Ignite Creation Date:
2024-10-26 @ 3:38 PM
Last Modification Date:
2024-10-26 @ 3:38 PM
Study NCT ID:
NCT06560970
Status:
NOT_YET_RECRUITING
Last Update Posted:
None
First Post:
2024-08-15
Brief Title:
A Technology-based Psychosocial Intervention to Support Social Engagement and Well-being in Older Adults With HIV
Sponsor:
None
Organization:
None
Study Overview
Official Title:
A Technology-based Psychosocial Intervention to Support Social Engagement and Well-being in Older Adults With HIV
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
COPPEhR
Brief Summary:
Older people with HIV OPH often live with significant mental health challenges such as social isolation loneliness and depression The objectives of this study are to develop and test the usability and feasibility of a technology-based psychosocial intervention program designed to enhance social engagement and support facilitate resource access and education reduce loneliness and improve well-being among older adults with HIV who are long-term survivors diagnosed with HIV 20 years The program Connecting Older Positive People to Enhance Health and Resilience COPPEhR will build on Dr Sara Czajas PRISM A Personal Reminder and Information Management System for Seniors platform and will be an easy-to-use software application app preloaded onto a standard device designed to support social connectivity memory and access to resources for older adults at risk for isolation and the programs and services available at the Center for Special Studies CSS at Weill Cornell Medicine WCM This protocol covers Phase 2 of the study which will be a pilot randomized controlled efficacy trial will compare the COPPEhR intervention to a device-only control condition Participants in the control condition will receive the same device as those in the COPPEhR condition without the COPPEhR application The specific aims of this developmental project are to evaluate the feasibility usefulness and usability of a state-of-the art technology-based multicomponent COPPEhR intervention for aging adults with HIV Our hypothesis is the COPPEhR intervention will be feasible usable and useful The hypothesis is that those that use the COPPEhR app will experience less loneliness less depression and less social isolation and more social support more resilience and more connectivity than those that do not use the COPPEhR app
Detailed Description:
The development of modern antiretroviral therapies has increased the life expectancy of people living with HIV PLWH allowing them to survive into older ages Older people with HIV OPH have an enhanced risk of developing multiple chronic conditions such as cardiovascular disease kidney and liver disease cancer and cognitive impairment Also especially for those who had treatment early HIV remains stigmatized OPH live with significant mental health interdependent challenges such as social isolation loneliness and depression Because of stigma and protective withdrawal behaviors OPH also tend to have limited social networks and opportunities for engagement In a recent study of people 50 years of age with HIV 58 of the sample N356 reported experiencing loneliness Moore and colleagues found that older adults with HIV in their sample spent a considerable amount of time at home alone engaged in solitary activities
The deleterious consequences of social isolation include lower quality of life and life satisfaction and poorer mental physical and cognitive health With respect to OPH studies have shown that loneliness is associated with substance abuse depression and poorer quality of life So-Armah and colleagues using data from the Veterans Aging Cohort study found that depressive symptoms were associated with all-cause mortality among US veterans with HIV but not among those without HIV infection To date there has been limited intervention research directed at psychosocial issues among OPH especially long-term survivors In fact a recent systematic review of psychosocial interventions for older adults with HIVAIDS found a paucity of psychosocial interventions and few randomized trials and highlighted a need for home-based interventions to enhance the quality of life for adults aging with HIV As noted by the NIH Office of AIDS Research Working Group on HIV Aging research focused on social isolation and behavior is critical for this population
Technology-based interventions provide a potential solution for enhancing access to instrumental and social support for older adults with HIV and offer unparalleled flexibility in information presentation and facilitates broad implementation of applications As noted by a recent report from the National Academies of Science Engineering and Medicine that focused on social isolation technology provides an important set of opportunities for the toolkit of strategies that can help prevent or mitigate social isolation and loneliness in older adults pg 9-38 Studies have examined the impact of access to the Internet on well-being and social outcomes for older adults and the results are encouraging For example use of the Internet was shown to decrease loneliness and increase social contact among a sample of higher use of social technology was linked to higher ratings of health and well-being and lower depressive symptoms The links between use of social technology and these outcomes were mediated by reductions in loneliness We conducted an RCT that evaluated PRISM a software system that supports social connectivity memory and information access with older adults at risk for social isolation Findings indicated that use of PRISM resulted in significantly less loneliness increased social support and well-being and an increase in device comfort and proficiency at 6 months
