Trial Outcomes & Findings for Improving Aging in Place in Subsidized Housing (NCT NCT04212442)
NCT ID: NCT04212442
Last Updated: 2024-11-15
Results Overview
Self-reported ability to perform 7 ADLs, 5 IADLs, and 3 mobility tasks (Range, 0-30; higher scores indicate more functional impairment)
Recruitment status
COMPLETED
Study phase
NA
Target enrollment
75 participants
Primary outcome timeframe
Baseline, 2 months
Results posted on
2024-11-15
Participant Flow
Unit of analysis: Apartment building
Participant milestones
| Measure |
Immediate Intervention
Upon enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
Wait-list Control
Two months after study enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
|---|---|---|
|
Overall Study
STARTED
|
47 8
|
28 7
|
|
Overall Study
COMPLETED
|
42 8
|
23 7
|
|
Overall Study
NOT COMPLETED
|
5 0
|
5 0
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Improving Aging in Place in Subsidized Housing
Baseline characteristics by cohort
| Measure |
Immediate Intervention
n=47 Participants
Upon enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
Wait-list Control
n=28 Participants
Two months after study enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
Total
n=75 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Continuous
|
72.5 years
STANDARD_DEVIATION 7.9 • n=5 Participants
|
72.3 years
STANDARD_DEVIATION 7.0 • n=7 Participants
|
72.4 years
STANDARD_DEVIATION 7.5 • n=5 Participants
|
|
Sex: Female, Male
Female
|
42 Participants
n=5 Participants
|
18 Participants
n=7 Participants
|
60 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
5 Participants
n=5 Participants
|
10 Participants
n=7 Participants
|
15 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
White, non-Hispanic
|
30 Participants
n=5 Participants
|
2 Participants
n=7 Participants
|
32 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Black, non-Hispanic
|
13 Participants
n=5 Participants
|
11 Participants
n=7 Participants
|
24 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Hispanic/Latino
|
4 Participants
n=5 Participants
|
13 Participants
n=7 Participants
|
17 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Other (individuals who self-identified as American Indian or Alaska Native, Asian, or other race)
|
0 Participants
n=5 Participants
|
2 Participants
n=7 Participants
|
2 Participants
n=5 Participants
|
|
Region of Enrollment
United States
|
47 Participants
n=5 Participants
|
28 Participants
n=7 Participants
|
75 Participants
n=5 Participants
|
PRIMARY outcome
Timeframe: Baseline, 2 monthsPopulation: Please note that due to loss to follow-up for self-reported outcome measures, the overall number of participants analyzed is not consistent with numbers provided in the rows in the participant flow module.
Self-reported ability to perform 7 ADLs, 5 IADLs, and 3 mobility tasks (Range, 0-30; higher scores indicate more functional impairment)
Outcome measures
| Measure |
Immediate Intervention
n=28 Participants
Upon enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
Wait-list Control
n=13 Participants
Two months after study enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
|---|---|---|
|
Change in Precipitating Events Project (PEP) Functional Status Scale From Baseline to 2 Months for Immediate Intervention Sites and Waitlist Control Sites
|
-1.3 score on a scale
Standard Deviation 1.7
|
0.6 score on a scale
Standard Deviation 2.6
|
PRIMARY outcome
Timeframe: Baseline, 2 monthsPopulation: Unable to collect data due to visitation restrictions in the setting of the COVID pandemic
Objective measure of lower extremity functioning in older adults (Range, 0-12; higher scores indicate worse lower extremity functioning) The measure will be collected only if in-person contact is possible during the COVID-19 outbreak.
Outcome measures
Outcome data not reported
PRIMARY outcome
Timeframe: Measured continuously from 0-2 monthsPopulation: Please note that due to loss to follow-up for self-reported outcome measures, the overall number of participants analyzed is not consistent with numbers provided in the rows in the participant flow module.
