Social Connectedness
Conditions
Brief summary
To assess the reach and effectiveness of a behavioral activation intervention for older adults experiencing low social connectedness by Area Agency on Aging Staff.
Interventions
BEHAVIORALBrief Behavioral Activation for Improving Social Connectedness
Brief Behavioral Activation for Improving Social Connectedness (BBAISC): BBAISC was developed to address social connectedness. Grounded in Behavioral Activation (Lejuez et al., 2011), BBAISC is a structured, 6-session skill-building intervention that has 4 key elements (Pepin et al., 2020): 1. Psychoeducation: Psychoeducation focused on homebound status, social connectedness, and associated changes in behavior. 2. Behavioral Activation intervention rationale: Framing how changing behavior can positively impact social connectedness (i.e., improve social connectedness and reduce loneliness). 3. Exploration of life areas, values, and activities: Focused on identifying life areas and values most relevant to the participant. Then, these values are used to generate activities that are aligned with those values. 4. Activity monitoring and planning: Participants are encouraged to schedule and organize their day based on what is important rather than their current mood or feeling state.
Sponsors
Dartmouth-Hitchcock Medical Center
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Older adults (age\>60) will be enrolled because they are the target population served by the home-delivered meals program and the target sample for this study.
Exclusion criteria
* Clinically significant depression (Patient Health Questionnaire; PHQ-9 ≥ 10) or active suicide risk (Columbia Suicide Severity Rating Scale; C-SSRS), or Cognitive Impairment (Blessed Orientation-Memory-Concentration Test\>9) * Clients who score 1 or greater on question 9 of the PHQ-9 will be further assessed for suicide risk using the Columbia-Suicide Severity Rating Scale (C-SSRS) * Clients will meet
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Social Connectedness A, Change from Baseline to Post Intervention | immediately following the intervention | 10-item Duke Social Support Index (DSSI) |
| Social Connectedness B, Change from Post Intervention to Follow Up | 12 weeks post-intervention | 8-item PROMIS Social Isolation Scale |
| Social Connectedness A, Baseline | before the intervention | 10-item Duke Social Support Index (DSSI) |
| Social Connectedness B, Change from Baseline to Post Intervention | immediately following the intervention | 8-item PROMIS Social Isolation Scale |
| Social Connectedness A, Change from Post Intervention to Follow Up | 12 weeks post intervention | 10-item Duke Social Support Index (DSSI) |
| Social Connectedness B, Baseline | before the intervention | 8-item PROMIS Social Isolation Scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Intervention Reach | 12 Months | Reach will be determined by the proportion of eligible agency clients who agree participate in the study. |
Countries
United States
Outcome results
None listed