Improving Social Connectedness in Home Delivered Meals Clients
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 89
- Locations
- 1
- Primary Endpoint
- Change over time in perceived social isolation measured using the Patient-Reported Outcomes Measurement Information System (PROMIS) Social Isolation Scale
Study Overview
Brief Summary
The purpose of this study to evaluate aging-service integrated, video-conference-based approaches to improve homebound seniors' social engagement and activities.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- None
Eligibility Criteria
- Ages
- 60 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •English speaking
- •Clients of the Meals on Weals program
- •≥60 years old
- •Score between 6-9 on the Hughes three-item version of the UCLA Loneliness Scale
Exclusion Criteria
- •Dementia, as indicated by a score > 3 on the Six Item Screen
- •Clinically significant depression, as indicated by a score ≥15 on the Patient Health Questionnaire (PHQ-9)
- •Active suicide risk, as indicated by a positive response on any item of the Columbia Suicide Severity Rating Scale (C-SSRS)
- •Uncorrectable hearing or vision impairment
Arms & Interventions
Tele-Behavioral Activation
Manualized Behavioral Activation (BA) protocol delivered via videoconferencing by a trained BA interventionist; 5 sessions over 5 weeks, up to 1-hour in length. The interventionist guides participants in learning BA skills, focusing on strategies to decrease barriers to social connectedness (e.g., limited mobility, inadequate caregiving resources).
Intervention: Tele-Behavioral Activation (Behavioral)
Tele-Friendly Visiting
Friendly Visitor (FV) calls delivered via videoconferencing by a trained FV interventionist; 5 sessions over 5 weeks, up to 1-hour in length. The interventionist provides social support to participants through good listening and provision of genuine regard.
Intervention: Tele-Friendly Visiting (Behavioral)
Outcomes
Primary Outcomes
Change over time in perceived social isolation measured using the Patient-Reported Outcomes Measurement Information System (PROMIS) Social Isolation Scale
Time Frame: Baseline, 6-week follow-up (immediately post-intervention), 12-week follow up (12 weeks post-intervention), 12-month follow-up (12-months post-intervention).
An 8-item self-report questionnaire used to measure perceived social isolation using a Likert scale (5-point scale: 'never' = 1 to 'always' = 5). Total raw scores range from 8-40; raw scores are converted to T-scores using an appendix (T-scores are standardized scores that have a mean of 50 and SD of 10). Higher T-score values represent greater perceived social isolation.
Change over time in social support measured using the Duke Social Support Index (DSSI)
Time Frame: Baseline, 6-week follow-up (immediately post-intervention), 12-week follow up (12 weeks post-intervention), 12-month follow-up (12-months post-intervention).
A 10-item self-report questionnaire used to measure an individual's satisfaction with social support using a Likert scale (3-point scale, where anchor labels are specified for each item). This scale consists of two subscales: 4-item social interaction (objective support) scale and 6-item satisfaction with social support (subjective support) subscale. Total scores are calculated by summing responses to items across all items; total scores range 10-30.
Secondary Outcomes
- Change over time in functional disability measured using the World Health Organization Disability Assessment Schedule (WHODAS 2.0)(Baseline, 6-week follow-up (immediately post-intervention), 12-week follow up (12 weeks post-intervention), 12-month follow-up (12-months post-intervention).)
- Change over time in depression symptomatology measured using the Patient Health Questionnaire-9 (PHQ-9)(Baseline, 6-week follow-up (immediately post-intervention), 12-week follow up (12 weeks post-intervention), 12-month follow-up (12-months post-intervention).)
Investigators
Martha L. Bruce
Professor
Dartmouth-Hitchcock Medical Center