Online Interactive Courses on Loneliness and Quality of Life of Older Adults
Investigating the Effectiveness of Online Interactive Courses on Loneliness and Quality of Life of Older Adults in the Community During COVID-19 Pandemic: A Pilot Study and a Randomized Controlled Trial
1 other identifier
interventional
89
1 country
1
Brief Summary
Background: The early stage of the COVID-19 pandemic can be marked as a critical period in human history as it increased loneliness in people's lives. This is particularly true for the older adults who are single, living alone, and suffering from chronic diseases. However, there is insufficient existing research on associated interventions and their effectiveness. Objectives: To investigate the effectiveness of an 8-week online interactive course on the loneliness, depression, social support, and quality of life (QOL) of older adults in the community during the COVID-19 pandemic. Methods: This pilot study, also a single-blind randomized controlled trial, collected data from a community in central Taiwan. Participants were randomly divided into an experimental group and a control group. Subsequently, participants in the experimental group received an 8-week intensive (Monday to Friday) online interactive course, whereas those in the control group consumed 8 weeks of unidirectional online video and audio programs (such as from YouTube). Assessments were conducted both before and after the intervention, with the primary outcome being the UCLA Loneliness Scale (UCLA), and secondary outcomes being the Geriatric Depression Scale Short Form, the Inventory of Socially Supportive Behavior (ISSB) Scale, and the WHO Quality of Life-BREF (WHOQOL-BREF) Scale.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Feb 2021
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 1, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
July 30, 2021
CompletedFirst Submitted
Initial submission to the registry
August 5, 2021
CompletedFirst Posted
Study publicly available on registry
August 16, 2021
CompletedAugust 16, 2021
August 1, 2021
5 months
August 5, 2021
August 12, 2021
Conditions
Outcome Measures
Primary Outcomes (1)
UCLA Loneliness Scale (UCLA)
The third version of UCLA compiled by Russel (1996) was used to measure "loneliness." It was translated into Chinese by Chang and Yang (1999) and included 20 questions. Each question was scored on the 4-point Likert Scale, with 1: "I never feel this way," 2: "I rarely feel this way," 3: "I sometimes feel this way," and 4: "I often feel this way." The total score ranged between 20 and 80, and the higher the score, the higher the participant's degree of loneliness. In this study, the Cronbach's alpha of the pre- and post-intervention UCLA was 0.76 and 0.78, respectively.
10-20 minutes
Secondary Outcomes (3)
Geriatric Depression Scale Short Form (GDS-SF)
10-20 minutes
Inventory of Socially Supportive Behavior (ISSB) Scale
10-20 minutes
WHO Quality of Life-BREF (WHOQOL-BREF) Scale
10-20 minutes
Study Arms (2)
trial group
EXPERIMENTALParticipants in the experimental group received an 8-week intensive (Monday to Friday) online interactive course.
Control group
NO INTERVENTIONParticipants in the control group consumed 8 weeks of unidirectional online video and audio programs (such as from YouTube).
Interventions
In the experimental group, after consensus was reached in the expert meeting (consisting of a doctor specializing in occupational therapy, a doctor specializing in nursing, and a doctor specializing in public health), a 5-days-per-week (Monday to Friday) 8-week intensive online interactive course was designed. The course was made accessible to the participants through a social network app (Line) from 12:00 to 20:30.
Eligibility Criteria
You may qualify if:
- (1) senior residents aged over 60 years, those who were not diagnosed with any cognitive impairment;
- (2) capable of communicating in Mandarin or Taiwanese; and
- (3) capable of using smartphones.
You may not qualify if:
- (1) participants who could not fully complete the 8-week intervention (or participate in the course for at least three days per week); and
- (2) those who were incapable of understanding the content of the questionnaire.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Yang Shang-Yulead
Study Sites (1)
Asia Univeraity
Taichung, WuFeng, 41354, Taiwan
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Assistant professor
Study Record Dates
First Submitted
August 5, 2021
First Posted
August 16, 2021
Study Start
February 1, 2021
Primary Completion
July 1, 2021
Study Completion
July 30, 2021
Last Updated
August 16, 2021
Record last verified: 2021-08