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| ID | Type | Description | Link |
|---|---|---|---|
| 3P30AG031679-10S2 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| University of Maryland, Baltimore | OTHER |
| National Institute on Aging (NIA) | NIH |
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The goal of this this study is to develop and test the feasibility of a remotely delivered brief behavioral activation intervention to decrease the negative physical and psychological consequences of being homebound among older adults during the time of COVID.
The goal of this study is to develop and test the feasibility of a remotely delivered brief behavioral activation intervention to decrease the negative physical and psychological consequences of being homebound among older adults during the time of COVID.The intervention will focus on decreasing the impact of social isolation, inactivity and poor nutrition on old people during a time when many in-person social activities are not possible. It will be delivered through telephone and other communication tools that allow remote (i.e. not in person) communication over 10 sessions. Subjects will be a total of 60 people aged 75 years an older, who will be recruited from primary care in the Boston MA region and senior living facilities in the Baltimore MD region. Coaches will be trained using an on-line based modules developed to support this intervention. Self-report outcomes will be measured by telephone at baseline and 4-month follow-up.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Primary Aim | Other | Brief Behavioral Activation coaching will be delivered by telephone and other remote technology by trained coaches. Over 10 sessions, the coaches will help people to find meaningful activities to decrease loneliness, increase physical activity and improve nutrition. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Telephone-based coaching | Behavioral | A telephone-based brief behavioral activation coaching program that will involve 10 sessions over 4 months. Sessions will focus on helping people to identify meaningful activities that they can safely do to decrease loneliness, increase physical activity and improve nutrition. |
| Measure | Description | Time Frame |
|---|---|---|
| Physical Activity - Self-report survey to measure engagement in activities | Yale Physical Activity Survey (self-report) | change from baseline to 4-month follow-up |
| Loneliness assessment - 20 item, self-report assessment to measure loneliness | UCLA Loneliness Scale 3.0 (self-report) 20 item, self-report assessment to measure loneliness. Scale from 1(never) to 4(often) | change from baseline to 4-month follow-up |
| Physical Activity - step activity monitor to track daily steps walked | average steps walked per day | change in steps from the first week of study to final week (week 16) of study |
| Measure | Description | Time Frame |
|---|---|---|
| PROMIS Short form to measure level 2 adult depression | PROMIS Depression (Short Form 8-item, self report) | change from baseline to 4-month follow up |
| PROMIS short-form to measure anxiety in adults |
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Inclusion Criteria:
• Men or women who are 75 years or older
Exclusion Criteria:
• Men or women who are 74 years and younger
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| Name | Affiliation | Role |
|---|---|---|
| Shalender Bhasin, MD | Brigham and Women's Hospital | Principal Investigator |
| Nancy Latham, PhD | Brigham and Women's Hospital | Principal Investigator |
| Denise Orwig, PhD | University of Maryland, Baltimore | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Maryland School of Medicine | Baltimore | Maryland | 21201 | United States | ||
| Brigham and Women's Hospital |
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| ID | Term |
|---|---|
| D044342 | Malnutrition |
| D003863 | Depression |
| D001008 | Anxiety Disorders |
| D057185 | Sedentary Behavior |
| D000086382 | COVID-19 |
| D012934 | Social Isolation |
| ID | Term |
|---|---|
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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This project is a single-group unblinded feasibility study to explore a new telephone-based behavioral activation intervention to support homebound older people. If this intervention appears to be feasible, acceptable, and to show preliminary evidence of efficacy the aim will be to evaluate it in a phase III efficacy trial.
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PROMIS Anxiety (Short form 8-item, self report)
| change from baseline to 4-month follow up |
| Late Life Function Instrument to assess functionality in elderly | Late Life Function Instrument (LLFDI - self report) | change from baseline to 4-month follow up |
| Late Life Function Instrument to access disability in elderly | Late Life Disability Instrument (LLFDI - self report) | change from baseline to 4-month follow up |
| Duke Social Support short scale to measure social support among older people | Duke Social Support Index (self-report) | change from baseline to 4-month follow up |
| Mini-nutritional assessment to determine if there is risk of malnourishment | Mini-nutritional assessment - Short Form | change from baseline to 4-month follow up |
| Likert 0-7 rating scale of participants satisfaction with the program | Likert rating of satisfaction | 4 month follow-up |
| Boston |
| Massachusetts |
| 02115 |
| United States |
| D001523 |
| Mental Disorders |
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D014777 | Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D012919 | Social Behavior |