Anxiety, Depression, Isolation, Loneliness, Malnutrition, Sedentary Behavior
Conditions
Keywords
Covid19, Physical Inactivity, Social Isolation, Inadequate Nutrition, Older Adult, Social Distancing, Remote Home Support, Physical, Psychological, loneliness, behavioral activation
Brief summary
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.
Detailed description
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.
Interventions
BEHAVIORALTelephone-based coaching
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.
Sponsors
University of Maryland, Baltimore
National Institute on Aging (NIA)
Brigham and Women's Hospital
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
This project is a single-group unblinded feasibility study to explore a new telephone-based behavioral activation intervention to support homebound older people. If this intervention appears to be feasible, acceptable, and to show preliminary evidence of efficacy the aim will be to evaluate it in a phase III efficacy trial.
Eligibility
Sex/Gender
ALL
Age
75 Years to No maximum
Healthy volunteers
Yes
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Physical Activity - Self-report survey to measure engagement in activities | change from baseline to 4-month follow-up | Yale Physical Activity Survey (self-report) |
| Loneliness assessment - 20 item, self-report assessment to measure loneliness | change from baseline to 4-month follow-up | UCLA Loneliness Scale 3.0 (self-report) 20 item, self-report assessment to measure loneliness. Scale from 1(never) to 4(often) |
| Physical Activity - step activity monitor to track daily steps walked | change in steps from the first week of study to final week (week 16) of study | average steps walked per day |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Late Life Function Instrument to access disability in elderly | change from baseline to 4-month follow up | Late Life Disability Instrument (LLFDI - self report) |
| Duke Social Support short scale to measure social support among older people | change from baseline to 4-month follow up | Duke Social Support Index (self-report) |
| PROMIS Short form to measure level 2 adult depression | change from baseline to 4-month follow up | PROMIS Depression (Short Form 8-item, self report) |
| Likert 0-7 rating scale of participants satisfaction with the program | 4 month follow-up | Likert rating of satisfaction |
| Mini-nutritional assessment to determine if there is risk of malnourishment | change from baseline to 4-month follow up | Mini-nutritional assessment - Short Form |
| PROMIS short-form to measure anxiety in adults | change from baseline to 4-month follow up | PROMIS Anxiety (Short form 8-item, self report) |
| Late Life Function Instrument to assess functionality in elderly | change from baseline to 4-month follow up | Late Life Function Instrument (LLFDI - self report) |
Countries
United States
Outcome results
None listed