Connect ME: Improving Social Connectedness
Improving Social Connectedness in Homebound Older Adults by Integrating a Brief Evidence-Based Telehealth Intervention Into Area Agency on Aging Services
1 other identifier
interventional
11
1 country
1
Brief Summary
To assess the reach and effectiveness of a behavioral activation intervention for older adults experiencing low social connectedness by Area Agency on Aging Staff.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started May 2023
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
First Submitted
Initial submission to the registry
December 22, 2022
CompletedFirst Posted
Study publicly available on registry
January 17, 2023
CompletedStudy Start
First participant enrolled
May 1, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 30, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
January 30, 2025
CompletedApril 3, 2025
March 1, 2025
1.8 years
December 22, 2022
March 31, 2025
Conditions
Outcome Measures
Primary Outcomes (6)
Social Connectedness A, Baseline
10-item Duke Social Support Index (DSSI)
before the intervention
Social Connectedness A, Change from Baseline to Post Intervention
10-item Duke Social Support Index (DSSI)
immediately following the intervention
Social Connectedness A, Change from Post Intervention to Follow Up
10-item Duke Social Support Index (DSSI)
12 weeks post intervention
Social Connectedness B, Baseline
8-item PROMIS Social Isolation Scale
before the intervention
Social Connectedness B, Change from Baseline to Post Intervention
8-item PROMIS Social Isolation Scale
immediately following the intervention
Social Connectedness B, Change from Post Intervention to Follow Up
8-item PROMIS Social Isolation Scale
12 weeks post-intervention
Secondary Outcomes (1)
Intervention Reach
12 Months
Study Arms (1)
Brief Behavioral Activation for Improving Social Connectedness
EXPERIMENTALActive, 6 session Brief Behavioral Activation for Improving Social Connectedness
Interventions
Brief Behavioral Activation for Improving Social Connectedness (BBAISC): BBAISC was developed to address social connectedness. Grounded in Behavioral Activation (Lejuez et al., 2011), BBAISC is a structured, 6-session skill-building intervention that has 4 key elements (Pepin et al., 2020): 1. Psychoeducation: Psychoeducation focused on homebound status, social connectedness, and associated changes in behavior. 2. Behavioral Activation intervention rationale: Framing how changing behavior can positively impact social connectedness (i.e., improve social connectedness and reduce loneliness). 3. Exploration of life areas, values, and activities: Focused on identifying life areas and values most relevant to the participant. Then, these values are used to generate activities that are aligned with those values. 4. Activity monitoring and planning: Participants are encouraged to schedule and organize their day based on what is important rather than their current mood or feeling state.
Eligibility Criteria
You may qualify if:
- Older adults (age\>60) will be enrolled because they are the target population served by the home-delivered meals program and the target sample for this study.
You may not qualify if:
- Clinically significant depression (Patient Health Questionnaire; PHQ-9 ≥ 10) or active suicide risk (Columbia Suicide Severity Rating Scale; C-SSRS), or Cognitive Impairment (Blessed Orientation-Memory-Concentration Test\>9)
- Clients who score 1 or greater on question 9 of the PHQ-9 will be further assessed for suicide risk using the Columbia-Suicide Severity Rating Scale (C-SSRS)
- We will exclude older adults with uncorrectable hearing or vision impairment rendering them unable to use the tele-conferencing equipment.
- Those who cannot speak English and have impaired decision-making capacity
- Adults unable to consent will be excluded
- Individuals who are not yet adults (infants, children, teenagers) will be excluded
- Pregnant women will be excluded
- Prisoners will be excluded
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Dartmouth-Hitchcock Medical Center
Lebanon, New Hampshire, 03756, United States
Study Officials
- PRINCIPAL INVESTIGATOR
Renée L Pepin, PhD
Dartmouth-Hitchcock Medical Center
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Assistant Professor
Study Record Dates
First Submitted
December 22, 2022
First Posted
January 17, 2023
Study Start
May 1, 2023
Primary Completion
January 30, 2025
Study Completion
January 30, 2025
Last Updated
April 3, 2025
Record last verified: 2025-03
Data Sharing
- IPD Sharing
- Will not share