Effect of Personalised Citizen Assistance for Social Participation(APIC) on Older Adults Health and Social Participation

Mélanie Levasseur

Status: Active, not recruiting

Conditions: Community-dwelling Older Adults

Treatments: Behavioral: Personalised citizen assistance for social participation(APIC)

Study type: Interventional

Funder types: Other

Identifiers

NCT03161860

MP-31-2018-2424

Details and patient eligibility

About

Global aging and the growing burden of chronic diseases represent a challenge. Innovative interventions acting upon health determinants, like social participation, are required. Social participation, defined as the involvement of a person in activities that provide interactions with others in the community is critical to promote health and prevent disabilities. Many older adults do not have equitable opportunities to achieve full social participation, and interventions under-empower their personal and environmental resources and only reach a minority. To optimize current practices, the Personalised citizen assistance for social participation (APIC), an intervention demonstrated as being feasible and having positive impacts, needs further evaluation.

The first aim of this study is evaluate the impacts of the APIC on older adults' health, social participation, life satisfaction and healthcare services utilisation. The second aim is to evaluate the cost-effectiveness of the intervention. In parallel, the implementation of the APIC, including factors facilitating and impeding it, will be documented.

Concerning the first two objectives, two hypotheses are formulated: 1) the APIC will prevent a decline in older women's and men's health, social participation and life satisfaction, and reduce their use of healthcare services, and 2) the APIC will be associated with lower costs, from older adults', healthcare system and societal perspectives, including healthcare expenditures.

Enrollment: 180 patients

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. be aged 65 or older,
2. live at home or in seniors' residences,
3. be restricted in at least one instrumental activity of daily living (e.g. house cleaning, shopping), and
4. have a good understanding of French or English.

Exclusion criteria

• Moderate to severe cognitive impairments

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

180 participants in 2 patient groups

Personalised citizen assistance

Experimental group

Description:

The experimental group will receive the Personalised citizen assistance for social participation (APIC), i.e. weekly 3-hour personalised stimulation sessions by a trained volunteer over 12 months. Sessions will encourage empowerment, gradual mobilisation of personal and environmental resources, and community integration.

Treatment:

Behavioral: Personalised citizen assistance for social participation(APIC)

Control group

No Intervention group

Description:

The control group will receive the publicly-funded universal healthcare services available to all Quebecers.