Virtual Senior Center (VSC)

The Washington University

Status: Invitation-only

Conditions: Social Isolation in Older Adults; Quality of Life (QOL); Activities of Daily Living

Treatments: Behavioral: Virtual Senior Center - No GrandPad; Behavioral: Virtual Senior Center - GrandPad

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT06946186

202408007

OT2HL158287 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

In a 3-group trial with randomization and follow-up for 12 months, we will compare use of the VSC as well as health and quality of life outcomes among 650 older adults in St. Louis who receive either: (1) home delivered meals AND a GrandPad; (2) home-delivered meals but no GrandPad for 6 months; and (3) in person meals at senior center but no GrandPad.

Full description

The aims of the study are:

1. Recruit 650 older adults in St. Louis into the study - 400 home-delivered meal recipients and 250 receiving in-person meals at senior centers. Describe baseline differences between the two groups in use of senior center programming, technology access and use, and health and quality of life outcomes.
2. Randomly assign the 400 home-delivered meal recipients to get a GrandPad immediately (GP) or 6 months later (GP-6). Compare the GP and GP-6 groups to in-person meal recipients (IP) on: (A) VSC engagement at 6- and 12-month follow-up; and (B) health and quality of life outcomes at 6- and 12-month follow-up.
3. Examine longitudinal changes and hypothesized mediating pathways using 5 waves of data from baseline, 3-,6-,9- and 12-month follow-up. Specifically: (A) in the GP-6 group only, compare VSC engagement, health and quality of life outcomes at 6-month follow-up (a period in which they did not have a GrandPad) to 12-month follow-up (a period in which they did have a GrandPad); (B) examine 12-month trends in GrandPad and VSC engagement, health and quality of life outcomes within and across groups; and (C) test mediation of hypothesized explanatory variables from the study's conceptual framework to examine potential causal pathways for health and quality of life outcomes.

Enrollment: 650 estimated patients

Sex: All

Ages: 65+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Current Home-delivered meal client with Aging Ahead

Exclusion criteria

• Under age 65

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: None (Open label)

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650 participants in 3 patient groups

GrandPad1

Experimental group

Description:

This group will receive a GrandPad right away after they complete the baseline survey

Treatment:

Behavioral: Virtual Senior Center - GrandPad

GrandPad2 - 6mo

Other group

Description:

Delayed interventional. This group will receive a GrandPad after 6 months.

Treatment:

Behavioral: Virtual Senior Center - GrandPad

Congregate

Active Comparator group

Description:

This group will not receive a GrandPad but will get access to the Virtual Senior Center

Treatment:

Behavioral: Virtual Senior Center - No GrandPad