N/A N=75 Randomized Other

Improving Aging in Place in Subsidized Housing

Physical Disability · Cognitive Impairment · Physical Activity

Bottom Line

View on ClinicalTrials.gov: NCT04212442 ↗

Enrolled (actual)

Serious AEs

0.0%

Results posted

Nov 2024

Primary outcome: Primary: Change in Precipitating Events Project (PEP) Functional Status Scale From Baseline to 2 Months for Immediate Intervention Sites and Waitlist Control Sites — -1.3; 0.6 score on a scale

Study Design & Population

Study type: Interventional
Phase: N/A
Interventions: Independent Living Program for Affordable Housing. (Behavioral)
Age: Adult, Older Adult · 62+ yrs
Sex: All
Sponsor: University of Pennsylvania
Primary completion: Jan 2023

Outcome Measures

Outcome	Result	p-value
PRIMARY Change in Precipitating Events Project (PEP) Functional Status Scale From Baseline to 2 Months for Immediate Intervention Sites and Waitlist Control Sites	-1.3; 0.6	—
PRIMARY Change in Short Physical Performance Battery Score From Baseline to 2 Months for Immediate Intervention and Waitlist Control Sites	—	—
PRIMARY Change in Average Step Counts From Baseline to 2 Months for Immediate Intervention and Waitlist Control Sites	9,706; 3,880	—
PRIMARY Change in Time Spent in Differing Levels of Activity From Baseline to 2 Months for Immediate Intervention and Waitlist Control Sites	—	—
PRIMARY Change in Physical Activity Scale for the Elderly (PASE) Score From Baseline to 2 Months for Immediate Intervention and Waitlist Control Sites	4.52; 16.25	—
PRIMARY Feasibility of Study Recruitment, Measured as Percentage of Eligible Participants Recruited	47; 28	—
PRIMARY Feasibility of Study Retention, Measured as Percentage of Participants Retained Over Study Follow-up	42; 23	—
PRIMARY Acceptability Assessed Using a Survey Question	4.0; 5.0	—
PRIMARY Number of Participants With High Fidelity to Treatment Protocol, Measured Using Fidelity Checklist	37; 21	—
PRIMARY Fidelity to Motivational Interviewing, Measured Using the Motivational Interviewing Treatment Integrity Scale (MITI 4)	4.0; 4.0; 3.8; 3.8; 4.3; 4.3	—
SECONDARY Change in EuroQol 5 Dimensions (EQ-5D-5L) Scale From Baseline to 2 Months for Immediate Intervention and Waitlist Control Sites	0.09; -0.05	—
SECONDARY Change in Geriatric Depression Scale Short Form (GDS Short Form) Score From Baseline to 2 Months for Immediate Intervention and Waitlist Control Sites	-1.26; 0.42	—
SECONDARY Percentage of Participants With a Hospitalization During the Study Period (Baseline to 2 Months for Immediate Intervention and Waitlist Control Sites)	4; 2; 1; 1	—
SECONDARY Change in Number of Hospitalizations During the Study Period (Baseline to 2 Months for Immediate Intervention and Waitlist Control Sites)	-0.18; -0.08	—
SECONDARY Percentage of Participants With an Emergency Department Visit During the Study Period (Baseline to 2 Months for Immediate Intervention and Waitlist Control Sites)	5; 6; 7; 3	—
SECONDARY Change in Number of Emergency Department Visits During the Study Period (Baseline to 2 Months for Immediate Intervention and Waitlist Control Sites)	0.11; -0.38	—
SECONDARY Percentage of Participants With a Move to a Higher Level of Care (Baseline to 2 Months for Immediate Intervention and Waitlist Control Sites)	0; 0; 0; 0	—
SECONDARY Percentage of Participants With a Skilled Nursing Facility Stay (Baseline to 2 Months for Immediate Intervention and Waitlist Control Sites)	1; 0; 0; 0	—

Summary

This pilot study will evaluate the feasibility and preliminary effectiveness of an adapted version of the Function Focused Care intervention, delivered by telephone, for improving aging in place for older adults living in subsidized housing. The study will include participants with and without mild cognitive impairment or mild dementia and will examine whether the study outcomes differ by cognitive status. Findings from this study will provide new information about how to optimize function and physical activity among older adults with and without cognitive impairment living in subsidized housing.

Eligibility Criteria

Inclusion Criteria, Residents:

Lives in an included subsidized housing setting
62 years of age or older
Speaks English or Spanish well or very well
Able to provide informed consent OR able to provide assent and has a proxy who provides informed consent on his/her behalf
Has difficulty or needs help in at least 1 ADL and/or IADL OR has mild cognitive impairment or mild dementia based on their Montreal Cognitive Assessment (MoCA) score
Not enrolled in hospice

Inclusion Criteria, Study Partners:

Speaks English or Spanish well or very well
Able to provide informed consent
Spends at least an hour per week with the resident

Inclusion Criteria, Staff Members:

Speaks English or Spanish well or very well
Able to provide informed consent

Exclusion Criteria, Residents:

Younger than 62 years of age
Does not speak English or Spanish
Lacks decision making capacity and lacks a proxy to consent on his/her behalf
Does not have functional impairment or cognitive impairment
Has moderate to severe dementia based on his/her MoCA score
Is enrolled in hospice

Exclusion Criteria, Study Partners:

Does not speak English or Spanish
Unable to provide informed consent
Does not spend at least an hour per week with the resident

Exclusion Criteria, Staff Members:

Does not speak English or Spanish
Unable to provide informed consent

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04212442). 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.