65 Years Older, Past Year History of Falls and/or Hospitalization, Requires IADL Support
Conditions
Keywords
Older Adults, Caregivers, Aging, Support
Brief summary
Technology has been created to help older adults age well in their homes, but adoption and acceptance have been slow. The researchers are developing a low-cost web-based technology, called Elder Tree, for older adults and caregivers to address key challenges older adults face, such as loneliness and isolation, falls, loss of driving privileges, relapsing from proven falls prevention strategies, and unreliable home services. Elder Tree is being developed and tested with older adults and caregivers to identify, 1) usability issues such as font size, navigation and interface (audio, video,text) and 2) content and tailoring issues such as identifying local resources and events. This study will employ a randomized longitudinal design comparing a control group to an intervention group over a 12-month period. Investigators hypothesize that older adults using Elder Tree will experience greater independence and quality of life when compared to the control group. Investigators will use quantitative measures to determine how much our intervention improves: quality of life and health system use. These measures will help us to determine the cost effectiveness of Elder Tree. Investigators will recruit and test Elder Tree in 3 Regional Aging and Disability Resource Centers; one urban, one suburban and one rural setting, so to account for environmental and community differences. The older adult and their caregiver will be randomized to the same treatment group. Investigators will measure the effect over the 12 month intervention period and a 6 month follow-up period at 18 months.
Interventions
OTHERElder Tree website
Elder Tree is a private, secure information, support and communication website developed for this study.
Sponsors
National Institutes of Health (NIH)
Agency for Healthcare Research and Quality (AHRQ)
University of Wisconsin, Madison
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
TRIPLE (Subject, Caregiver, Investigator)
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 65 years or older * In need of IADL support * 1 years history or risk of hospitalization or falls * Resident of the following counties Milwaukee, WI, Waukesha Wi or Richland County * Must be able to read English at a 6th grade level.
Exclusion criteria
* Under 65 years of age * Unable to read English * Not a resident of the above listed counties.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of older adult subjects with increased independence and quality of life from baseline to 18 months | Change in independence and quality of life will be assessed at 6, 12 , 18 months | Compared to the control group elders using Elder Tree will experience greater independence and quality of life and will have fewer unscheduled clinical and emergency room visits and hospital and nursing home stays. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of caregiver subjects with improved satisfaction | Change in improved caregiver satisfaction will be assessed at 6, 12 , 18 months | Compared to the control group, caregivers using Elder Tree will experience improved satisfaction, coping and appraisal. |
Countries
United States
Outcome results
None listed