6.
Secondary Outcomes
- Change in Social Network(Baseline and at 12 weeks)
- Change in Mood(Baseline and at 12 weeks)
- Change in Quality of life(Baseline and at 12 weeks)
- all-cause mortality(Follow-up phone call at 12 weeks)