Ignite Creation Date:
2024-05-19 @ 5:34 PM
Last Modification Date:
2024-10-26 @ 3:30 PM
Study NCT ID:
NCT06419881
Status:
COMPLETED
Last Update Posted:
2024-05-17
First Post:
2024-05-09
Brief Title:
Tele-Drama Therapy for Community-Dwelling Older Adults With Constricted Life Space Mobility
Sponsor:
University of Haifa
Organization:
University of Haifa
Study Overview
Official Title:
Tele-Drama Therapy for Community-Dwelling Older Adults With Constricted Life Space Mobility A Mixed Methods Randomized Control Study
Status:
COMPLETED
Status Verified Date:
2024-05
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:
Older adults with constricted life-space mobility face increased risk of social isolation and poor mental health Despite the benefits of therapeutic interventions the literature indicates low use of mental health services in the older population often due to mobility limitations andor negative attitudes toward psychotherapy Developing accessible interventions that address negative attitudes towards mental health services is crucial Group drama therapy has shown to improve the mental health of older adults and the creative process itself may help overcome stigmas associated with seeking mental health services The aim of this study was to explore a 12-week tele-drama therapy group intervention tailored for older adults with constricted mobility The intervention integrated playback theatre and life review therapy and was delivered via Uniper Care an accessible technology designed for older adults The study will explore the contribution of the intervention and will examine the relationship between processes in drama therapy and their contribution on older adults mental health This study will also explore the experience of participants therapists and staff members
Detailed Description:
Older adults suffering from constricted life space mobility experience higher rates of chronic disease functional and cognitive impairments depressive symptoms limited access to medical care and minimal social encounters Interventions that enhance social skills and increase opportunities for social interaction have showed promising results but for older adults with constricted life space mobility this is especially challenging since access to social encounters is limited Tele-therapy offers a potential solution to these physical barriers and have been proven effective in treating common mental disorders such as anxiety However a recent tele-therapy study that found that while participants appreciated the possibility of online therapy many still refused to participate because they were not interested in focusing on sensitive subjects such as their depression These findings highlight the crucial need to develop accessible interventions that address these potential physical and emotional barriers that may prevent older adults with constricted mobility from consuming mental health services Tele-drama therapy can offer a solution to these barriers however the unexplored potential of online group drama therapy with older adults remains
The aim of this Randomized Control mixed methods study was to explore a 12-week tele-drama therapy group intervention tailored for older adults with constricted mobility The quantitative arm of this mixed-methods study aims to examine the impact of a tele-drama therapy intervention on the mental health of older adults with constricted life space mobility and to pinpoint the associations between dramatic processes and outcome measures The researchers hypothesize that Tele-drama therapy will 1 enhance social connectedness self-acceptance personal growth and a sense of meaning in life as compared to the control condition 2 reduce depressive symptom and loneliness as compared to the control condition In addition the researchers hypothesize that in-session therapeutic change factors will predict better outcomes in the treatment group
The qualitative arm of this study will explore the experiences of participants and staff members
Participants
This study aimed to recruit 120 participants factoring in a 15 dropout rate based on an a-priori power analysis The intervention was offered to 3595 Uniper Care members residing throughout Israel Participants were recruited over eight months and were randomly assigned to eight tele-drama therapy treatment groups or eight usual care groups who continued to receive the routine activities provided by Uniper Care
A total of 111 participants completed the study 88 of those who started the intervention 51 from the experimental groups and 60 from the control groups A total of 15 participants 119 dropped out throughout the study
The Online Platform
Uniper Care is a social club aimed to promote active aging using accessible technology designed with and for older adults Uniper Cares service is delivered via the TV by connecting a remote and a camera to any TV that turns the TV from passive to interactive Uniper Care is also accessible via other digital devices such as tablets smart phone and desktop Uniper Cares service includes daily classes around physical social emotional and cognitive well-being along with recorded programs and videos and gamification of various training
The Tele-drama Therapy Group Intervention
Eight groups of up to eight participants received a 12-week tele-drama therapy intervention with each session lasting 75 minutes via the Uniper Care platform Sessions were delivered by four certified drama therapists who received training on the treatment protocol before the intervention All sessions were recorded using OBS Open Broadcast Software v2900 an external software program for screen recording and live streaming All the recordings were secured on a computer with a password for further coding of the data
The 12-week intervention consisted of four stages 1 Introduction sessions 1-2 establishing participant acquaintance a therapeutic alliance and a safe space for self-expression and exploration 2 Life-review on stage sessions 3-8 revisiting past positive life stories from new viewpoints 3 Looking ahead sessions 9-11 exploring future stories and goals to foster a sense of purpose and sense of self-development and 4 Farewell reflecting upon the group process and achievements and closure
Measures
A demographic questionnaire administered at baseline
Outcome measures were assessed pre and post intervention for all participants Process measures were assessed for participants in the experimental groups after session No 10
