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Social Connections and Healthy Aging (The Senior Connection) (TSC)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01408654
Recruitment Status : Completed
First Posted : August 3, 2011
Last Update Posted : April 22, 2016
Centers for Disease Control and Prevention
Information provided by (Responsible Party):
Yeates Conwell, University of Rochester

Brief Summary:
This randomized trial compares peer companionship to care-as-usual in primary care on the outcome of risk for suicidal behavior in late life. The investigators hypothesize that older adults assigned to receive peer companionship will report greater social connectedness and less death and suicidal ideation compared to older adults assigned to care as usual.

Condition or disease Intervention/treatment Phase
Suicidal Ideation Depression Behavioral: Peer Companionship Phase 2

Detailed Description:

There is a pressing need for interventions that reduce risk for suicide in later life. Older adults in the U.S. have the highest rate of suicide and are the fastest growing segment of the population. The investigators can anticipate a large rise in the number of older adults who die by suicide in coming decades. This application is in response to RFA-CE-10-006. Consistent with the CDC's key strategy of reducing suicide by promoting connectedness, our long-term goal is to reduce late life suicide-related morbidity and mortality by leveraging the resources and expertise of the aging services provider network (ASPN) to address unmet social needs of community-dwelling older adults. Our objectives with this proposal are (1) to examine whether linking socially disconnected seniors with peer supports through the Retired and Senior Volunteer Program (RSVP) is effective in reducing risk for suicide, and (2) to test an hypothesized mechanism for the association of social disconnectedness and suicidal ideation and behavior informed by the Interpersonal Theory of Suicide.

The investigators will recruit 400 primary care patients (200 men and 200 women) over age 60 years who endorse feeling lonely and/or as if they are a burden on others. They will be randomly assigned to either of two conditions. Those assigned to The Senior Connection (TSC) will either be paired with a peer companion or, if they prefer and are eligible, be trained and placed as a peer companion for others by RSVP. The comparison group will receive no further intervention ("care-as-usual" [CAU]). Subjects will be followed for up to 24 months with repeated in-home (baseline, 12, and 24 months) and telephone assessments (3, 6, and 18 months).

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 368 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Social Connections and Healthy Aging (The Senior Connection)
Study Start Date : September 2011
Actual Primary Completion Date : March 2016
Actual Study Completion Date : March 2016

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Suicide

Arm Intervention/treatment
Experimental: Peer Companionship
Behavioral intervention: Receipt of peer companionship provided by trained, supervised volunteer companions.
Behavioral: Peer Companionship
Peer companionship is provided at least four times per month over two years in the form of friendly visiting, supportive phone calls, and some instrumental support.
Other Name: Intervention is administered to the peer companionship arm.

No Intervention: Care-as-Usual
Care-as-Usual in Primary Care

Primary Outcome Measures :
  1. Suicidal Ideation [ Time Frame: Baseline, 3,6,12,18,24 months ]
    Severity of suicidal and death ideation assessed with the Geriatric Suicide Ideation Scale

Secondary Outcome Measures :
  1. Social Connectedness [ Time Frame: Baseline, 3,6,12,18,24 months ]
    Thwarted belongingness and perceived burdensomeness assessed by the Interpersonal Needs Questionnaire.

  2. Connectedness [ Time Frame: Baseline, 3,6,12,18,24 months ]
    Social network size/density/quality assessed with the National Social Life, Health, and Aging Project Social Network Module.

  3. Depression [ Time Frame: Baseline, 3,6,12,18,24 months ]
    Assessed with the PHQ-9

Information from the National Library of Medicine

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Ages Eligible for Study:   60 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Age 60 or older
  • Primary Care Patient
  • Endorses feeling lonely and/or like a burden in the the past two weeks

Exclusion Criteria:

  • Positive dementia screen
  • Current alcohol abuse
  • Psychosis
  • Suicidal ideation with intent to act (current or past month.)

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 identifier (NCT number): NCT01408654

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United States, New York
University of Rochester School of Medicine and Dentistry
Rochester, New York, United States, 14642
Sponsors and Collaborators
University of Rochester
Centers for Disease Control and Prevention
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Responsible Party: Yeates Conwell, Co-Chair, Department of Psychiatry, Professor of Psychiatry, University of Rochester Identifier: NCT01408654    
Other Study ID Numbers: 1U01CE001942-01 ( U.S. NIH Grant/Contract )
First Posted: August 3, 2011    Key Record Dates
Last Update Posted: April 22, 2016
Last Verified: April 2016
Keywords provided by Yeates Conwell, University of Rochester:
Suicidal Ideation
Social Support
Voluntary Workers
Additional relevant MeSH terms:
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Suicidal Ideation
Behavioral Symptoms
Self-Injurious Behavior