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| ID | Type | Description | Link |
|---|---|---|---|
| 000001 | Other Identifier | UW |
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| Name | Class |
|---|---|
| Community Place | UNKNOWN |
| Jewish Family Service of Los Angeles | UNKNOWN |
| Alpert Jewish Family And Childrens Service | OTHER |
| Alliance for Children and Families |
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The investigators' overall objective is to evaluate the effectiveness of peer-to-peer support programs in preventing the necessity of acute health care and nursing home services for older adult populations and in promoting their health and wellness. The investigators' Specific Aims are:
The investigators will accomplish the aims by conducting a longitudinal comparative-effectiveness study in which at-risk older adult study participants in three communities across the US are followed for 12-months. Using a quasi-experimental design, investigators will compare outcomes in those receiving peer-to-peer community support to those receiving standard community services.
At all three sites investigators will include 120 older adults in the peer-to-peer support group and 120 in the standard community services group for a total intervention group size of 360 (120 from each site) and 360 in the control group (120 from each site).
Study Outcomes & Measures To meet the first two aims investigators will (1) compare annualized rates of hospitalization, ED use, and nursing home placement and (2) examine the changes in self-reported health, depression, anxiety, and other measures of well-being in the group receiving peer-to-peer support compared to the group receiving standard community services from baseline to the end of study enrolment. The investigators describe each of our outcomes and additional study measures in detail below. Measures have been translated and used in Spanish and have been shown to be valid or have high reliability in Spanish
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Peer-to-peer support (non-randomized) | Experimental | 225 older adults that are currently receiving peer-to-peer support |
|
| Standard Services (non-randomized) | Active Comparator | 225 older adults will continue receiving standard community services |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Peer-to-Peer Support | Behavioral | All three data collection sites run peer-to-peer community support programs. Core program elements include the same program objective, standard definition of who qualifies for peer-to-peer support, the mechanism by which older adults are referred for consideration for peer-support, core elements of training programs for the older adults who volunteer to provide the peer support, and monthly in-service trainings for all volunteers once trained, weekly hours that volunteers spend providing support, and provision of small stipends for volunteers.As they find their role very rewarding, there is very little peer turn-over; the vast majority of peers volunteer for years in this role, until they themselves start requiring services. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Hospitalizations, Emergency Department Visits, and Urgent Care Visits | Investigators will ask participants to report their hospitalizations, ED and Urgent Care visits over the course of a 1 year follow up | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Health Status and Quality of Life as Assessed by the Short Form-12 Question Physical Component Summary (SF-12 PCS) and the Short Form-12 Mental Component Summary (SF-12 MCS). | Investigators will use the Short Form-12 question Physical Component Summary (SF-12 PCS) and the Short Form-12 Mental component Summary (SF-12 MCS) to measure physical and mental health status. Summary scores range from 0-100, with higher scores indicating a better self-reported level of health. |
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Inclusion Criteria:
Overall
≥65 years of age
Speaks English or Spanish
Lives independently in their community year-round
Meet the community defined criterion for receiving peer-to-peer support (at least one of the following)
Enrolled in the peer-to-peer support program and have an assigned peer volunteer
Exclusion Criteria:
< 65
Score ≤ 30 on the Telephone Interview of Cognitive Status (TICS) because they will not have the ability to complete the survey
State that it is unlikely that they will receive peer-to-peer support services for at least a year. Individuals who are unlikely to receive at least a year of services include those who need short-term help after a surgery and are likely to return to full functioning and those planning to transition to nursing home care or move away.
