The Effectiveness of Peer-to-Peer Community Support to Promote Aging in Place

NCT02308696 | Completed Results

• 2 other identifiers: 2014-1013000001
• Study Type: interventional
• Target: 456
• Locations: 1 country
• Sites: 5

Brief 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. 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. 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.

Conditions

Wellness Programs; Hospitalization; Emergency Room

Keywords

Older Adults; Aging in Place

Outcome Measures

Primary Outcomes (1)

• Number of Hospitalizations, Emergency Department Visits, and Urgent Care Visits

  Investigators will ask participants to report their hospitalizations, ED and Urgent Care visits over the course of a 1 year follow up

  1 year

Secondary Outcomes (10)

• 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).

  1 year

• Depressive Symptoms as Assessed by the 10 Item Version of the Center of Epidemiologic Studies-Depression Scale

  1 year

• Anxiety Symptoms as Assessed by the 5-item Version of the Geriatric Anxiety Inventory Short Form

  1 year

• Loneliness as Assessed by the Short Scale for Measuring Loneliness in a Large Survey

  1 year

• Self-Efficacy as Assessed by the General Self-efficacy Scale to Measure an Individual's Sense of Perceived Self-efficacy.

  1 year

Study Arms (2)

Peer-to-peer support (non-randomized)

EXPERIMENTAL

225 older adults that are currently receiving peer-to-peer support

Behavioral: Peer-to-Peer Support

Standard Services (non-randomized)

ACTIVE COMPARATOR

225 older adults will continue receiving standard community services

Behavioral: Standard Community Services

Interventions

Peer-to-Peer Support BEHAVIORAL

All three data collection sites run peer-to-peer community support programs. Core program elements include the same program objective, standard definition of who qualifies for peer-to-peer support, the mechanism by which older adults are referred for consideration for peer-support, core elements of training programs for the older adults who volunteer to provide the peer support, and monthly in-service trainings for all volunteers once trained, weekly hours that volunteers spend providing support, and provision of small stipends for volunteers.As they find their role very rewarding, there is very little peer turn-over; the vast majority of peers volunteer for years in this role, until they themselves start requiring services.

Peer-to-peer support (non-randomized)

Standard Community Services BEHAVIORAL

All three data collection sites will continue to provide standard community services to the older adults that are not enrolled in the peer-to-peer support program

Standard Services (non-randomized)

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• 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
• Enrolled in the peer-to-peer support program and have an assigned peer volunteer

You may not qualify if:

• \< 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

Sponsors & Collaborators

• University of Wisconsin, Madison: lead
• Community Place: collaborator
• Jewish Family Service of Los Angeles: collaborator
• Alpert Jewish Family And Childrens Service: collaborator
• Alliance for Children and Families: collaborator
• Patient-Centered Outcomes Research Institute: collaborator

Study Sites (5)

Jewish Family Service

Los Angeles, California, 90010, United States

Location

Alpert Jewish Family and Children's Service

West Palm Beach, Florida, 33407, United States

Location

Community Place of Greater Rochester

Rochester, New York, 14609, United States

Location

University of Wisconsin

Madison, Wisconsin, 53705, United States

Location

Aliance For Children and Families

Milwaukee, Wisconsin, 53224, United States

Location

MeSH Terms

Conditions

Emergencies

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Limitations and Caveats

Our study was limited by the fact that we could not randomize participants and our groups were significantly different in some baseline characteristics.

Results Point of Contact

• Title: Amy Amessoudji
• Organization: Univ. WI Madison

amessoudji@surgery.wisc.edu

608-263-2621

Study Officials

• Elizabeth A Jacobs, MD MPP

  UMadison

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 2, 2014
• First Posted: December 4, 2014
• Study Start: March 1, 2015
• Primary Completion: December 1, 2017
• Study Completion: December 1, 2017
• Last Updated: October 4, 2019
• Results First Posted: October 4, 2019

Record last verified: 2019-09

Data Sharing

• IPD Sharing: Will not share

Locations

US (5)