Clinical trial NCT01497613: A Personalized Reminder Information and Social Management System
Official title: Personalized Reminder Information and Social Management System - PRISM
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Social Isolation
Social Support (Formal and Informal)
Well-being/Quality of Life
Keywords: Socialization
Well-being
Quality of Life
Connectivity
Lead sponsor: University of Miami
Sponsor class: OTHER
First posted: 2011-12-22
Enrollment: 300
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: Although technology offers great potential for enhancing the health and well-being of older adults, robust studies are needed to quantify the value of technology and further the investigators understanding of barriers to technology access among older adults and of strategies that are effective in removing these barriers. This cross-site randomized field trial will evaluate a simple to use Personalized Reminder Information and Social Management System (PRISM) designed to support social connectivity, memory, skill building and resource access for older adults. The PRISM system (PRISM C condition) will be compared to an notebook information control condition (PRISM B condition). The target population is older adults who live at home alone and are at risk for isolation. The goal of the study is to gather systematic evidence about the value of technology for older adults and to identify factors that affect use and usability, acceptance and technology adoption. The investigators will also gather longitudinal data on the benefits of the system. Participants aged 65 - 85 years (100 per site) will be randomly assigned following baseline assessment to one of two conditions: PRISM C condition where participants receive the technology system or the PRISM B condition only control where participants receive a notebook that includes information similar to that provided in PRISM C (e.g., resource guide). The categories of information provided in the notebook is similar to the features provided on the system. Participants will include males and females who do not have a home computer and who have limited Internet experience. The intervention period is 12 months. A battery of measures that includes demographic information, attitudes towards technology (including computer self-efficacy and computer comfort), technology, computer and Internet experience, functional independence and well-being, emotional well-being social support/isolation, and quality of life will be administered at baseline, and 6 and 12 months post randomization. In addition, the investigators will assess cognitive abilities at baseline and twelve months. The investigators will also gather data regarding technology use and social interactions via a brief telephone interview at 18 months post randomization.


Eligibility criteria: Inclusion Criteria:

* 65+ years
* Live alone in the community in an independent residence
* Minimum computer and Internet use in the past three months
* English speaking
* Able to read English at the 6th grade level
* Has a telephone
* 20/60 Vision with or without correction
* Not employed or volunteering more than 5 hrs/week
* Does not spend more than 10 hrs./week at a Senior Center or Formal organization
* Planning to remain in the area in same living arrangements for duration of intervention period

Exclusion Criteria:

* Blind or deaf
* Cognitively impaired (MMSE) \< 26
* Fuld Object Memory Test \< 20 or 19
* Terminal illness
* Severe motor impairment

Primary outcomes:
measure: Change in Social Isolation Measured by Friendship Scale
timeFrame: Baseline and 6th month
measure: Change in Level of Social Support Measured by Social Support Scale
timeFrame: Baseline and 6th month
measure: Change Overall Well-being Measured by SF-36 Overall Well-being Subscale
timeFrame: Baseline and 6th month
measure: Change in Social Isolation Measured by Friendship Scale
timeFrame: Baseline and 12th month
measure: Change in Level of Social Support Measured by Social Support Scale
timeFrame: Baseline and 12th month
measure: Change Overall Well-being Measured by SF-36 Overall Well-being Subscale
timeFrame: Baseline and 12th month
Secondary outcomes:
measure: Change in Computer Comfort Measured by Computer Attitude - Comfort Subscale .
timeFrame: baseline and 6 months
measure: Changes in Technology Proficiency Measured by Technology Proficiency Scale
timeFrame: baseline and 6 months
measure: Change in Technology Adoption Measured by Technology Acceptance Questionnaire
timeFrame: baseline and 6 months
measure: Change in Computer Comfort Measured by Computer Attitude - Comfort Subscale .
timeFrame: baseline and 12 months
measure: Changes in Technology Proficiency Measured by Technology Proficiency Scale
timeFrame: baseline and 12 months
measure: Change in Technology Adoption Measured by Technology Acceptance Questionnaire
timeFrame: baseline and 12 months
measure: Change in Computer Interest Measured by Computer Attitude - Interest Subscale
timeFrame: Baseline and 6th month follow-up
measure: Change in Computer Interest Measured by Computer Attitude - Interest Subscale
timeFrame: Baseline and 12th month follow-up
measure: Change in Computer Efficacy Measured by Computer Attitude - Efficacy Subscale
timeFrame: Baseline and 6th month follow-up
measure: Change in Computer Efficacy Measured by Computer Attitude - Efficacy Subscale
timeFrame: Baseline and 12th month follow-up
Other outcomes:
Locations:
city: Miami
country: United States
facility: University of Miami
state: Florida
Study officials:
affiliation: University of Miami
name: Sara J. Czaja, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Boot WR, Charness N, Czaja SJ, Sharit J, Rogers WA, Fisk AD, Mitzner T, Lee CC, Nair S. Computer proficiency questionnaire: assessing low and high computer proficient seniors. Gerontologist. 2015 Jun;55(3):404-11. doi: 10.1093/geront/gnt117. Epub 2013 Oct 9.
citation: Czaja SJ, Boot WR, Charness N, A Rogers W, Sharit J, Fisk AD, Lee CC, Nair SN. The personalized reminder information and social management system (PRISM) trial: rationale, methods and baseline characteristics. Contemp Clin Trials. 2015 Jan;40:35-46. doi: 10.1016/j.cct.2014.11.004. Epub 2014 Nov 8.
citation: Yoon JS, Charness N, Boot WR, Czaja SJ, Rogers WA. Depressive Symptoms as a Predictor of Memory Complaints in the PRISM Sample. J Gerontol B Psychol Sci Soc Sci. 2019 Jan 10;74(2):254-263. doi: 10.1093/geronb/gbx070.
citation: Mitzner TL, Rogers WA, Fisk AD, Boot WR, Charness N, Czaja SJ, Sharit J. Predicting Older Adults' Perceptions about a Computer System Designed for Seniors. Univers Access Inf Soc. 2016 Jun;15(2):271-280. doi: 10.1007/s10209-014-0383-y. Epub 2014 Sep 7.
citation: Czaja SJ, Boot WR, Charness N, Rogers WA, Sharit J. Improving Social Support for Older Adults Through Technology: Findings From the PRISM Randomized Controlled Trial. Gerontologist. 2018 May 8;58(3):467-477. doi: 10.1093/geront/gnw249.
citation: Mitzner TL, Savla J, Boot WR, Sharit J, Charness N, Czaja SJ, Rogers WA. Technology Adoption by Older Adults: Findings From the PRISM Trial. Gerontologist. 2019 Jan 9;59(1):34-44. doi: 10.1093/geront/gny113.