Recent studies support the importance and acceptability of using technology for aging adults with HIV Moore and colleagues8 found that older adults with HIV were able to use smart phones to collect ecological momentary assessment data Findings from a recent study indicated that OPH that participated in an online mindfulness intervention showed reductions in depression anxiety and loneliness The objectives of this proposed development study are to develop and evaluate a technology-based psychosocial intervention Connecting Older Positive People to Enhance Health and Resilience COPPEhR designed to increase social and cognitive engagement and resource access reduce loneliness and improve well-being among OPH COPPEhR will be delivered on a device via an app and the features will be guided by Activity Theory models of Successful Aging and Social Engagement which underscore that social and cognitive engagement are integral to successful aging and that the benefits of social and meaningful engagement include better emotional physical and cognitive health
In accordance with these theories the features of COPPEhR will provide opportunities for social support and connection social network expansion eg online support groups buddiesinterest groups and expansion of social capital community feature which we postulate will enhance social engagement which will in turn be linked to less loneliness and better well- being eg less depression COPPEhR will also be based on our prior NIH funded work services available at the Center for Special Studies CSS which has a clinic for OPH the resources of the Center on Aging and Behavioral Research CABR Czaja Director and the Center for Research and Education on Aging and Technology Enhancement CREATE Czaja PI
The deleterious consequences of social isolation include lower quality of life and life satisfaction and poorer mental physical and cognitive health With respect to OPH studies have shown that loneliness is associated with substance abuse depression and poorer quality of life So-Armah and colleagues using data from the Veterans Aging Cohort study found that depressive symptoms were associated with all-cause mortality among US veterans with HIV but not among those without HIV infection To date there has been limited intervention research directed at psychosocial issues among OPH especially long-term survivors In fact a recent systematic review of psychosocial interventions for older adults with HIVAIDS found a paucity of psychosocial interventions and few randomized trials and highlighted a need for home-based interventions to enhance the quality of life for adults aging with HIV As noted by the NIH Office of AIDS Research Working Group on HIV Aging research focused on social isolation and behavior is critical for this population
Technology-based interventions provide a potential solution for enhancing access to instrumental and social support for older adults with HIV and offer unparalleled flexibility in information presentation and facilitates broad implementation of applications As noted by a recent report from the National Academies of Science Engineering and Medicine that focused on social isolation technology provides an important set of opportunities for the toolkit of strategies that can help prevent or mitigate social isolation and loneliness in older adults pg 9-38 Studies have examined the impact of access to the Internet on well-being and social outcomes for older adults and the results are encouraging For example use of the Internet was shown to decrease loneliness and increase social contact among a sample of higher use of social technology was linked to higher ratings of health and well-being and lower depressive symptoms The links between use of social technology and these outcomes were mediated by reductions in loneliness We conducted an RCT that evaluated PRISM a software system that supports social connectivity memory and information access with older adults at risk for social isolation Findings indicated that use of PRISM resulted in significantly less loneliness increased social support and well-being and an increase in device comfort and proficiency at 6 months
Recent studies support the importance and acceptability of using technology for aging adults with HIV Moore and colleagues8 found that older adults with HIV were able to use smart phones to collect ecological momentary assessment data Findings from a recent study indicated that OPH that participated in an online mindfulness intervention showed reductions in depression anxiety and loneliness The objectives of this proposed development study are to develop and evaluate a technology-based psychosocial intervention Connecting Older Positive People to Enhance Health and Resilience COPPEhR designed to increase social and cognitive engagement and resource access reduce loneliness and improve well-being among OPH COPPEhR will be delivered on a device via an app and the features will be guided by Activity Theory models of Successful Aging and Social Engagement which underscore that social and cognitive engagement are integral to successful aging and that the benefits of social and meaningful engagement include better emotional physical and cognitive health
In accordance with these theories the features of COPPEhR will provide opportunities for social support and connection social network expansion eg online support groups buddiesinterest groups and expansion of social capital community feature which we postulate will enhance social engagement which will in turn be linked to less loneliness and better well- being eg less depression COPPEhR will also be based on our prior NIH funded work services available at the Center for Special Studies CSS which has a clinic for OPH the resources of the Center on Aging and Behavioral Research CABR Czaja Director and the Center for Research and Education on Aging and Technology Enhancement CREATE Czaja PI
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None