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| ID | Type | Description | Link |
|---|---|---|---|
| 90RTHF0007 | Other Grant/Funding Number | Nat. Ins. on Disability, Indepen. Living and Rehab Research |
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| Name | Class |
|---|---|
| Bay Cove Human Services | OTHER |
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The goal of this clinical trial is to learn if a novel psychosocial intervention is effective in helping adults over 50 with serious mental illness (SMI) increase their social connections and participate in more healthy lifestyle activities. The Hopeful and Healthy Living (HHL) intervention combines social skills training and training in cognitive self-management strategies in order to help older adults build healthy lifestyle and social routines. We predict that:
In this trial, participants will be either receive the HHL intervention or participate in their regular treatment activities (treatment as usual). HHL vs. TAU will be compared to see if there are any differences in social support, cognition, loneliness, psychosocial functioning, or healthy lifestyle activities including physical activity, sleep, and diet.
Participants will be asked to complete an interview-based assessment at baseline, 4-months, 8-months, and 12-months. After completing the baseline assessment, those who are in the experimental group will participate in the 16-week long HHL group intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| HHL group participants | Experimental | Participants will complete the 16-week manualized HHL intervention. This group intervention will occur weekly for 90 minutes. These participants will also continue with treatment as usual. |
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| Treatment as usual | No Intervention | Participants assigned to this arm will continue with treatment as usual. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Hopeful and Healthy Living (HHL) | Behavioral | The HHL intervention is a 16-week long, manualized group intervention. Classes will be held weekly for 90 minutes. The class covers 15 topics centered on building social connections, developing healthy lifestyle routines around eating, exercise, and sleep. Each class will target one social skill (i.e. starting conversations) and one cognitive self-management strategy (i.e. memory tips), which will be taught and practiced in class. Each class also includes a facilitated exercise component and individually tailored take home application activity. |
| Measure | Description | Time Frame |
|---|---|---|
| Montreal Cognitive Assessment (MOCA) | Standardized screening tool used for assessing cognition. | Baseline, 4-, 8-, 12- month followup |
| The Cognitive Self-Efficacy Scale | 10-item measure that assesses confidence in everyday cognitive tasks. | Baseline, 4-, 8-, 12- month followup |
| The DSM-5-TR Self-Rated Level 1 Cross-Cutting Symptom Measure | Adult will be used to assess and statistically control for mental health symptom severity. | Baseline, 4-, 8-, 12- month followup |
| The UCLA Loneliness Scale-3-item instrument | 3-item screening tool for loneliness. | Baseline, 4-, 8-, 12- month followup |
| The Social Provisions Scale | 24-item instrument that will be used to measure various types of social supports. | Baseline, 4-, 8-, 12- month followup |
| The Physical Activity Scale for the Elderly (PASE) | Standardized measurement of physical activity related to exercise, work, recreation, and daily living activities. | Baseline, 4-, 8-, 12- month followup |
| Starting the Conversation | A brief standardized survey for assessing daily eating habits. | Baseline, 4-, 8-, 12- month followup |
| Measure | Description | Time Frame |
|---|---|---|
| HHL Group Satisfaction and Feedback Survey | For experimental group participants only. | 4-month assessment only |
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Inclusion Criteria:
50 years or older, diagnosis of a serious mental illness, and a member of Center Club or Transitions of Boston
Exclusion Criteria:
Diagnosis of dementia or other progressive neurological disorder
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Alexa R Trolley-Hanson, MS OTR/L | Contact | 16037480379 | athanson@bu.edu | |
| Susan McGurk, PhD | Contact | 617-353-3549 | mcgurk@bu.edu |
| Name | Affiliation | Role |
|---|---|---|
| Susan McGurk, PhD | Boston University | Principal Investigator |
| Kim Mueser, PhD | Boston University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bay Cove Center Club | Recruiting | Boston | Massachusetts | 02114 | United States |
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| Pittsburg Sleep Quality Index (PSQI) |
An 11-item tool that is used to assess sleep quality and routines. |
| Baseline, 4-, 8-, 12- month followup |
| Bay Cove Transitions of Boston | Recruiting | Boston | Massachusetts | 02122 | United States |
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