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一项针对老年人的基于社交参与技术的随机对照试验的方法和基线特征。

Methods and baseline characteristics for a social engagement technology-based randomized controlled trial for older adults.

作者信息

Lydon Elizabeth A, Mois George, Shende Shraddha A, Myers Dillon, Danilovich Margaret K, Rogers Wendy A, Mudar Raksha A

机构信息

College of Applied Health Sciences, University of Illinois Urbana-Champaign, Champaign, IL, USA.

OneClick.chat, Philadelphia, PA, USA.

出版信息

Contemp Clin Trials Commun. 2024 May 13;39:101308. doi: 10.1016/j.conctc.2024.101308. eCollection 2024 Jun.

Abstract

BACKGROUND

Growing evidence suggests that increasing opportunities for social engagement has the potential to support successful aging. However, many older adults may have limited access to in-person social engagement opportunities due to barriers such as transportation. We outline the development, design, methodology, and baseline characteristics of a randomized controlled trial that assessed the benefits of a social engagement intervention delivered through the OneClick video conferencing platform to older adults with varying levels of cognitive functioning.

METHODS

Community-dwelling older adults with and without cognitive challenges were randomly assigned to a social engagement intervention group or a waitlist control group. Participants were asked to attend twice-weekly social engagement events for 8 weeks via OneClick. Outcomes included social engagement and technology acceptance for both groups at baseline, week-4, and week-8 assessments. As an extension, the waitlist control group had an opportunity to participate in the intervention, with outcomes assessed at weeks 12 and 16.

RESULTS

We randomly assigned 99 participants (mean age = 74.1 ± 6.7, range: 60-99), with 50 in the immediate intervention group and 49 in the waitlist control group. About half of the participants reported living alone (53.5%), with a third (31%) falling into the cognitively impaired range on global cognitive screening. The groups did not differ at baseline on any of the outcome measures.

CONCLUSIONS

Outcomes from this study will provide important information regarding the feasibility and efficacy of providing technology-based social engagement interventions to older adults with a range of cognitive abilities.

摘要

背景

越来越多的证据表明,增加社会参与机会有可能促进成功老龄化。然而,由于交通等障碍,许多老年人可能很少有机会参与面对面的社交活动。我们概述了一项随机对照试验的开展、设计、方法和基线特征,该试验评估了通过一键式视频会议平台为认知功能水平各异的老年人提供社会参与干预的益处。

方法

有认知挑战和无认知挑战的社区居住老年人被随机分配到社会参与干预组或候补对照组。参与者被要求通过一键式平台每周参加两次社会参与活动,为期8周。结果包括两组在基线、第4周和第8周评估时的社会参与度和技术接受度。作为扩展,候补对照组有机会参与干预,并在第12周和第16周评估结果。

结果

我们随机分配了99名参与者(平均年龄 = 74.1 ± 6.7,范围:60 - 99岁),其中50人在即时干预组,49人在候补对照组。约一半的参与者报告独居(53.5%),三分之一(31%)在全球认知筛查中属于认知受损范围。两组在基线时的任何结果指标上均无差异。

结论

本研究的结果将提供重要信息,说明为具有不同认知能力的老年人提供基于技术的社会参与干预的可行性和有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/935a/11152901/6d7a980bab16/gr1.jpg

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