Clinical trial NCT06257095: Improving Adult Protective Services Client Outcomes: A Stepped-Care Social and Mental Health Engagement Program
Official title: Improving Adult Protective Services Client Outcomes: A Stepped-Care Social and Mental Health Engagement Program
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Depression in Old Age
Keywords: social engagement
Adult Protective Services (APS)
elder abuse
self neglect
Lead sponsor: The University of Texas Health Science Center, Houston
Sponsor class: OTHER
Collaborators: name: Department of Health and Human Services
First posted: 2024-02-13
Enrollment: 300
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: The purpose of this study is to ascertain the feasibility and effectiveness of an 8-week social engagement program aimed at reducing depression and increasing social engagement among seniors who are transitioning out of Adult Protective Services (APS) for either elder abuse or self-neglect.


Eligibility criteria: Inclusion Criteria:

Older Adults

* an APS validated EM/SN case
* able to provide informed consent
* able to speaks English or Spanish,
* community-dwelling,
* able to hear sufficiently using the telephone
* transitioning out of APS intervention (i.e. in the case closure phase of the APS service).

Student

* college or university student
* enrolled at one of the UTHealth graduate programs in Houston, University of Houston, Texas Southern University, Sam Houston State University, or Rice University
* commit to making 8-weekly consecutive calls
* complete the required 1-hour training and assessment.

Exclusion Criteria:

Older Adults

* Individuals needing a proxy to consent
* suspected or confirmed decision-making capacity impairments or uncontrolled psychiatric illnesses such as schizophrenia, paranoia, delusion, or delirium
* Older adults transitioning to a nursing home, assisted-living, or residential care facility

Student

-only engaging in the program to fulfill some educational requirement

Primary outcomes:
measure: Change in social isolation assessed by the Duke Social Support Index (DSSI-6)
timeFrame: baseline, 4-week and 8-week follow-up
measure: Change in loneliness as assessed by the University of California Los Angeles (UCLA )loneliness scale
timeFrame: baseline, 4-week and 8-week follow-up
measure: Change in depression as assessed by the PATIENT HEALTH QUESTIONNAIRE (PHQ-9)
timeFrame: baseline, 4-week and 8-week follow-up
measure: Recurrence of Elder mistreatment (EM)
timeFrame: From participant's first call to 1 month post final call
measure: Recurrence of self neglect (SN)
timeFrame: From participant's first call to 1 month post final call
Secondary outcomes:
measure: Change in anxiety as assessed by the Generalized Anxiety Disorder scale (GAD-7)
timeFrame: baseline, 4-week and 8-week follow-up
measure: Change in resilience as assessed by the Brief Resilience Scale
timeFrame: baseline, 4-week and 8-week follow-up
Other outcomes:
Locations:
city: Houston
country: United States
facility: The University of Texas Health Science Center at Houston
state: Texas
Study officials:
affiliation: The University of Texas Health Science Center, Houston
name: Jason Burnett, PhD
role: PRINCIPAL_INVESTIGATOR
References: