Ignite Creation Date:
2024-05-06 @ 7:22 PM
Last Modification Date:
2024-10-26 @ 3:05 PM
Study NCT ID:
NCT05984732
Status:
COMPLETED
Last Update Posted:
2023-08-09
First Post:
2023-07-14
Brief Title:
Intergenerational Reminiscence and Digital Storytelling
Sponsor:
The University of Texas at Arlington
Organization:
The University of Texas at Arlington
Study Overview
Official Title:
Intergenerational Connections Reminiscence and Digital Storytelling to Improve Social and Emotional Well-being of Older Adults With ADRD
Status:
COMPLETED
Status Verified Date:
2023-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The goal of this clinical trial is to develop and test how reminiscence offered by trained young adult volunteers using a digital storytelling DST platform may help older persons with Alzheimers disease and related dementias ADRD to improve their social and emotional well-being The main questions it aims to answer are
1 Whether is this reminiscence and DST based intervention effective in improving social and emotional well-being of older adults with ADRD
2 Whether do young adult participants improve their social and emotional well-being as well as knowledge and attitudes towards aging after participating this study
Older adult participants in the intervention group will receive 6 sessions of life-review with young adult volunteers and create a DST based on their life review discussion in the last 4 weeks Older adult participants in the social wellness control group will receive 6 sessions of general talks with young adults and create a non-digital scrapbook or journal at week 7-10 Researchers will compare these two groups to see if participants in the intervention group benefit more on their well-being
1 Whether is this reminiscence and DST based intervention effective in improving social and emotional well-being of older adults with ADRD
2 Whether do young adult participants improve their social and emotional well-being as well as knowledge and attitudes towards aging after participating this study
Older adult participants in the intervention group will receive 6 sessions of life-review with young adult volunteers and create a DST based on their life review discussion in the last 4 weeks Older adult participants in the social wellness control group will receive 6 sessions of general talks with young adults and create a non-digital scrapbook or journal at week 7-10 Researchers will compare these two groups to see if participants in the intervention group benefit more on their well-being
Detailed Description:
Project Significance
The number of persons aged 65 and older with Alzheimers disease and related dementias ADRD is estimated to reach 71 million by 2025 Most older adults with ADRD live in the community and many of them live alone There is growing concern about social isolation loneliness and diminished emotional well-being among persons with ADRD Research suggests that reminiscence strategies combined with an intergenerational approach may yield significant social and mental health benefits for older adults Recently experts have recommended the production of a digital life story book as part of reminiscence Reminiscence is typically implemented by trained professionals eg social workers nurses however there has been growing interest in using trained volunteers due to staffing shortages and the costs associated with reminiscence programs The proposed study will develop and test how reminiscence offered by trained young adult volunteers using a digital storytelling DST platform may help older persons with ADRD to improve their social and emotional well-being The proposed study is well-aligned with the RRF Foundation for Agings mission to improve the quality of life for older people and also addresses a key research priority of RRF Foundation for Aging social and intergenerational connectedness
Project Goals and Objectives
Goal 1 Quantitatively test the effectiveness of this intervention in improving social well-being of older adults with ADRD The objectives are to 1 provide a 10-session intervention with reminiscence and DST to older adults by trained young adult volunteers and 2 test whether older adults report significant improvement in quality of life andor a decline in loneliness after the intervention
Goal 2 Quantitatively test the effectiveness of this intervention in improving emotional well-being of older adults with ADRD The objectives are to 1 provide a 10-session intervention with reminiscence and DST to older adults by trained young adult volunteers and 2 test whether older adults report significant changes in affect andor resilience after the intervention
Goal 3 Quantitatively test attitudes towards aging of the young adult volunteers The objectives are to 1 offer opportunities for trained young adult volunteers to engage with older adults in the 10-session intervention and 2 test changes of their attitudes towards aging after the intervention with surveys
Goal 4 Quantitatively test knowledge and awareness of ADRD disease of the young adult volunteers The objectives are to 1 offer a three-hour training to the young adult volunteers before the intervention starts which covers the biological aspects of ADRD and how to communicate and connect interpersonally to persons with ADRD and 2 test changes in their reported knowledge and awareness of ADRD with surveys
Goal 5 Qualitatively evaluate the usefulness of this intervention from perspectives of the dyads The objectives are to 1 explore and interpret the statistical results obtained in goals 1-2 through individual interviews with older adults who report the greatest and least changes in well-being and attitudes toward aging and 3 examine dyads participants perceptions of the intervention in terms of quality benefits and usefulness
Methods
Sampling and recruitment Participants in this study will be older adults living in the community and youth participants who are currently enrolled as undergraduate or graduate students at one large university Prior power analysis showed a total of 92 dyads are required to test the effectiveness of the proposed intervention Older adults with ADRD will be recruited through a community partnership with Tarrant County Meals On Wheels Recruitment of young adult volunteers will target student organizations that have established relationships with the faculty as well as through faculty teaching All participant recruitment ie older and younger adults will occur through phone calls andor Microsoft Teams
Study design The proposed project will conduct a randomized control trial to assess the effects of the intervention The older and younger participants will be randomly matched as dyads Subsequently the matched dyads will be randomly assigned into the intervention or control groups Data will be collected at baseline prior to the intervention mid- intervention at the end of the intervention and 3 months after the intervention
An explanatory sequential mixed methods design will be utilized involving first collecting and analyzing the quantitative survey data to identify subsamples of participants who report the greatest and least changes in outcome measures and then conducting qualitative interview of these subsamples Of the individuals with the highest 10 n 5 or lowest 10 n 5 of changes based on survey tests we will conduct follow up qualitative interviews through phone callsMicrosoft Teams to capture the details of their perceptions of the intervention and present a more robust analysis taking advantage of the strengths of both methods
Intervention Before the intervention starts the young adult volunteers will be required to attend a group training Subsequently older adults in the intervention group will receive 10 sessions of life-review with young adult volunteers During week 1-6 a life history interview will be carried out with different themes in each week major turning points in life W1 family history W2 lifecareer accomplishments W3 history of loves and hates W4 experiences of suffering or stressful experiences W5 and meaning and purpose of life W6 Guidelines for conducting a life history interview will be prepared for the young adult volunteers based on the work of Watt and Cappeliez After each session the young adult participant will write a one-page summary and reflect on the interview to help prepare the subsequent DST During weeks 7-10 the dyad participants will develop the DST together using a password protected encrypted tablet provided by the university The contents of sessions 7-10 will be structured as outlinescript plan and storyboard W7 film and record W8 evaluate integrate and finalize W9 and publish share W10 Telephone-based intervention will be conducted for this study
Measurement and data analysis The primary outcomes of the study will be social and emotional well-being of older adults and the secondary outcomes are the benefits of young adult volunteers For social well-being quality of life is a relatively global and stable phenomenon that comprehensively measures peoples psychosocial well-being and will be measured by quality of life-Alzheimers disease QoL-AD Loneliness represents the negative subjective experience of the inadequacy of social relationships and will be measured with the De Jong Gierveld Loneliness Scale For emotional well-being positive and negative affect have been used to describe affective emotional components of subjective well-being It will be measured by Positive and Negative Affect Schedule PANAS Resilience as an important emotional well-being indicator assesses ones ability to bounce back or adapt to stressful situations or crises and will be measured by the Brief Resilience Scale BRS For the young adult volunteers attitude towards aging will be measured with the Fraboni Scale of Ageism FSA Knowledge and awareness of ADRD disease is measured by the Alzheimers Disease Knowledge Scale ADKS For research goals 1 to 4 quantitative analysis of covariate-adjusted linear mixed models for repeated measures will be computed to compare the intervention and control groups over time on the major outcomes of older adults and youth volunteers For research goal 5 conventional content analysis of qualitative interviews will be conducted
Potential regional or national impact
The study if successful will lead to a replicable intervention that will have the potential for broader implementation in additional regions through community partners such as Area Agencies on Aging and Meals On Wheels The proposed evaluation activities will allow us to determine the applicability of intergenerational reminiscence with DST as an effective intervention for supporting the social and emotional needs of persons with ADRD After further field testing the intervention may be scaled up to be implemented as a tool of practice across universities and communities in the US and with larger numbers of clients thereby maximizing its impact as an intervention to strengthen the social and emotional well-being of older adults with ADRD
The number of persons aged 65 and older with Alzheimers disease and related dementias ADRD is estimated to reach 71 million by 2025 Most older adults with ADRD live in the community and many of them live alone There is growing concern about social isolation loneliness and diminished emotional well-being among persons with ADRD Research suggests that reminiscence strategies combined with an intergenerational approach may yield significant social and mental health benefits for older adults Recently experts have recommended the production of a digital life story book as part of reminiscence Reminiscence is typically implemented by trained professionals eg social workers nurses however there has been growing interest in using trained volunteers due to staffing shortages and the costs associated with reminiscence programs The proposed study will develop and test how reminiscence offered by trained young adult volunteers using a digital storytelling DST platform may help older persons with ADRD to improve their social and emotional well-being The proposed study is well-aligned with the RRF Foundation for Agings mission to improve the quality of life for older people and also addresses a key research priority of RRF Foundation for Aging social and intergenerational connectedness
Project Goals and Objectives
Goal 1 Quantitatively test the effectiveness of this intervention in improving social well-being of older adults with ADRD The objectives are to 1 provide a 10-session intervention with reminiscence and DST to older adults by trained young adult volunteers and 2 test whether older adults report significant improvement in quality of life andor a decline in loneliness after the intervention
Goal 2 Quantitatively test the effectiveness of this intervention in improving emotional well-being of older adults with ADRD The objectives are to 1 provide a 10-session intervention with reminiscence and DST to older adults by trained young adult volunteers and 2 test whether older adults report significant changes in affect andor resilience after the intervention
