Effectiveness of RISE as a Community-Based Stand-Alone Elder Abuse Intervention Model

NCT07527962 | Completed

• 1 other identifier: 2223-HQ-000382
• Study Type: interventional
• Target: 114
• Locations: 1 country
• Sites: 2

Brief Summary

The goal of this randomized clinical trial is to learn if the RISE intervention can improve the well being of older adults who are at risk of or experiencing elder abuse or self-neglect (EASN). The main questions it aims to answer are:

• Do older adults who go through the RISE intervention experience improvements in their well-being?
• Are older adults who go through RISE satisfied with this program? Researchers will compare older adults who receive a one-time consultation and resource-sharing service to older adults who receive the multi-session RISE intervention to see if there are differences in their well-being. Participants will engage in the RISE intervention over several months by telephone or in person to work on goals that are designed to reduce the risk of elder abuse or self-neglect, and they will participate in telephone-based surveys at three different times.

Conditions

Elder Abuse; Self Neglect

Keywords

Elder Abuse; Self Neglect; RISE; Intervention; Prevention

Outcome Measures

Primary Outcomes (1)

• Total Life Satisfaction

  A life satisfaction index comprising 7 key EASN intervention targets each measured on a Likert scale from 1 (never) to 4 (always), including satisfaction with: physical safety, overall health, social life, mood, financial situation, housing situation, and family life. This index is measured as a part of a telephone-based survey across three time points: baseline, 3-month follow-up, and 6-month follow-up.

  From enrollment to 6 months

Secondary Outcomes (7)

• PROMIS Perceived Stress

  From enrollment to 6 months

• PROMIS General Self-Efficacy

  From enrollment to 6 months

• PROMIS Social Interaction Self-Efficacy

  From enrollment to 6 months

• PROMIS Emotional Social Support

  From enrollment to 6 months

• PROMIS Information Social Support

  From enrollment to 6 months

Study Arms (2)

Treatment Group

EXPERIMENTAL

RISE Model

Behavioral: RISE Model

Control Group

ACTIVE COMPARATOR

Brief Consultation and Resource Sharing

Behavioral: Brief Consultation and Resource Sharing

Interventions

RISE Model BEHAVIORAL

RISE works with cases involving older adults who are at risk of (prevention) or experiencing (response intervention) EASN. The model operates at Relational, Individual, Social, and Environmental levels and, through its core modalities, the intervention seeks to Repair Harm (restorative approaches), Inspire Change (motivational interviewing), Support Connection (teaming), and Empower Choice (supported decision making). RISE intervenes with the individual older adult EASN victim and alleged harmer (when appropriate), their relationship, and strengthens their informal and formal social supports.

Treatment Group

Brief Consultation and Resource Sharing BEHAVIORAL

A brief 45-minute telephone consultation involving active listening skills and referral resource sharing

Control Group

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age 60+
• At risk of or experiencing EASN
• Cognitive capacity
• Lives in community

You may not qualify if:

• Lives in long-term care setting
• Cognitive impairment

Sponsors & Collaborators

• RISE Collaborative: lead
• Public Health Agency of Canada (PHAC): collaborator
• University of Toronto: collaborator
• Social Sciences and Humanities Research Council of Canada: collaborator

Study Sites (2)

Elder Abuse Prevention Ontario

Toronto, Ontario, M2K 2Y5, Canada

Location

Factor-Inwentash Faculty of Social Work

Toronto, Ontario, M5S 1V4, Canada

Location

Related Publications (4)

• MacNeil A, Connolly MT, Salvo E, Kimball PF, Rogers G, Lewis S, Burnes D. Use of Motivational Interviewing by Advocates in the Context of an Elder Abuse Response Intervention: The RISE Project. J Fam Violence. 2023 Apr 27:1-11. doi: 10.1007/s10896-023-00563-1. Online ahead of print.

  PMID: 37358985 BACKGROUND

• Campo-Tena L, Herbst JH, Choo WY, Burnes D, Couture M, Estebsari F, Kafando CSL, Rouamba G, Simbreni MM, Yan E, Yon Y, Mikton C. Seven candidate interventions to address abuse of older people. Age Ageing. 2025 Aug 29;54(9):afaf248. doi: 10.1093/ageing/afaf248.

  PMID: 40921050 BACKGROUND

• Burnes D, Connolly MT, Salvo E, Kimball PF, Rogers G, Lewis S. RISE: A Conceptual Model of Integrated and Restorative Elder Abuse Intervention. Gerontologist. 2023 Jul 18;63(6):966-973. doi: 10.1093/geront/gnac083.

  PMID: 35705108 BACKGROUND

• Lewis S, Connolly MT, Salvo E, Kimball PF, Rogers G, MacNeil A, Burnes D. Effect of an elder abuse and self-neglect intervention on repeat investigations by adult protective services: RISE project. J Am Geriatr Soc. 2023 Nov;71(11):3403-3412. doi: 10.1111/jgs.18506. Epub 2023 Jul 10.

  PMID: 37427825 BACKGROUND

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Model Details: RISE "advocates" receive training in and employ specific core modalities that define the RISE model. Motivational interviewing is used to help victims and harmers resolve ambivalence and elicit openness to the change process. Teaming is employed to engage both informal and formal supports to surround the victim. Restorative approaches are used with victims, alleged harmers, and others to help repair harm, hold harmers accountable and, where appropriate, restore relationships. Advocates are trained in engagement skills to navigate this threshold phase. To help facilitate behavioral change, goal setting is used as a dynamic process. Advocates deliver the intervention in person, over the phone, or using virtual teleconferencing methods. Cases remain open, on average, approximately 5 months and vary in the number and frequency of sessions based on the highly heterogenous and varying needs across cases.

Study Record Dates

• First Submitted: April 7, 2026
• First Posted: April 14, 2026
• Study Start: October 1, 2023
• Primary Completion: July 31, 2025
• Study Completion: July 31, 2025
• Last Updated: April 14, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will share
• Shared Documents: SAP, ANALYTIC CODE
• Time Frame: Beginning 6 months and ending 3 years after the publication of results
• Access Criteria: Researchers who are affiliated with an accredited post-secondary institution may request access to de-identified quantitative or qualitative data through written proposal to the principal investigator, which describes aims and analytic plan. The proposal will be reviewed by a RISE Collaborative research team and approval will be subject to an inter-institutional data sharing agreement.

Locations

CA (2)