Intergenerational Relations, Loneliness, Social Isolation
Conditions
Keywords
physical activity, older adults, intergenerational, social isolation, loneliness, virtual exercise
Brief summary
Older adult participants will engage in exercise videos twice a week for 8 weeks either while paired with a peer (same age group) or paired with a younger adult with the ability to simultaneously video chat while exercising.
Detailed description
Participation in this study includes: * Completing assessments at baseline (start of study), 8 weeks, and 16 weeks * Initial meeting with an Exercise Physiologist to determine exercise interests and preferences * Being matched with an exercise partner * Virtually meeting with partner to engage in exercise videos via the FlexTogether platform (meet twice a week for a total of 8 weeks) * Attend a live group class once a month * Completing an exit interview Primary Objective: To assess feasibility by monitoring adherence to an 8-week virtual paired exercise program for older adults Secondary Objectives: 1. To mechanistically investigate the key social pairing components (i.e., older adults together, younger and older adult pairing) within a virtual program necessary to enhance social connectedness, decrease loneliness, improve well-being, and increase physical activity in older adults and younger adult participants in the short-term (pre-post) through surveys and qualitative interviews 2. To mechanistically investigate the key social pairing components (i.e., older adults together, younger and older adult pairing) within a virtual program necessary to enhance social connectedness, decrease loneliness, improve well-being, and increase physical activity in older adults and younger adult participants in the long-term (8 weeks post-intervention / 18 weeks on study) through surveys and qualitative interviews
Interventions
BEHAVIORALIntergenerational Virtual Paired Exercise
Participants will be paired with someone older/ younger and will engage in exercise videos with the ability to simultaneously video chat with their partner while exercising. Participants will log on with their partner twice a week for 8 weeks.
BEHAVIORALPeer Virtual Paired Exercise
Participants will be paired with someone of the same age group and will engage in exercise videos with the ability to simultaneously video chat with their partner while exercising. Participants will log on with their partner twice a week for 8 weeks.
Sponsors
FlexTogether
Cedars-Sinai Medical Center
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Participants will be randomized by the coordinator to a study arm: Arm 1- older adult paired with older adult (40) Arm 2- older adult paired with younger adult (20 older, 20 younger)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Verbal informed consent obtained from subject and ability for subject to comply with the requirements of the study * Age 18-30 years for younger adults * Age greater than or equal to 65 years for older adults * Has access to a tablet, laptop, or desktop computer with video capabilities connected to the internet with a screen at least 13 inches across * Able to read, write, and understand English * Has a 5 x 6 foot space at home in which to exercise
Exclusion criteria
* Current diagnosis of dementia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adherence to an 8-week virtual paired exercise program for older adults | Attendance over 8-weeks | Adherence defined as attending at least 12 out of 16 sessions (70% attendance) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| pre/post loneliness per units in scale | baseline and 10 weeks | To mechanistically investigate the key social pairing components (i.e. solo, older adults together, younger and older adult pairing) within a virtual program necessary to decrease loneliness in the short-term (pre-post) through UCLA Loneliness Survey (min score- 3, max score- 9; higher scores correspond to higher feelings of loneliness) |
| pre/post emotional, social, and psychological well-being per units in scale | baseline and 10 weeks | To mechanistically investigate the key social pairing components (i.e. solo, older adults together, younger and older adult pairing) within a virtual program necessary to improve well-being in the short-term (pre-post) through Mental Health Continuum Short-Form (min score- 14, max score- 84; higher scores indicate greater levels of positive well-being) |
| pre/post expectations regarding aging per units in scale | baseline and 10 weeks | To mechanistically investigate the key social pairing components (i.e. solo, older adults together, younger and older adult pairing) within a virtual program necessary to improve well-being in the short-term (pre-post) through Expectations Regarding Aging Survey (min score- 12, max score- 48; higher score indicates higher (positive) expectations of aging) |
| pre/post generativity per units in scale | baseline and 10 weeks | To mechanistically investigate the key social pairing components (i.e. solo, older adults together, younger and older adult pairing) within a virtual program necessary to improve well-being in the short-term (pre-post) through Baltimore Experience Corps Trial Generativity Scale (min score- 13, max score- 65; higher score indicates higher levels of generativity) |
