背景:社会隔离和孤独感(SIL)与吸烟一样,使老年人的死亡率和其他结局恶化。我们先前测试了HOWRU?使用类似年龄志愿者的同伴支持进行干预的影响,并证明了从急诊科(ED)出院的老年人的SIL降低。生成性,定义为“建立和指导下一代的兴趣,“可以为通过年轻一代和老一辈成员之间的代际计划减少SIL提供替代的理论基础。当前的方案将检查年轻的代际志愿者提供HOWRU的影响?
方法:
方法:在这项随机临床试验中,我们将比较以下三个分支:(1)标准的同代对等支持如何RU?干预,(2)RU如何?代际志愿者提供的干预,和(3)公共等待列表控制组。结果评估员将对干预措施视而不见。训练有素的志愿者将每周拨打12次电话支持电话。我们将从两个ED中招募年龄≥70岁的参与者,这些参与者的基线孤独感(六项DeJong孤独感得分为2或更高)。研究人员将评估SIL,抑郁症,生活质量,功能状态,生成性,和基线时的感知收益,在12周,干预后24周。
结论:我们假设与对照组相比,接受代际干预的参与者将显示出改善的结果,并且同伴支持HOWRU?
方法:我们还假设,对生成性感知较高的参与者将比对生成性较低的参与者具有更大的SIL降低。衰老经历多样,与相关SIL作斗争的社会干预应反映这种多样性。作为肥胖相关行为干预试验(ORBIT)模型研究计划的一部分,本RCT的结果将用于确定哪些干预特征对降低SIL最有效.
背景:ClinicalTrials.govNCT05998343协议ID:21-0074E。2023年7月24日注册。
BACKGROUND: Social isolation and loneliness (SIL) worsens mortality and other outcomes among older adults as much as smoking. We previously tested the impact of the HOW R U? intervention using peer support from similar-aged volunteers and demonstrated reduced SIL among older adults discharged from the emergency department (ED). Generativity, defined as \"the interest in establishing and guiding the next generation,\" can provide an alternative theoretical basis for reducing SIL via
intergenerational programs between members of younger and older generations. The current protocol will examine the impact of younger
intergenerational volunteers providing the HOW RU?
METHODS: METHODS: In this randomized clinical trial, we will compare the following three arms: (1) the standard same-generation peer support HOW R U? intervention, (2) HOW R U? intervention delivered by
intergenerational volunteers, and (3) a common wait-list control group. Outcome assessors will be blinded to the intervention. Trained volunteers will deliver 12 weekly telephone support calls. We will recruit participants ≥ 70 years of age with baseline loneliness (six-item De Jong loneliness score of 2 or greater) from two EDs. Research staff will assess SIL, depression, quality of life, functional status, generativity, and perceived benefit at baseline, at 12 weeks, and 24 weeks post-intervention.
CONCLUSIONS: We hypothesize participants receiving the
intergenerational intervention will show improved outcomes compared to the control group and peer support HOW R U?
METHODS: We also hypothesize that participants with higher perceptions of generativity will have greater reductions in SIL than their lower generativity counterparts. Aging is experienced diversely, and social interventions combatting associated SIL should reflect that diversity. As part of a program of research following the Obesity-Related Behavioral Intervention Trials (ORBIT) model, the findings of this RCT will be used to define which intervention characteristics are most effective in reducing SIL.
BACKGROUND: ClinicalTrials.gov NCT05998343 Protocol ID:21-0074E. Registered on 24 July 2023.