Goal 3 Quantitatively test attitudes towards aging of the young adult volunteers The objectives are to 1 offer opportunities for trained young adult volunteers to engage with older adults in the 10-session intervention and 2 test changes of their attitudes towards aging after the intervention with surveys
Goal 4 Quantitatively test knowledge and awareness of ADRD disease of the young adult volunteers The objectives are to 1 offer a three-hour training to the young adult volunteers before the intervention starts which covers the biological aspects of ADRD and how to communicate and connect interpersonally to persons with ADRD and 2 test changes in their reported knowledge and awareness of ADRD with surveys
Goal 5 Qualitatively evaluate the usefulness of this intervention from perspectives of the dyads The objectives are to 1 explore and interpret the statistical results obtained in goals 1-2 through individual interviews with older adults who report the greatest and least changes in well-being and attitudes toward aging and 3 examine dyads participants perceptions of the intervention in terms of quality benefits and usefulness
Methods
Sampling and recruitment Participants in this study will be older adults living in the community and youth participants who are currently enrolled as undergraduate or graduate students at one large university Prior power analysis showed a total of 92 dyads are required to test the effectiveness of the proposed intervention Older adults with ADRD will be recruited through a community partnership with Tarrant County Meals On Wheels Recruitment of young adult volunteers will target student organizations that have established relationships with the faculty as well as through faculty teaching All participant recruitment ie older and younger adults will occur through phone calls andor Microsoft Teams
Study design The proposed project will conduct a randomized control trial to assess the effects of the intervention The older and younger participants will be randomly matched as dyads Subsequently the matched dyads will be randomly assigned into the intervention or control groups Data will be collected at baseline prior to the intervention mid- intervention at the end of the intervention and 3 months after the intervention
An explanatory sequential mixed methods design will be utilized involving first collecting and analyzing the quantitative survey data to identify subsamples of participants who report the greatest and least changes in outcome measures and then conducting qualitative interview of these subsamples Of the individuals with the highest 10 n 5 or lowest 10 n 5 of changes based on survey tests we will conduct follow up qualitative interviews through phone callsMicrosoft Teams to capture the details of their perceptions of the intervention and present a more robust analysis taking advantage of the strengths of both methods
Intervention Before the intervention starts the young adult volunteers will be required to attend a group training Subsequently older adults in the intervention group will receive 10 sessions of life-review with young adult volunteers During week 1-6 a life history interview will be carried out with different themes in each week major turning points in life W1 family history W2 lifecareer accomplishments W3 history of loves and hates W4 experiences of suffering or stressful experiences W5 and meaning and purpose of life W6 Guidelines for conducting a life history interview will be prepared for the young adult volunteers based on the work of Watt and Cappeliez After each session the young adult participant will write a one-page summary and reflect on the interview to help prepare the subsequent DST During weeks 7-10 the dyad participants will develop the DST together using a password protected encrypted tablet provided by the university The contents of sessions 7-10 will be structured as outlinescript plan and storyboard W7 film and record W8 evaluate integrate and finalize W9 and publish share W10 Telephone-based intervention will be conducted for this study
Measurement and data analysis The primary outcomes of the study will be social and emotional well-being of older adults and the secondary outcomes are the benefits of young adult volunteers For social well-being quality of life is a relatively global and stable phenomenon that comprehensively measures peoples psychosocial well-being and will be measured by quality of life-Alzheimers disease QoL-AD Loneliness represents the negative subjective experience of the inadequacy of social relationships and will be measured with the De Jong Gierveld Loneliness Scale For emotional well-being positive and negative affect have been used to describe affective emotional components of subjective well-being It will be measured by Positive and Negative Affect Schedule PANAS Resilience as an important emotional well-being indicator assesses ones ability to bounce back or adapt to stressful situations or crises and will be measured by the Brief Resilience Scale BRS For the young adult volunteers attitude towards aging will be measured with the Fraboni Scale of Ageism FSA Knowledge and awareness of ADRD disease is measured by the Alzheimers Disease Knowledge Scale ADKS For research goals 1 to 4 quantitative analysis of covariate-adjusted linear mixed models for repeated measures will be computed to compare the intervention and control groups over time on the major outcomes of older adults and youth volunteers For research goal 5 conventional content analysis of qualitative interviews will be conducted
Potential regional or national impact
The study if successful will lead to a replicable intervention that will have the potential for broader implementation in additional regions through community partners such as Area Agencies on Aging and Meals On Wheels The proposed evaluation activities will allow us to determine the applicability of intergenerational reminiscence with DST as an effective intervention for supporting the social and emotional needs of persons with ADRD After further field testing the intervention may be scaled up to be implemented as a tool of practice across universities and communities in the US and with larger numbers of clients thereby maximizing its impact as an intervention to strengthen the social and emotional well-being of older adults with ADRD
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None