Measured using Fitbit
Outcome measures
| Measure |
Immediate Intervention
n=42 Participants
Upon enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
Wait-list Control
n=23 Participants
Two months after study enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
|---|---|---|
|
Change in Average Step Counts From Baseline to 2 Months for Immediate Intervention and Waitlist Control Sites
|
9,706 steps
Standard Deviation 17,546
|
3,880 steps
Standard Deviation 17,186
|
PRIMARY outcome
Timeframe: Measured continuously from 0-2 monthsPopulation: Please note that all data are missing due to a lack of synced Fitbit data.
Measured using Fitbit (minutes spent in each of 4 levels of activity: sedentary; lightly active; fairly active; very active)
Outcome measures
Outcome data not reported
PRIMARY outcome
Timeframe: Baseline, 2 monthsPopulation: Please note that due to loss to follow-up for self-reported outcome measures, the overall number of participants analyzed is not consistent with numbers provided in the rows in the participant flow module.
Self-reported physical activity (Range, 0-793; higher scores indicate greater physical activity)
Outcome measures
| Measure |
Immediate Intervention
n=28 Participants
Upon enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
Wait-list Control
n=13 Participants
Two months after study enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
|---|---|---|
|
Change in Physical Activity Scale for the Elderly (PASE) Score From Baseline to 2 Months for Immediate Intervention and Waitlist Control Sites
|
4.52 score on a scale
Standard Deviation 38.95
|
16.25 score on a scale
Standard Deviation 46.00
|
PRIMARY outcome
Timeframe: 0-4 monthsPopulation: The count exceeds the number analyzed because this is a measure of eligible participants recruited by aim. In the immediate intervention arm, 54 eligible individuals were invited to participate of whom 7 declined and 47 were enrolled; for the waitlist control arm, 33 eligible individuals were invited to participate of whom 5 declined and 28 were enrolled.
Assessed using participant responses to invitation to participate in the study (enrolled vs. refused)
Outcome measures
| Measure |
Immediate Intervention
n=54 Participants
Upon enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
Wait-list Control
n=33 Participants
Two months after study enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
|---|---|---|
|
Feasibility of Study Recruitment, Measured as Percentage of Eligible Participants Recruited
|
47 Participants
|
28 Participants
|
PRIMARY outcome
Timeframe: 0-4 monthsAssessed as percentage of participants who remain enrolled in the study
Outcome measures
| Measure |
Immediate Intervention
n=47 Participants
Upon enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
Wait-list Control
n=28 Participants
Two months after study enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
|---|---|---|
|
Feasibility of Study Retention, Measured as Percentage of Participants Retained Over Study Follow-up
|
42 Participants
|
23 Participants
|
PRIMARY outcome
Timeframe: 2 monthsPopulation: Please note that due to loss to follow-up for self-reported outcome measures, the overall number of participants analyzed is not consistent with numbers provided in the rows in the participant flow module.
Self-reported acceptability of the intervention (5-point Likert scale ranging from very unacceptable (1) to very acceptable (5); higher numbers indicate higher acceptability)
Outcome measures
| Measure |
Immediate Intervention
n=28 Participants
Upon enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
Wait-list Control
n=13 Participants
Two months after study enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
|---|---|---|
|
Acceptability Assessed Using a Survey Question
|
4.0 score on a scale
Interval 3.0 to 5.0
|
5.0 score on a scale
Interval 4.0 to 5.0
|
PRIMARY outcome
Timeframe: 0-4 monthsNumber of participants with \>80% fidelity to treatment protocol, measured using fidelity checklist including each study protocol task
Outcome measures
| Measure |
Immediate Intervention
n=47 Participants
Upon enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
Wait-list Control
n=28 Participants
Two months after study enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
|---|---|---|
|
Number of Participants With High Fidelity to Treatment Protocol, Measured Using Fidelity Checklist
|
37 Participants
|
21 Participants
|
PRIMARY outcome
Timeframe: 2 monthsPopulation: Please note that MITI scores were calculated at the level of the nurse providing motivational interviewing rather than at the level of the resident. Thus, only a single score is available for each group.