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| Name | Affiliation | Role |
|---|---|---|
| Elizabeth A Jacobs, MD MPP | UMadison | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Jewish Family Service | Los Angeles | California | 90010 | United States | ||
| Alpert Jewish Family and Children's Service |
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| ID | Title | Description |
|---|---|---|
| FG000 | Peer-to-peer Support (Non-randomized) | 222 older adults that are currently receiving peer-to-peer support Peer-to-Peer Support: All three data collection sites run peer-to-peer community support programs. Core program elements include the same program objective, standard definition of who qualifies for peer-to-peer support, the mechanism by which older adults are referred for consideration for peer-support, core elements of training programs for the older adults who volunteer to provide the peer support, and monthly in-service trainings for all volunteers once trained, weekly hours that volunteers spend providing support, and provision of small stipends for volunteers.As they find their role very rewarding, there is very little peer turn-over; the vast majority of peers volunteer for years in this role, until they themselves start requiring services. |
| FG001 | Standard Services (Non-randomized) | 234 older adults will continue receiving standard community services Standard Community Services: All three data collection sites will continue to provide standard community services to the older adults that are not enrolled in the peer-to-peer support program |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Peer-to-peer Support (Non-randomized) | 222 older adults that are currently receiving peer-to-peer support Peer-to-Peer Support: All three data collection sites run peer-to-peer community support programs. Core program elements include the same program objective, standard definition of who qualifies for peer-to-peer support, the mechanism by which older adults are referred for consideration for peer-support, core elements of training programs for the older adults who volunteer to provide the peer support, and monthly in-service trainings for all volunteers once trained, weekly hours that volunteers spend providing support, and provision of small stipends for volunteers.As they find their role very rewarding, there is very little peer turn-over; the vast majority of peers volunteer for years in this role, until they themselves start requiring services. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Hospitalizations, Emergency Department Visits, and Urgent Care Visits | Investigators will ask participants to report their hospitalizations, ED and Urgent Care visits over the course of a 1 year follow up | It was determined that baseline characteristics between the groups were not comparable despite frequency-based matching on age, gender, race/ethnicity. A propensity score analytic method was used to make the groups more comparable at baseline. The participant numbers are based on this model (218, 227) to account for baseline differences. | Posted | Count of Participants | Participants | 1 year |
|
12 months
No adverser events were observed over the 12-month study period.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Peer-to-peer Support (Non-randomized) | 222 older adults that are currently receiving peer-to-peer support Peer-to-Peer Support: All three data collection sites run peer-to-peer community support programs. Core program elements include the same program objective, standard definition of who qualifies for peer-to-peer support, the mechanism by which older adults are referred for consideration for peer-support, core elements of training programs for the older adults who volunteer to provide the peer support, and monthly in-service trainings for all volunteers once trained, weekly hours that volunteers spend providing support, and provision of small stipends for volunteers.As they find their role very rewarding, there is very little peer turn-over; the vast majority of peers volunteer for years in this role, until they themselves start requiring services. |
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Our study was limited by the fact that we could not randomize participants and our groups were significantly different in some baseline characteristics.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Amy Amessoudji | Univ. WI Madison | 608-263-2621 | amessoudji@surgery.wisc.edu |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| SAP | No | Yes | No | Statistical Analysis Plan | Oct 30, 2017 | Feb 25, 2019 | SAP_000.pdf |
| Prot | Yes | No | No | Study Protocol | Apr 17, 2016 | Mar 26, 2019 | Prot_001.pdf |
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| ID | Term |
|---|---|
| D004630 | Emergencies |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| UNKNOWN |
| Patient-Centered Outcomes Research Institute | OTHER |
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|
