Tele-Drama Therapy for Community-Dwelling Older Adults With Constricted Life Space Mobility

NCT06419881 | Completed

• 1 other identifier: 217/22
• Study Type: interventional
• Target: 111
• Locations: 1 country
• Sites: 1

Brief Summary

Older adults with constricted life-space mobility face increased risk of social isolation and poor mental health. Despite the benefits of therapeutic interventions, the literature indicates low use of mental health services in the older population, often due to mobility limitations and/or negative attitudes toward psychotherapy. Developing accessible interventions that address negative attitudes towards mental health services is crucial. Group drama therapy has shown to improve the mental health of older adults, and the creative process itself may help overcome stigmas associated with seeking mental health services. The aim of this study was to explore a 12-week tele-drama therapy group intervention tailored for older adults with constricted mobility. The intervention integrated playback theatre and life review therapy, and was delivered via Uniper Care, an accessible technology designed for older adults. The study will explore the contribution of the intervention and will examine the relationship between processes in drama therapy and their contribution on older adults mental health. This study will also explore the experience of participants, therapists and staff members.

Conditions

Constricted Life Space Mobility; Tele-drama Therapy

Keywords

Life Space Mobility; Tele-drama therapy intervention; Older Adults; Mental health; Social Connectedness

Outcome Measures

Primary Outcomes (6)

• Social Connectedness

  Social connectedness was measured using a composite score of two measures: The 10-item satisfaction in social relationships subscale from the UCLA loneliness scale (Russell et al., 1980), and the 9-item positive relationships with others subscale of the psychological well-being scale (Ryff, 1991); both measures were rated on a 5-point scale.

  (1) Baseline, (2) Post intervention

• Psychological well-being

  Psychological well-being was measured using two subscales from the Ryff scale (1991): self-acceptance and personal developement , which were rated from 1 (Strongly disagree) to 5 (Strongly agree).

  (1) Baseline, (2) up to 1 week post intervention

• Meaning in life

  Meaning in life was measured using an abridged 8-items version (Krause, 2007), adapted for older adults. Items were rated from 1 (Strongly disagree) to 5 (Strongly agree).

  (1) Baseline, (2) up to 1 week post intervention

• Well-being

  Well-being was measured using the 5-item WHO-5 scale (Gosling et al., 2003; Keisari et al., 2022). Items were rated from 0 (Never) to 5 (All the time).

  (1) Baseline, (2) up to 1 week post intervention

• Loneliness

  Loneliness was measured using the 10-item dissatisfaction in social relationships subscale from the UCLA loneliness scale (Russell et al., 1980), with an additional item ("I feel lonely"). Items were rated from 1 (Never) to 5 (Always).

  (1) Baseline, (2) up to 1 week post intervention

• Depressive symptoms

  Depressive symptoms were measured using the Geriatric Depression Scale (Yesavage et al., 1982), a questionnaire composed of 15 yes/no questions that relate to how participants felt in the previous week.

  (1) Baseline, (2) up to 1 week post intervention

Secondary Outcomes (7)

• Therapeutic alliance

  up to 1 week after session No. 10

• Meaningfulness in drama therapy

  up to 1 week after session No. 10

• Vitality

  up to 1 week after session No. 10

• Subjective social support

  up to 1 week after session No. 10

• Flow

  up to 1 week after session No. 10

Study Arms (2)

Tele-drama therapy intervention

EXPERIMENTAL

This arm received a 12-week tele-drama therapy intervention, with each session lasting 75 minutes via the Uniper Care platform.

Behavioral: Tele-drama therapy

Usual Care

OTHER

This usual care arm continued to receive routine activities provided by Uniper Care.

Other: Usual Care

Interventions

Tele-drama therapy BEHAVIORAL

A 12-week tele-drama therapy group intervention integrating Playback Theater and Life Review Therapy

Tele-drama therapy intervention

Usual Care OTHER

This arm continued to receive the routine activities provided by Uniper Care

Usual Care

Eligibility Criteria

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

You may qualify if:

• age 65 and over with constricted life space mobility
• with normal cognitive functioning (assessed by the research coordinator and community coordinators at Uniper Care)
• selected by the research coordinator and community coordinators as suitable to participate in a treatment group
• with sufficient mastery of the Hebrew language
• with an absence of a diagnosis of a mental disorder
• who expressed interest in taking part in a drama therapy intervention and provided informed consent.

You may not qualify if:

• older adults who experienced the loss of a souse or child six months prior to the intervention
• participants in the experimental group who missed four or more of the 12 sessions.

Sponsors & Collaborators

• University of Haifa: lead
• Uniper Care: collaborator

Study Sites (1)

Uniper Care

Tel Aviv, Israel

Location

MeSH Terms

Conditions

Psychological Well-Being

Condition Hierarchy (Ancestors)

Personal Satisfaction; Behavior

Study Officials

• Shoshi Keisari, PhD

  University of Haifa

  PRINCIPAL INVESTIGATOR

• Hod Orkibi, PhD

  University of Haifa

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: Participants were randomly assigned to eight tele-drama therapy treatment groups or eight usual care groups. Participants in the experiment group received a 12-week tele-drama therapy intervention, with each session lasting 75 minutes via the Uniper Care platform. Participants in the usual care groups continued to receive the routine activities provided by Uniper Care. As a token of gratitude for their participation, participants in the control groups were offered a 3-session online playback theater workshop, in addition to a gift card.

Study Record Dates

• First Submitted: May 9, 2024
• First Posted: May 17, 2024
• Study Start: March 3, 2022
• Primary Completion: October 30, 2022
• Study Completion: January 29, 2023
• Last Updated: May 17, 2024

Record last verified: 2024-05

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
• Time Frame: One year after publication
• Access Criteria: Upon Request

Locations

IL (1)