Feasibility of Remote Home Support Coaches (SOCIAL Study)

Brigham and Women's Hospital10 enrolled

Overview

The goal of this this study is to develop and test the feasibility of a remotely delivered brief behavioral activation intervention to decrease the negative physical and psychological consequences of being homebound among older adults during the time of COVID.

The goal of this study is to develop and test the feasibility of a remotely delivered brief behavioral activation intervention to decrease the negative physical and psychological consequences of being homebound among older adults during the time of COVID.The intervention will focus on decreasing the impact of social isolation, inactivity and poor nutrition on old people during a time when many in-person social activities are not possible. It will be delivered through telephone and other communication tools that allow remote (i.e. not in person) communication over 10 sessions. Subjects will be a total of 60 people aged 75 years an older, who will be recruited from primary care in the Boston MA region and senior living facilities in the Baltimore MD region. Coaches will be trained using an on-line based modules developed to support this intervention. Self-report outcomes will be measured by telephone at baseline and 4-month follow-up.

Study Type

INTERVENTIONAL

Allocation

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

Conditions

Malnutrition Isolation Depression Anxiety Sedentary Behavior Loneliness

Interventions

Telephone-based coachingBEHAVIORAL

A telephone-based brief behavioral activation coaching program that will involve 10 sessions over 4 months. Sessions will focus on helping people to identify meaningful activities that they can safely do to decrease loneliness, increase physical activity and improve nutrition.

Eligibility

Sex: ALLMin age: 75 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * • Men or women who are 75 years or older * Must be a patient of Mass General Brigham affiliated with Primary Care Physician departments in Boston, MA OR be a resident of Brightview Senior Living and Assisted Living facilities near Baltimore, MD Exclusion Criteria: * • Men or women who are 74 years and younger * Participants who are not affiliated with Primary Care Physician departments at Mass General Brigham or a resident of an assisted living facility in Baltimore, MD * Unable to adequately complete the Evaluation to Provide Consent

Locations (2)

University of Maryland School of Medicine

Baltimore, Maryland, United States

Brigham and Women's Hospital

Boston, Massachusetts, United States

Outcomes

Primary Outcomes

Physical Activity - Self-report survey to measure engagement in activities

Yale Physical Activity Survey (self-report)

Time frame: change from baseline to 4-month follow-up

Loneliness assessment - 20 item, self-report assessment to measure loneliness

UCLA Loneliness Scale 3.0 (self-report) 20 item, self-report assessment to measure loneliness. Scale from 1(never) to 4(often)

Time frame: change from baseline to 4-month follow-up

Physical Activity - step activity monitor to track daily steps walked

average steps walked per day

Time frame: change in steps from the first week of study to final week (week 16) of study

Secondary Outcomes

PROMIS Short form to measure level 2 adult depression

PROMIS Depression (Short Form 8-item, self report)

Time frame: change from baseline to 4-month follow up

PROMIS short-form to measure anxiety in adults

PROMIS Anxiety (Short form 8-item, self report)

Time frame: change from baseline to 4-month follow up

Late Life Function Instrument to assess functionality in elderly

Late Life Function Instrument (LLFDI - self report)

Time frame: change from baseline to 4-month follow up

Late Life Function Instrument to access disability in elderly

Late Life Disability Instrument (LLFDI - self report)

Time frame: change from baseline to 4-month follow up

Data from ClinicalTrials.gov

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