Evidence map›Paper›PMID 38943176›Full record

ArticleTrials2024

Impact of an intergenerational program to improve loneliness and social isolation in older adults initiated at the time of emergency department discharge: study protocol for a three-arm randomized clinical trial.

David Zheng, Louise Rose, Bjug Borgundvaag, Shelley L McLeod, Donald Melady, Rohit Mohindra, Samir Sinha, Virginia Wesson, Lesley Wiesenfeld, Sabrina Kolker and 3 more

Registry-linked trialAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05998343 (Improving Social Isolation and Loneliness in Older Adults Discharged From the Emergency Department - Comparing an Intergenerational Versus Same Generation Peer-support Intervention Versus Common Wait List Control Group in a Three Arm RCT), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05998343 naunknown statusnot on this map

Improving Social Isolation and Loneliness in Older Adults Discharged From the Emergency Department - Comparing an Intergenerational Versus Same Generation Peer-support Intervention Versus Common Wait List Control Group in a Three Arm RCT

TypeinterventionalSponsorMount Sinai Hospital, CanadaRan2021 to 2024Enrolled141ConditionsSocial Isolation, Loneliness, GeriatricArmsIntergenerational HOW R U?, Same-Generation Peer Support HOW R U?
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

David ZhengSchulich School of Medicine and Dentistry, 1151 Richmond St, London, ON, N6A 5C1, Canada. dzheng33@uwo.ca.ORCID http://orcid.org/0000-0003-4725-2638
Louise RoseFaculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK.
Bjug BorgundvaagSchwartz/Reisman Emergency Medicine Institute, Sinai Health, Toronto, ON, Canada.
Shelley L McLeodSchwartz/Reisman Emergency Medicine Institute, Sinai Health, Toronto, ON, Canada.
Donald MeladySchwartz/Reisman Emergency Medicine Institute, Sinai Health, Toronto, ON, Canada.
Rohit MohindraSchwartz/Reisman Emergency Medicine Institute, Sinai Health, Toronto, ON, Canada.
Samir SinhaMount Sinai Hospital, Sinai Health, Toronto, ON, Canada.
Virginia WessonMount Sinai Hospital, Sinai Health, Toronto, ON, Canada.
Lesley WiesenfeldMount Sinai Hospital, Sinai Health, Toronto, ON, Canada.
Sabrina KolkerMount Sinai Hospital, Sinai Health, Toronto, ON, Canada.
Alex KissDepartment of Epidemiology and Biostatistics, Sunnybrook Research Institute, Toronto, ON, Canada.
Judy A LowthianBolton Clarke Research Institute, Melbourne, VIC, Australia.
Jacques S LeeSchwartz/Reisman Emergency Medicine Institute, Sinai Health, Toronto, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSocial isolation and loneliness (SIL) worsens mortality and other outcomes among older adults as much as smoking. We previously tested the impact of the HOW R U? intervention using peer support from similar-aged volunteers and demonstrated reduced SIL among older adults discharged from the emergency department (ED). Generativity, defined as "the interest in establishing and guiding the next generation," can provide an alternative theoretical basis for reducing SIL via intergenerational programs between members of younger and older generations. The current protocol will examine the impact of younger intergenerational volunteers providing the HOW RU?

intervention

methodsIn this randomized clinical trial, we will compare the following three arms: (1) the standard same-generation peer support HOW R U? intervention, (2) HOW R U? intervention delivered by intergenerational volunteers, and (3) a common wait-list control group. Outcome assessors will be blinded to the intervention. Trained volunteers will deliver 12 weekly telephone support calls. We will recruit participants ≥ 70 years of age with baseline loneliness (six-item De Jong loneliness score of 2 or greater) from two EDs. Research staff will assess SIL, depression, quality of life, functional status, generativity, and perceived benefit at baseline, at 12 weeks, and 24 weeks post-intervention. DISCUSSION: We hypothesize participants receiving the intergenerational intervention will show improved outcomes compared to the control group and peer support HOW R U?

interventionWe also hypothesize that participants with higher perceptions of generativity will have greater reductions in SIL than their lower generativity counterparts. Aging is experienced diversely, and social interventions combatting associated SIL should reflect that diversity. As part of a program of research following the Obesity-Related Behavioral Intervention Trials (ORBIT) model, the findings of this RCT will be used to define which intervention characteristics are most effective in reducing SIL.

trial registrationClinicalTrials.gov NCT05998343 Protocol ID:21-0074E. Registered on 24 July 2023.

Indexed as

Emergency Service, HospitalLonelinessPatient DischargeRandomized Controlled Trials as TopicSocial IsolationAgedAge FactorsFemaleHumansIntergenerational RelationsMalePeer GroupQuality of LifeSocial SupportTime FactorsTreatment OutcomeAgingEmergency departmentGeriatricsIntergenerationalLonelinessRandomized controlled trialSocial isolationVolunteering

Identifiers

PMID38943176
PMCPMC11212444

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.