Activities of Daily Living, Quality of Life (QOL), Social Isolation in Older Adults
Conditions
Keywords
digital access for older adults
Brief summary
In a 3-group trial with randomization and follow-up for 12 months, we will compare use of the VSC as well as health and quality of life outcomes among 650 older adults in St. Louis who receive either: (1) home delivered meals AND a GrandPad; (2) home-delivered meals but no GrandPad for 6 months; and (3) in person meals at senior center but no GrandPad.
Detailed description
The aims of the study are: 1. Recruit 650 older adults in St. Louis into the study - 400 home-delivered meal recipients and 250 receiving in-person meals at senior centers. Describe baseline differences between the two groups in use of senior center programming, technology access and use, and health and quality of life outcomes. 2. Randomly assign the 400 home-delivered meal recipients to get a GrandPad immediately (GP) or 6 months later (GP-6). Compare the GP and GP-6 groups to in-person meal recipients (IP) on: (A) VSC engagement at 6- and 12-month follow-up; and (B) health and quality of life outcomes at 6- and 12-month follow-up. 3. Examine longitudinal changes and hypothesized mediating pathways using 5 waves of data from baseline, 3-,6-,9- and 12-month follow-up. Specifically: (A) in the GP-6 group only, compare VSC engagement, health and quality of life outcomes at 6-month follow-up (a period in which they did not have a GrandPad) to 12-month follow-up (a period in which they did have a GrandPad); (B) examine 12-month trends in GrandPad and VSC engagement, health and quality of life outcomes within and across groups; and (C) test mediation of hypothesized explanatory variables from the study's conceptual framework to examine potential causal pathways for health and quality of life outcomes.
Interventions
BEHAVIORALVirtual Senior Center - GrandPad
The Virtual Senior Center engages older adults in programs and services online with the help of a GrandPad.
BEHAVIORALVirtual Senior Center - No GrandPad
Participants will be given information to access the website when they are able from their own phone, tablet, or computer.
Sponsors
Washington University School of Medicine
National Heart, Lung, and Blood Institute (NHLBI)
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Masking description
Though participants and investigators won't know condition of the randomized groups upon enrollment, they will know when they receive the GrandPad. The 3rd group will not be masked at any point.
Intervention model description
Participants in 2 of the groups will be randomly assigned to receive the intervention immediately or in 6 month. The 3rd groups is naturally occurring comparison.
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Current Home-delivered meal client with Aging Ahead
Exclusion criteria
* Under age 65
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The Social Isolation Scale in Older Adults (Nicholson et al., 2020; The Gerontologist) | 12 month | This 6-item questionnaire measures the extent to which an individual feels socially unconnected, using 2 related constructs (3 items per construct): quantity of social contacts and sense of relationship. The response options for social contacts ranges from 1 (none) to 5 (6 or more) and the sense of relationship ranges from 1(strongly disagree) to 5 (strongly agree). The possible summed scores range from 6 to 30, with higher scores indicating less social isolation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Digital Social Participation (Anderberg et al., 2021; JMIR) | 12 month | This 6-item questionnaire measures extent to which someone feels that digital technology is beneficial in their life. Response options range from 1 (strongly disagree) to 5 (strongly agree), so total summed scores range from 6 -30. A higher scores indicates more positive perceptions of digital technology. |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORMatthew Kreuter, PhD, MPH
Washington University School of Medicine
Outcome results
None listed