| Standard Community Services | Behavioral | All three data collection sites will continue to provide standard community services to the older adults that are not enrolled in the peer-to-peer support program |
|
| 1 year |
| Depressive Symptoms as Assessed by the 10 Item Version of the Center of Epidemiologic Studies-Depression Scale | Investigators will use the 10 item version of the Center of Epidemiologic Studies-Depression scale to assess depressive symptoms. The possible range of scores is 0 to 10, with a score of zero indicating no depressive symptoms and a score of 10 indicating the most depressive symptoms | 1 year |
| Anxiety Symptoms as Assessed by the 5-item Version of the Geriatric Anxiety Inventory Short Form | Investigators will use the 5-item version of the Geriatric Anxiety Inventory Short Form to measure anxiety symptoms. The scale is 0 to 5, with 0 points indicating zero anxiety symptoms and 5 indicating the most anxiety symptoms. | 1 year |
| Loneliness as Assessed by the Short Scale for Measuring Loneliness in a Large Survey | Investigators will use the Short Scale for Measuring Loneliness in a large survey. Three item measure with a three-point response scale from 1-3, with a score of 1 indicating the least loneliness and a score of 3 indicating the most loneliness. | 1 year |
| Self-Efficacy as Assessed by the General Self-efficacy Scale to Measure an Individual's Sense of Perceived Self-efficacy. | Investigators will use the General Self-efficacy Scale to measure an individual's sense of perceived self-efficacy. The total score ranges between 1 and 4, with 1 indicating low self-efficacy and 4 indicating high self-efficacy. | 1 year |
| Resilience as Assessed by the Brief Resilience Scale | Investigators will use the Brief Resilience Scale to measure the ability of individuals to bounce back from stress. Six item scale scored from 1-5, with a score of 1 indicating low resilience and a score of 5 indicating high resilience. | 1 year |
| Social Support as Assessed by the 8-item Medical Outcomes Study Social Support Survey | Investigators will use the 8-item medical outcomes study social support survey to measure social support. Scored from 1-5, and a score of 1 indicates lower levels of social support while a score of 5 indicates higher levels of social support. | 1 year |
| Mobility Disability as Assessed by the Rosow-Breslow Scale | The Rosow-Breslow scale is a composite measure of mobility disability. The composite score ranges from 0 to 3 with higher scores indicating greater disability. | 1 year |
| Physical Health as Assessed by the NAGI Test | The NAGI test is a nine-item instrument scored from 1-5, with higher scores indicating less physical health. | 1 year |
| Medical Conditions as Assessed by the Medical Conditions Questionnaire (MCQ) | Medical Conditions Questionnaire has 9 yes/no questions on whether or not participants have ever had a condition like heart disease, cancer, diabetes, etc. It ranges from 0 to 9, with 0 indicating better overall health and 9 indicating poor overall health. | 1 year |
| West Palm Beach |
| Florida |
| 33407 |
| United States |
| Community Place of Greater Rochester | Rochester | New York | 14609 | United States |
| University of Wisconsin | Madison | Wisconsin | 53705 | United States |
| Aliance For Children and Families | Milwaukee | Wisconsin | 53224 | United States |
| Moved to a Higher Level of Care |
|
| BG001 | Standard Services (Non-randomized) | 234 older adults will continue receiving standard community services Standard Community Services: All three data collection sites will continue to provide standard community services to the older adults that are not enrolled in the peer-to-peer support program |
| BG002 | Total | Total of all reporting groups |
| Participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Count of Participants | Participants |
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| Region of Enrollment | Count of Participants | Participants |
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| Spanish Language Preferred | Count of Participants | Participants |
|
| OG001 | Standard Services (Non-randomized) | 234 older adults will continue receiving standard community services Standard Community Services: All three data collection sites will continue to provide standard community services to the older adults that are not enrolled in the peer-to-peer support program |
|
|
| Secondary | Health Status and Quality of Life as Assessed by the Short Form-12 Question Physical Component Summary (SF-12 PCS) and the Short Form-12 Mental Component Summary (SF-12 MCS). | Investigators will use the Short Form-12 question Physical Component Summary (SF-12 PCS) and the Short Form-12 Mental component Summary (SF-12 MCS) to measure physical and mental health status. Summary scores range from 0-100, with higher scores indicating a better self-reported level of health. | Posted | Mean | 95% Confidence Interval | units on a scale | 1 year |
|
|
