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Impact of an intergenerational program to improve loneliness and social isolation in older adults initiated at the time of emergency department discharge: study protocol for a three-arm randomized clinical trial.
Zheng, David; Rose, Louise; Borgundvaag, Bjug; McLeod, Shelley L; Melady, Donald; Mohindra, Rohit; Sinha, Samir; Wesson, Virginia; Wiesenfeld, Lesley; Kolker, Sabrina; Kiss, Alex; Lowthian, Judy A; Lee, Jacques S.
Afiliación
  • Zheng D; Schulich School of Medicine and Dentistry, 1151 Richmond St, London, ON, N6A 5C1, Canada. dzheng33@uwo.ca.
  • Rose L; Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK.
  • Borgundvaag B; Schwartz/Reisman Emergency Medicine Institute, Sinai Health, Toronto, ON, Canada.
  • McLeod SL; Mount Sinai Hospital, Sinai Health, Toronto, ON, Canada.
  • Melady D; University of Toronto, Toronto, ON, Canada.
  • Mohindra R; Schwartz/Reisman Emergency Medicine Institute, Sinai Health, Toronto, ON, Canada.
  • Sinha S; Mount Sinai Hospital, Sinai Health, Toronto, ON, Canada.
  • Wesson V; University of Toronto, Toronto, ON, Canada.
  • Wiesenfeld L; Schwartz/Reisman Emergency Medicine Institute, Sinai Health, Toronto, ON, Canada.
  • Kolker S; Mount Sinai Hospital, Sinai Health, Toronto, ON, Canada.
  • Kiss A; University of Toronto, Toronto, ON, Canada.
  • Lowthian JA; Schwartz/Reisman Emergency Medicine Institute, Sinai Health, Toronto, ON, Canada.
  • Lee JS; University of Toronto, Toronto, ON, Canada.
Trials ; 25(1): 425, 2024 Jun 28.
Article en En | MEDLINE | ID: mdl-38943176
ABSTRACT

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:

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.

DISCUSSION:

We hypothesize participants receiving the intergenerational intervention will show improved outcomes compared to the control group and peer support HOW R U? INTERVENTION 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. TRIAL REGISTRATION ClinicalTrials.gov NCT05998343 Protocol ID21-0074E. Registered on 24 July 2023.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Alta del Paciente / Aislamiento Social / Ensayos Clínicos Controlados Aleatorios como Asunto / Servicio de Urgencia en Hospital / Soledad Límite: Aged / Female / Humans / Male Idioma: En Revista: Trials Asunto de la revista: MEDICINA / TERAPEUTICA Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Reino Unido
Texto completo
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XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Alta del Paciente / Aislamiento Social / Ensayos Clínicos Controlados Aleatorios como Asunto / Servicio de Urgencia en Hospital / Soledad Límite: Aged / Female / Humans / Male Idioma: En Revista: Trials Asunto de la revista: MEDICINA / TERAPEUTICA Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Reino Unido