Effect of Personalised citizen assistance for social participation (APIC) on older adults' health and social participation: study protocol for a pragmatic multicentre randomised controlled trial (RCT)
| Autor: | Valérie Berger, Mélanie Levasseur, Helen-Maria Vasiliadis, André Tourigny, Hélène Lefebvre, Marie-France Dubois, Marie-Josée Levert, Chantal Eymard, Johanne Filliatrault, Catherine Gabaude, Joanie Lacasse-Bédard |
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| Přispěvatelé: | Research Centre on Aging, Centre intégré universitaire de santé et de services sociaux (CIUSSS) de l'Estrie, Centre hospitalier universitaire de Sherbrooke (CHUS), Sherbrooke, Québec, Canada, parent, Faculté de médecine et des sciences de la santé [Sherbrooke] (UdeS), Université de Sherbrooke (UdeS), Research Centre, Institut universitaire de gériatrie de Montreal (CRIUGM), Montréal, Quebec, Canada, Research Centre, Charles-Le Moyne Hospital, Université de Sherbrooke Longueuil Campus, Longueuil, Quebec, Canada, Department of Social and Preventive Medicine, Laval University, Québec City, Quebec, Canada, Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, Quebec, Canada, Laboratoire Ergonomie et Sciences Cognitives pour les Transports (IFSTTAR/TS2/LESCOT), Institut Français des Sciences et Technologies des Transports, de l'Aménagement et des Réseaux (IFSTTAR)-Université de Lyon, Hospital University of Bordeaux, Bordeaux, France, Aix-Marseille Université - Faculté des Arts, Lettres, Langues et Sciences Humaines (AMU ALLSH), Aix Marseille Université (AMU), Université de Lyon-Institut Français des Sciences et Technologies des Transports, de l'Aménagement et des Réseaux (IFSTTAR) |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Gerontology
SOCIAL INCLUSION Urban Population PROGRAM EVALUATION Cost-Benefit Analysis COMMUNITY PARTICIPATION Psychological intervention EMPOWERMENT Personal Satisfaction Community integration COST-EFFECTIVENESS 03 medical and health sciences SOCIAL INTEGRATION 0302 clinical medicine Social integration SOCIAL INTERACTION Informed consent Health care Protocol Humans Medicine Prospective Studies 030212 general & internal medicine INTERVENTION EVALUATION Aged [SDV.EE.SANT]Life Sciences [q-bio]/Ecology environment/Health [SHS.SOCIO]Humanities and Social Sciences/Sociology [SDV.NEU.PC]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC]/Psychology and behavior business.industry Quebec Life satisfaction General Medicine Social Participation Social engagement Mental health 3. Good health SOCIAL ACTIVITY Research Design Chronic Disease Quality of Life Public Health business Delivery of Health Care 030217 neurology & neurosurgery |
| Zdroj: | BMJ Open BMJ Open, BMJ Publishing Group, 2018, 19 p. ⟨10.1136/bmjopen-2017-018676⟩ |
| ISSN: | 2044-6055 |
| DOI: | 10.1136/bmjopen-2017-018676⟩ |
| Popis: | IntroductionThe challenges of global ageing and the growing burden of chronic diseases require innovative interventions acting on health determinants like social participation. Many older adults do not have equitable opportunities to achieve full social participation, and interventions might underempower their personal and environmental resources and only reach a minority. To optimise current practices, theAccompagnement-citoyen Personnalisé d’Intégration Communautaire(APIC), an intervention demonstrated as being feasible and having positive impacts, needs further evaluation.Methods and analysisA pragmatic multicentre, prospective, two-armed, randomised controlled trial will evaluate: (1) the short-term and long-term effects of the APIC on older adults’ health, social participation, life satisfaction and healthcare services utilisation and (2) its cost-effectiveness. A total of 376 participants restricted in at least one instrumental activity of daily living and living in three large cities in the province of Quebec, Canada, will be randomly assigned to the experimental or control group using a centralised computer-generated random number sequence procedure. The experimental group will receive weekly 3-hour personalised stimulation sessions given by a trained volunteer over the first 12 months. Sessions will encourage empowerment, gradual mobilisation of personal and environmental resources and community integration. The control group will receive the publicly funded universal healthcare services available to all Quebecers. Over 2 years (baseline and 12, 18 and 24 months later), self-administered questionnaires will assess physical and mental health (primary outcome; version 2 of the 36-item Short-Form Health Survey, converted to SF-6D utility scores for quality-adjusted life years), social participation (Social Participation Scale) and life satisfaction (Life Satisfaction Index-Z). Healthcare services utilisation will be recorded and costs of each intervention calculated.Ethics and disseminationThe Research Ethics Committee of theCIUSSS Estrie – CHUShas approved the study (MP-31-2018-2424). An informed consent form will be read and signed by all study participants. Findings will be published and presented at conferences.Trial registration numberNCT03161860; Pre-results. |
| Databáze: | OpenAIRE |
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