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The Effectiveness of Peer-to-Peer Community Support to Promote Aging in Place

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ClinicalTrials.gov Identifier: NCT02308696
Recruitment Status : Unknown
Verified October 2016 by University of Wisconsin, Madison.
Recruitment status was:  Active, not recruiting
First Posted : December 4, 2014
Last Update Posted : October 20, 2016
Sponsor:
Collaborators:
Community Place
Jewish Family Service of Los Angeles
Alpert Jewish Family And Childrens Service
Alliance for Children and Families
Patient-Centered Outcomes Research Institute
Information provided by (Responsible Party):
University of Wisconsin, Madison

Brief Summary:

The investigators' overall objective is to evaluate the effectiveness of peer-to-peer support programs in preventing the necessity of acute health care and nursing home services for older adult populations and in promoting their health and wellness. The investigators' Specific Aims are:

  1. To compare the effectiveness of peer-to-peer community support in preventing hospitalization, emergency department (ED) use, and nursing home placement in an at-risk older adult population relative to standard community services.
  2. To compare the effect of peer-to-peer community support on intermediary measures of health and wellness such as self-rated health, depression, and anxiety relative to standard community services.

Condition or disease Intervention/treatment Phase
Wellness Programs Hospitalization Emergency Room Behavioral: Peer-to-Peer Support Behavioral: Standard Community Services Not Applicable

Detailed Description:

The investigators will accomplish the aims by conducting a longitudinal comparative-effectiveness study in which at-risk older adult study participants in three communities across the US are followed for 12-months. Using a quasi-experimental design, investigators will compare outcomes in those receiving peer-to-peer community support to those receiving standard community services.

At all three sites investigators will include 120 older adults in the peer-to-peer support group and 120 in the standard community services group for a total intervention group size of 360 (120 from each site) and 360 in the control group (120 from each site).

Study Outcomes & Measures To meet the first two aims investigators will (1) compare annualized rates of hospitalization, ED use, and nursing home placement and (2) examine the changes in self-reported health, depression, anxiety, and other measures of well-being in the group receiving peer-to-peer support compared to the group receiving standard community services from baseline to the end of study enrolment. The investigators describe each of our outcomes and additional study measures in detail below. Measures have been translated and used in Spanish and have been shown to be valid or have high reliability in Spanish


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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 457 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: The Effectiveness of Peer-to-Peer Community Support to Promote Aging in Place
Study Start Date : March 2015
Estimated Primary Completion Date : October 2017
Estimated Study Completion Date : October 2017

Arm Intervention/treatment
Experimental: Peer-to-peer support (non-randomized)
225 older adults that are currently receiving peer-to-peer support
Behavioral: Peer-to-Peer Support
All three data collection sites run peer-to-peer community support programs. Core program elements include the same program objective, standard definition of who qualifies for peer-to-peer support, the mechanism by which older adults are referred for consideration for peer-support, core elements of training programs for the older adults who volunteer to provide the peer support, and monthly in-service trainings for all volunteers once trained, weekly hours that volunteers spend providing support, and provision of small stipends for volunteers.As they find their role very rewarding, there is very little peer turn-over; the vast majority of peers volunteer for years in this role, until they themselves start requiring services.

Active Comparator: Standard Services (non-randomized)
225 older adults will continue receiving standard community services
Behavioral: Standard Community Services
All three data collection sites will continue to provide standard community services to the older adults that are not enrolled in the peer-to-peer support program




Primary Outcome Measures :
  1. Number of Hospitalizations, Emergency Department Visits, and Urgent Care visits [ Time Frame: 1 year ]
    Investigators will ask participants to report their hospitalizations, ED and Urgent Care visits over the course of a 1 year follow up


Secondary Outcome Measures :
  1. Health Status and Quality of Life [ Time Frame: 1 year ]
    Investigators will use the 12-item Short Form to measure physical and mental health status

  2. Depressive Symptoms [ Time Frame: 1 year ]
    Investigators will use the 10 item version of the Center of Epidemiologic Studies-Depression scale to assess depressive symptoms

  3. Anxiety Symptoms [ Time Frame: 1 year ]
    Investigators will use the 5-item version of the Geriatric Anxiety Inventory Short Form to measure anxiety symptoms

  4. Loneliness [ Time Frame: 1 year ]
    Investigators will use the Short Scale for Measuring Loneliness in a large survey

  5. Self-Efficacy [ Time Frame: 1 year ]
    Investigators will use the General Self-efficacy Scale to measure an individual's sense of perceived self-efficacy.

  6. Resilience [ Time Frame: 1 year ]
    Investigators will use the Brief Resilience Scale to measure the ability of individuals to bounce back from stress.

  7. Social Support [ Time Frame: 1 year ]
    Investigators will use the 8-item medical outcomes study social support survey to measure social support


Other Outcome Measures:
  1. Sociodemographic Variables [ Time Frame: once ]
  2. Health Care Utilization Variables [ Time Frame: 1 year ]
  3. Behavioral and Physical Health Variables [ Time Frame: 1 year ]
  4. Chronic Health Conditions and Medication Use [ Time Frame: 1 year ]
  5. Peer-to-peer support variables [ Time Frame: 1 year ]


Information from the National Library of Medicine

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Ages Eligible for Study:   65 Years and older   (Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Overall

    • ≥65 years of age
    • Speaks English or Spanish
    • Lives independently in their community year-round
    • Meet the community defined criterion for receiving peer-to-peer support (at least one of the following)

      • Low income (at or below poverty level)
      • On a fixed income that barely meets their living expenses
      • Social and/or familial isolation
      • Chronic Illness
      • In need of frequent community services or resources. Peer-to-peer support group (must meet the overall inclusion criteria as well as the following)
    • Enrolled in the peer-to-peer support program and have an assigned peer volunteer

Exclusion Criteria:

  • < 65
  • Score ≤ 30 on the Telephone Interview of Cognitive Status (TICS) because they will not have the ability to complete the survey
  • State that it is unlikely that they will receive peer-to-peer support services for at least a year. Individuals who are unlikely to receive at least a year of services include those who need short-term help after a surgery and are likely to return to full functioning and those planning to transition to nursing home care or move away.

    • Currently receiving hospice services

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02308696


Locations
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United States, California
Jewish Family Service
Los Angeles, California, United States, 90010
United States, Florida
Alpert Jewish Family and Children's Service
West Palm Beach, Florida, United States, 33407
United States, New York
Community Place of Greater Rochester
Rochester, New York, United States, 14609
United States, Wisconsin
University of Wisconsin
Madison, Wisconsin, United States, 53705
Aliance For Children and Families
Milwaukee, Wisconsin, United States, 53224
Sponsors and Collaborators
University of Wisconsin, Madison
Community Place
Jewish Family Service of Los Angeles
Alpert Jewish Family And Childrens Service
Alliance for Children and Families
Patient-Centered Outcomes Research Institute
Investigators
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Principal Investigator: Elizabeth A Jacobs, MD MPP UMadison

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Responsible Party: University of Wisconsin, Madison
ClinicalTrials.gov Identifier: NCT02308696     History of Changes
Other Study ID Numbers: 000001
2014-1013 ( Other Identifier: UW HSIRB )
First Posted: December 4, 2014    Key Record Dates
Last Update Posted: October 20, 2016
Last Verified: October 2016
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Keywords provided by University of Wisconsin, Madison:
Older Adults
Aging in Place

Additional relevant MeSH terms:
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Emergencies
Disease Attributes
Pathologic Processes