N/A
N=456
The Effectiveness of Peer-to-Peer Community Support to Promote Aging in Place
Wellness Programs · Hospitalization · Emergency Room
Bottom Line
View on ClinicalTrials.gov: NCT02308696 ↗Enrolled (actual)
456
Serious AEs
0.0%
Results posted
Oct 2019
Primary outcome: Primary: Number of Hospitalizations, Emergency Department Visits, and Urgent Care Visits — 59; 53; 43; 51 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Peer-to-Peer Support (Behavioral); Standard Community Services (Behavioral)
- Age
- Older Adult · 65+ yrs
- Sex
- All
- Sponsor
- University of Wisconsin, Madison
- Primary completion
- Dec 2017
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Hospitalizations, Emergency Department Visits, and Urgent Care Visits |
59; 53; 43; 51; 10; 26 | — |
| SECONDARY Health Status and Quality of Life as Assessed by the Short Form-12 Question Physical Component Summary (SF-12 PCS) and the Short Form-12 Mental Component Summary (SF-12 MCS). |
49.0; 50.8; 51.2; 50.7; 50.1; 51.1 | — |
| SECONDARY Depressive Symptoms as Assessed by the 10 Item Version of the Center of Epidemiologic Studies-Depression Scale |
3.82; 3.71; 3.49; 3.17; 3.48; 3.34 | — |
| SECONDARY Anxiety Symptoms as Assessed by the 5-item Version of the Geriatric Anxiety Inventory Short Form |
1.80; 1.59; 1.51; 1.28; 1.82; 1.29 | — |
| SECONDARY Loneliness as Assessed by the Short Scale for Measuring Loneliness in a Large Survey |
1.70; 1.54; 1.66; 1.52; 1.75; 1.55 | — |
| SECONDARY Self-Efficacy as Assessed by the General Self-efficacy Scale to Measure an Individual's Sense of Perceived Self-efficacy. |
3.27; 3.44; 3.24; 3.35; 3.20; 3.29 | — |
| SECONDARY Resilience as Assessed by the Brief Resilience Scale |
3.47; 3.60; 3.46; 3.49; 3.29; 3.64 | — |
| SECONDARY Social Support as Assessed by the 8-item Medical Outcomes Study Social Support Survey |
3.48; 3.763; 3.50; 3.57; 3.54; 3.74 | — |
| SECONDARY Mobility Disability as Assessed by the Rosow-Breslow Scale |
1.85; 1.45; 1.69; 1.24; 1.90; 1.47 | — |
| SECONDARY Physical Health as Assessed by the NAGI Test |
3.02; 2.39; 2.74; 2.08; 2.97; 2.26 | — |
| SECONDARY Medical Conditions as Assessed by the Medical Conditions Questionnaire (MCQ) |
2.19; 2.10; 2.10; 1.70; 2.24; 1.88 | — |
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.
Eligibility 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
Data sourced from ClinicalTrials.gov (NCT02308696). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.