Control variables individual traitsdifferences were assessed at baseline to examine their potential role as covariates
Semi-structured interviews were held with participants from three experimental groups three drama therapists and two Uniper Care community coordinators The interviews were recorded and transcribed for further coding and analysis
Data Analysis
Quantitative Analysis
Statistical data will be collected and analyzed in SPSS version 27 and R version 35
The reliability of the studys scales will be assessed using Cronbachs alpha for internal consistency
Shapiro-Wilk test of normality will be conducted to determine whether the outcome variables are normally distributed
Chi square t-tests or one-way ANOVA to examine differences between variables and groups and some additional variables
Correlations will be calculated to analyze the relationships between sociodemographic control and outcome variables
To examine the effects of the intervention on outcome variables the analysis will include repeated measures prepost with mixed-models random effects by groups ExperimentControl including interaction between time X groups
Further follow-up exploratory analyses will attempt to find associations between outcome and process variables and individual traits
Qualitative Analysis
To explore the experiences of participants and staff members qualitative analysis of the semi-structured interviews will apply reflexive thematic analysis of interviews Braun Clarke 2019
The aim of this Randomized Control mixed methods study was to explore a 12-week tele-drama therapy group intervention tailored for older adults with constricted mobility The quantitative arm of this mixed-methods study aims to examine the impact of a tele-drama therapy intervention on the mental health of older adults with constricted life space mobility and to pinpoint the associations between dramatic processes and outcome measures The researchers hypothesize that Tele-drama therapy will 1 enhance social connectedness self-acceptance personal growth and a sense of meaning in life as compared to the control condition 2 reduce depressive symptom and loneliness as compared to the control condition In addition the researchers hypothesize that in-session therapeutic change factors will predict better outcomes in the treatment group
The qualitative arm of this study will explore the experiences of participants and staff members
Participants
This study aimed to recruit 120 participants factoring in a 15 dropout rate based on an a-priori power analysis The intervention was offered to 3595 Uniper Care members residing throughout Israel Participants were recruited over eight months and were randomly assigned to eight tele-drama therapy treatment groups or eight usual care groups who continued to receive the routine activities provided by Uniper Care
A total of 111 participants completed the study 88 of those who started the intervention 51 from the experimental groups and 60 from the control groups A total of 15 participants 119 dropped out throughout the study
The Online Platform
Uniper Care is a social club aimed to promote active aging using accessible technology designed with and for older adults Uniper Cares service is delivered via the TV by connecting a remote and a camera to any TV that turns the TV from passive to interactive Uniper Care is also accessible via other digital devices such as tablets smart phone and desktop Uniper Cares service includes daily classes around physical social emotional and cognitive well-being along with recorded programs and videos and gamification of various training
The Tele-drama Therapy Group Intervention
Eight groups of up to eight participants received a 12-week tele-drama therapy intervention with each session lasting 75 minutes via the Uniper Care platform Sessions were delivered by four certified drama therapists who received training on the treatment protocol before the intervention All sessions were recorded using OBS Open Broadcast Software v2900 an external software program for screen recording and live streaming All the recordings were secured on a computer with a password for further coding of the data
The 12-week intervention consisted of four stages 1 Introduction sessions 1-2 establishing participant acquaintance a therapeutic alliance and a safe space for self-expression and exploration 2 Life-review on stage sessions 3-8 revisiting past positive life stories from new viewpoints 3 Looking ahead sessions 9-11 exploring future stories and goals to foster a sense of purpose and sense of self-development and 4 Farewell reflecting upon the group process and achievements and closure
Measures
A demographic questionnaire administered at baseline
Outcome measures were assessed pre and post intervention for all participants Process measures were assessed for participants in the experimental groups after session No 10
Control variables individual traitsdifferences were assessed at baseline to examine their potential role as covariates
Semi-structured interviews were held with participants from three experimental groups three drama therapists and two Uniper Care community coordinators The interviews were recorded and transcribed for further coding and analysis
Data Analysis
Quantitative Analysis
Statistical data will be collected and analyzed in SPSS version 27 and R version 35
The reliability of the studys scales will be assessed using Cronbachs alpha for internal consistency
Shapiro-Wilk test of normality will be conducted to determine whether the outcome variables are normally distributed
Chi square t-tests or one-way ANOVA to examine differences between variables and groups and some additional variables
Correlations will be calculated to analyze the relationships between sociodemographic control and outcome variables
To examine the effects of the intervention on outcome variables the analysis will include repeated measures prepost with mixed-models random effects by groups ExperimentControl including interaction between time X groups
Further follow-up exploratory analyses will attempt to find associations between outcome and process variables and individual traits
Qualitative Analysis
To explore the experiences of participants and staff members qualitative analysis of the semi-structured interviews will apply reflexive thematic analysis of interviews Braun Clarke 2019
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