Social Isolation or Loneliness
Conditions
Keywords
Loneliness, social connectedness, psychological well-being
Brief summary
The purpose of this study is to see if it is feasible to recruit and retain older adults in a, weekly phone call program delivered through the Harris County Precinct 2 Healthcare and Social Services Team and to see how participation in the program affect older adults' loneliness, social isolation, psychological well-being, and satisfaction, and what barriers or challenges arise during implementation
Interventions
BEHAVIORALTalk2gether program
Participants will be paired with a trained team member. The team member will then initiate contact with the older adult(s) to begin 90 days of weekly social calls. These weekly social calls will be mostly unstructured, but supported by resource and conversation guides. At the end of 90 days, if the older adult wishes to continue to receive calls, that request will be accommodated
Sponsors
The University of Texas Health Science Center, Houston
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* able to provide informed consent * able to speaks English or Spanish * able to hear sufficiently using the telephone
Exclusion criteria
* Need for another person to consent on the participant's behalf * suspected or confirmed decision-making capacity impairments * uncontrolled psychiatric illnesses such as schizophrenia, paranoia, delusion, or delirium
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Program Feasibility as assessed by number of participants recruited | end of intervention (90 days after baseline) | — |
| Program Feasibility as assessed by number of participants that adhered to the weekly calls | end of intervention (90 days after baseline) | — |
| Feasibility as assessed by number of participants that completed the program | end of intervention (90 days after baseline) | — |
| Feasibility as assessed by number of participants that encountered barriers or challenges as assessed by the Client Satisfaction Questionnaire (CSQ-8) | end of intervention (90 days after baseline) | This is an 8 item questionnaire and Items 2, 4, 5, and 8 are reverse scored. Total scores range from 8 to 32, with the higher number indicating greater satisfaction |
| Feasibility as assessed by number of participants that encountered barriers or challenges as reported on the Caller and Older Adult feedback form | end of intervention (90 days after baseline) | — |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in social connectedness as assessed by the Lubben Social Network Scale-6 | baseline, post-intervention (Day 90) | This is a 6-item self-report measure assessing perceived social support and social network size from family and friends. Each item is scored from 0 to 5, and total scores range from 0 to 30. Higher scores indicate greater social connectedness and lower risk of social isolation |
| Change in loneliness as assessed by the Patient-Reported Outcomes Measurement Information System (PROMIS) Social Isolation scale | Baseline, end of intervention (90 days) | This is an 8 item scale. Each item is rated on a 5-point scale from 1(never) to 5 ( always). Raw scores range from 8 to 40 and are converted to PROMIS T-scores, with a mean of 50 and standard deviation of 10 in the reference population. Higher scores indicate greater perceived social isolation/loneliness. |
| Change in depressive symptoms as assessed by the Patient Health Questionnaire-2 | Baseline, end of intervention (90 days) | This is a 2-item self-report measure . Each item is scored from 0 (not at all) to 3 (nearly every day). Total scores range from 0 to 6, with higher scores indicating greater depressive symptom burden. |
| Change in signs of elder mistreatment as assessed by the Elder Mistreatment Screening and Response Tool (EM-SART). | Baseline, end of intervention (90 days) | This is a 3 item questionnaire and each will be scored as either 1(yes) or 0(no) for a maximum score of 3. Higher scores or more endorsed concerns indicate a greater number of signs suggestive of elder mistreatment |
| Change in sense of purpose using the 7-item Ryff Purpose in Life Scale. | Baseline, end of intervention (90 days) | This is a 7 item questionnaire and each item is rated on a Likert-type scale, commonly from 1(strongly disagree) to 6( strongly agree). Negatively worded items are reverse scored, and item scores are summed to generate a total score. Total scores range from 7 to 42, with higher scores indicating a greater sense of purpose in life. |
| Client satisfaction as assessed by the Client Satisfaction Questionnaire | end of intervention (90 days) | This is an 8 item questionnaire. Scores are summed across items once. Items 2, 4, 5, and 8 are reverse scored. Total scores range from 8 to 32, with the higher number indicating greater satisfaction |
Countries
United States
Contacts
CONTACTJason Burnett, PhD
CONTACTJordan Broussard
PRINCIPAL_INVESTIGATORJason Burnett, PhD
The University of Texas Health Science Center, Houston
Outcome results
None listed