| pre/post physical activity per units in scale | baseline and 10 weeks | To mechanistically investigate the key social pairing components (i.e. solo, older adults together, younger and older adult pairing) within a virtual program necessary to increase physical activity in older adults and younger adult participants in the short-term (pre-post) through Godin Leisure Time Exercise Questionnaire (min score- 0, max score- 24+; total of 14 or less indicates insufficient activity/sedentary lifestyle, 24 units or more indicates active lifestyle) |
| pre/post physical activity per 30 second sit to stand | baseline and 10 weeks | To mechanistically investigate the key social pairing components (i.e. solo, older adults together, younger and older adult pairing) within a virtual program necessary to increase physical activity in older adults and younger adult participants in the short-term (pre-post) through 30 second sit to stand (how many times can the participant sit and stand without using their hands in a 30 second period, higher number indicates higher level of endurance) |
| long-term social connectedness per units in scale | 18 weeks | To mechanistically investigate the key social pairing components (i.e. solo, older adults together, younger and older adult pairing) within a virtual program necessary to enhance social connectedness in the long-term (4.5 months/18 weeks) through Duke Social Support Index (min score- 11, max score- 33; higher score indicates higher social support and interaction). |
| social connectedness per units in scale | baseline and 10 weeks | To mechanistically investigate the key social pairing components (i.e. solo, older adults together, younger and older adult pairing) within a virtual program necessary to enhance social connectedness in the short-term (pre-post) through Duke Social Support Index (min score- 11, max score- 33; higher score indicates higher social support and interaction). |
| long-term expectations regarding aging per units in scale | 18 weeks | To mechanistically investigate the key social pairing components (i.e. solo, older adults together, younger and older adult pairing) within a virtual program necessary to improve well-being in the long-term (4.5 months/18 weeks) through Expectations Regarding Aging Survey (min score- 12, max score- 48; higher score indicates higher (positive) expectations of aging) |
| long-term emotional, social, and psychological well-being per units in scale | 18 weeks | To mechanistically investigate the key social pairing components (i.e. solo, older adults together, younger and older adult pairing) within a virtual program necessary to improve well-being in the long-term (4.5 months/18 weeks) through Mental Health Continuum Short-Form (min score- 14, max score- 84; higher scores indicate greater levels of positive well-being) |
| long-term generativity per units in scale | 18 weeks | To mechanistically investigate the key social pairing components (i.e. solo, older adults together, younger and older adult pairing) within a virtual program necessary to improve well-being in the long-term (4.5 months/18 weeks) through Baltimore Experience Corps Trial Generativity Scale (min score- 13, max score- 65; higher score indicates higher levels of generativity) |
| long-term physical activity per units in scale | 18 weeks | To mechanistically investigate the key social pairing components within a virtual program necessary to increase physical activity in older adults and younger adult participants in the long-term (4.5 months/18 weeks) through Godin Leisure Time Exercise Questionnaire (min score- 0, max score- 24+; total of 14 or less indicates insufficient activity/sedentary lifestyle, 24 units or more indicates active lifestyle) |
| long-term physical activity per 30 second sit to stand | 18 weeks | To mechanistically investigate the key social pairing components within a virtual program necessary to increase physical activity in older adults and younger adult participants in the long-term (4.5 months/18 weeks) through 30 second sit to stand (how many times can the participant sit and stand without using their hands in a 30 second period, higher number indicates higher level of endurance) |
| Key social pairing components in virtual programming | 10 weeks | Qualitative interview to capture any other thoughts and observations from participants that are not easily captured in surveys |
| long-term loneliness per units in scale | 18 weeks | To mechanistically investigate the key social pairing components (i.e. solo, older adults together, younger and older adult pairing) within a virtual program necessary to decrease loneliness in the long-term (4.5 months/18 weeks) through UCLA Loneliness Survey (min score- 3, max score- 9; higher scores correspond to higher feelings of loneliness) |
Countries
United States
Contacts
Primary ContactAllison M Mays, MD, MAS
Backup ContactNathalie Guevara
Outcome results
None listed