|
| Secondary | Depressive Symptoms as Assessed by the 10 Item Version of the Center of Epidemiologic Studies-Depression Scale | Investigators will use the 10 item version of the Center of Epidemiologic Studies-Depression scale to assess depressive symptoms. The possible range of scores is 0 to 10, with a score of zero indicating no depressive symptoms and a score of 10 indicating the most depressive symptoms | Posted | Mean | 95% Confidence Interval | units on a scale | 1 year |
|
|
|
| Secondary | Anxiety Symptoms as Assessed by the 5-item Version of the Geriatric Anxiety Inventory Short Form | Investigators will use the 5-item version of the Geriatric Anxiety Inventory Short Form to measure anxiety symptoms. The scale is 0 to 5, with 0 points indicating zero anxiety symptoms and 5 indicating the most anxiety symptoms. | Posted | Mean | 95% Confidence Interval | units on a scale | 1 year |
|
|
|
| Secondary | Loneliness as Assessed by the Short Scale for Measuring Loneliness in a Large Survey | Investigators will use the Short Scale for Measuring Loneliness in a large survey. Three item measure with a three-point response scale from 1-3, with a score of 1 indicating the least loneliness and a score of 3 indicating the most loneliness. | Posted | Mean | 95% Confidence Interval | units on a scale | 1 year |
|
|
|
| Secondary | Self-Efficacy as Assessed by the General Self-efficacy Scale to Measure an Individual's Sense of Perceived Self-efficacy. | Investigators will use the General Self-efficacy Scale to measure an individual's sense of perceived self-efficacy. The total score ranges between 1 and 4, with 1 indicating low self-efficacy and 4 indicating high self-efficacy. | Posted | Mean | 95% Confidence Interval | units on a scale | 1 year |
|
|
|
| Secondary | Resilience as Assessed by the Brief Resilience Scale | Investigators will use the Brief Resilience Scale to measure the ability of individuals to bounce back from stress. Six item scale scored from 1-5, with a score of 1 indicating low resilience and a score of 5 indicating high resilience. | Posted | Mean | 95% Confidence Interval | units on a scale | 1 year |
|
|
|
| Secondary | Social Support as Assessed by the 8-item Medical Outcomes Study Social Support Survey | Investigators will use the 8-item medical outcomes study social support survey to measure social support. Scored from 1-5, and a score of 1 indicates lower levels of social support while a score of 5 indicates higher levels of social support. | Posted | Mean | 95% Confidence Interval | units on a scale | 1 year |
|
|
|
| Secondary | Mobility Disability as Assessed by the Rosow-Breslow Scale | The Rosow-Breslow scale is a composite measure of mobility disability. The composite score ranges from 0 to 3 with higher scores indicating greater disability. | Posted | Mean | 95% Confidence Interval | units on a scale | 1 year |
|
|
|
| Secondary | Physical Health as Assessed by the NAGI Test | The NAGI test is a nine-item instrument scored from 1-5, with higher scores indicating less physical health. | Posted | Mean | 95% Confidence Interval | units on a scale | 1 year |
|
|
|
| Secondary | Medical Conditions as Assessed by the Medical Conditions Questionnaire (MCQ) | Medical Conditions Questionnaire has 9 yes/no questions on whether or not participants have ever had a condition like heart disease, cancer, diabetes, etc. It ranges from 0 to 9, with 0 indicating better overall health and 9 indicating poor overall health. | Posted | Mean | 95% Confidence Interval | units on a scale | 1 year |
|
|
|
| 0 |
| 222 |
| 0 |
| 222 |
| 0 |
| 222 |
| EG001 | Standard Services (Non-randomized) | 234 older adults will continue receiving standard community services Standard Community Services: All three data collection sites will continue to provide standard community services to the older adults that are not enrolled in the peer-to-peer support program | 0 | 234 | 0 | 234 | 0 | 234 |
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| SF-12 MCS 12 months |
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| SF-12 PCS Baseline |
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| SF-12 PCS 6 months |
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| SF-12 PCS 12 months |
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| CES-D-10 12 months |
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| Anxiety Index (0-5) 12 Months |
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| Loneliness (1-3) 12 months |
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| Self-Efficacy (1-4) 12 Months |
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| Resilience (1-5) 12 Months |
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| Social Support (1-5) 12 Months |
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| Rosow-Breslow (0-3) 12 Months |
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| NAGI (0-5) 12 Months |
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| MCQ Total (0-9) 12 Months |
|