Effect of Personalised Citizen Assistance for Social Participation(APIC) on Older Adults Health and Social Participation

NCT03161860 | Active Not Recruiting DMC

• 1 other identifier: MP-31-2018-2424
• Study Type: interventional
• Target: 180
• Locations: 1 country
• Sites: 6

Brief Summary

Global aging and the growing burden of chronic diseases represent a challenge. Innovative interventions acting upon health determinants, like social participation, are required. Social participation, defined as the involvement of a person in activities that provide interactions with others in the community is critical to promote health and prevent disabilities. Many older adults do not have equitable opportunities to achieve full social participation, and interventions under-empower their personal and environmental resources and only reach a minority. To optimize current practices, the Personalised citizen assistance for social participation (APIC), an intervention demonstrated as being feasible and having positive impacts, needs further evaluation. The first aim of this study is evaluate the impacts of the APIC on older adults' health, social participation, life satisfaction and healthcare services utilisation. The second aim is to evaluate the cost-effectiveness of the intervention. In parallel, the implementation of the APIC, including factors facilitating and impeding it, will be documented. Concerning the first two objectives, two hypotheses are formulated: 1) the APIC will prevent a decline in older women's and men's health, social participation and life satisfaction, and reduce their use of healthcare services, and 2) the APIC will be associated with lower costs, from older adults', healthcare system and societal perspectives, including healthcare expenditures.

Conditions

Community-dwelling Older Adults

Keywords

Program evaluation; Cost-effectiveness; Community participation; empowerment

Outcome Measures

Primary Outcomes (1)

• v2 of the 36-Item Short-Form Health Survey (SF-36) (''change'' is is being assessed)

  Physical and mental health

  Baseline, 12, 18, 24 months

Secondary Outcomes (3)

• Social participation scale

  Baseline, 12, 18, 24 months

• Life Satisfaction Index-Z

  Baseline, 12, 18, 24 months

• Use of healthcare services-Standardized questionnaire

  every two months over a 2-year period

Study Arms (2)

Personalised citizen assistance

EXPERIMENTAL

The experimental group will receive the Personalised citizen assistance for social participation (APIC), i.e. weekly 3-hour personalised stimulation sessions by a trained volunteer over 12 months. Sessions will encourage empowerment, gradual mobilisation of personal and environmental resources, and community integration.

Behavioral: Personalised citizen assistance for social participation(APIC)

Control group

NO INTERVENTION

The control group will receive the publicly-funded universal healthcare services available to all Quebecers.

Interventions

Personalised citizen assistance for social participation(APIC) BEHAVIORAL

The APIC involves a non-professional attendant who, after 2 to 5 days of training, provides a two to three-hour stimulation session each week over a six to eighteen-month period targeting significant social and leisure activities that are otherwise difficult for older adults to accomplish.

Personalised citizen assistance

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• be aged 65 or older,
• live at home or in seniors' residences,
• be restricted in at least one instrumental activity of daily living (e.g. house cleaning, shopping), and
• have a good understanding of French or English.

You may not qualify if:

• Moderate to severe cognitive impairments

Sponsors & Collaborators

• Mélanie Levasseur: lead
• Canadian Institutes of Health Research (CIHR): collaborator

Study Sites (6)

Centre d'action bénévole Drummond

Drummondville, Quebec, J2C 3W1, Canada

Location

Centre d'action bénévole Bellechasse-Lévis-Lotbinière

Lévis, Quebec, G6V 1N6, Canada

Location

Service d'aide et de référencement Anjou (SARA-Anjou)

Montreal, Quebec, H1K 4J4, Canada

Location

Carrefour communautaire Montrose

Montreal, Quebec, H1X 2X2, Canada

Location

Centre ABC

Montreal, Quebec, H4L 3Y6, Canada

Location

Accorderie de Sherbrooke, coopérative de solidarité

Sherbrooke, Quebec, J1H 5N6, Canada

Location

Related Publications (2)

• Levasseur M, Chaintre-Prieur A, Dubois MF, Maisonneuve C, Filiatrault J, Vassiliadis HM. Strengths, challenges, and strategies for implementing pragmatic multicenter randomized controlled trials (RCTs): example of the Personalized Citizen Assistance for Social Participation (APIC) trial. Trials. 2024 Jun 27;25(1):415. doi: 10.1186/s13063-024-08248-w.

  PMID: 38937798 DERIVED

• Levasseur M, Dubois MF, Filliatrault J, Vasiliadis HM, Lacasse-Bedard J, Tourigny A, Levert MJ, Gabaude C, Lefebvre H, Berger V, Eymard C. Effect of personalised citizen assistance for social participation (APIC) on older adults' health and social participation: study protocol for a pragmatic multicentre randomised controlled trial (RCT). BMJ Open. 2018 Mar 31;8(3):e018676. doi: 10.1136/bmjopen-2017-018676.

  PMID: 29605819 DERIVED

MeSH Terms

Conditions

Empowerment

Condition Hierarchy (Ancestors)

Social Behavior; Behavior

Study Officials

• Mélanie Levasseur

  Université de Sherbrooke; Research centre on aging

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Due to the type of intervention, coordinators, volunteers and participants will not be blinded to the interventions. However, they will not be informed about the study hypotheses. Research assistants and the statistician responsible for the analysis will be blinded to the intervention until completion of the study.
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Research Professor

Study Record Dates

• First Submitted: May 17, 2017
• First Posted: May 22, 2017
• Study Start: October 4, 2017
• Primary Completion: August 1, 2025
• Study Completion: December 1, 2025
• Last Updated: March 28, 2025

Record last verified: 2024-12

Locations

CA (6)