Assessed by psychologist (4 global scores, scored on a 5-point Likert scale from 1 (low) to 5 (high))
Outcome measures
| Measure |
Immediate Intervention
n=8 Participants
Upon enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
Wait-list Control
n=8 Participants
Two months after study enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
|---|---|---|
|
Fidelity to Motivational Interviewing, Measured Using the Motivational Interviewing Treatment Integrity Scale (MITI 4)
Cultivating change
|
4.0 4 scores for subdomains
Interval 3.1 to 4.9
|
4.0 4 scores for subdomains
Interval 3.1 to 4.9
|
|
Fidelity to Motivational Interviewing, Measured Using the Motivational Interviewing Treatment Integrity Scale (MITI 4)
Softening sustain
|
3.8 4 scores for subdomains
Interval 3.5 to 4.4
|
3.8 4 scores for subdomains
Interval 3.5 to 4.4
|
|
Fidelity to Motivational Interviewing, Measured Using the Motivational Interviewing Treatment Integrity Scale (MITI 4)
Partnership
|
4.3 4 scores for subdomains
Interval 3.6 to 4.9
|
4.3 4 scores for subdomains
Interval 3.6 to 4.9
|
|
Fidelity to Motivational Interviewing, Measured Using the Motivational Interviewing Treatment Integrity Scale (MITI 4)
Empathy
|
4.3 4 scores for subdomains
Interval 3.6 to 4.9
|
4.3 4 scores for subdomains
Interval 3.6 to 4.9
|
SECONDARY outcome
Timeframe: Baseline, 2 monthsPopulation: Please note that due to loss to follow-up for self-reported outcome measures, the overall number of participants analyzed is not consistent with numbers provided in the rows in the participant flow module.
Self-reported measure (Range, 11111-55555, converted to a single index utility score ranging from of 0-1; higher scores indicate better quality of life)
Outcome measures
| Measure |
Immediate Intervention
n=28 Participants
Upon enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
Wait-list Control
n=13 Participants
Two months after study enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
|---|---|---|
|
Change in EuroQol 5 Dimensions (EQ-5D-5L) Scale From Baseline to 2 Months for Immediate Intervention and Waitlist Control Sites
|
0.09 units on a scale
Standard Deviation 0.27
|
-0.05 units on a scale
Standard Deviation 0.34
|
SECONDARY outcome
Timeframe: Baseline, 2 monthsPopulation: Please note that due to loss to follow-up for self-reported outcome measures, the overall number of participants analyzed is not consistent with numbers provided in the rows in the participant flow module.
Self-reported measure of depressive symptoms (Range, 0-15; score of 5-8 suggests mild depression, 9-11 moderate depression, and 12-15 severe depression)
Outcome measures
| Measure |
Immediate Intervention
n=47 Participants
Upon enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
Wait-list Control
n=28 Participants
Two months after study enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
|---|---|---|
|
Change in Geriatric Depression Scale Short Form (GDS Short Form) Score From Baseline to 2 Months for Immediate Intervention and Waitlist Control Sites
|
-1.26 score on a scale
Standard Deviation 2.23
|
0.42 score on a scale
Standard Deviation 2.02
|
SECONDARY outcome
Timeframe: Baseline, 2 monthsPopulation: Please note that due to loss to follow-up for self-reported outcome measures, the overall number of participants analyzed is not consistent with numbers provided in the rows in the participant flow module.
Self-reported hospitalization
Outcome measures
| Measure |
Immediate Intervention
n=28 Participants
Upon enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
Wait-list Control
n=13 Participants
Two months after study enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
|---|---|---|
|
Percentage of Participants With a Hospitalization During the Study Period (Baseline to 2 Months for Immediate Intervention and Waitlist Control Sites)
Baseline
|
4 Participants
|
2 Participants
|
|
Percentage of Participants With a Hospitalization During the Study Period (Baseline to 2 Months for Immediate Intervention and Waitlist Control Sites)
Follow-up
|
1 Participants
|
1 Participants
|
SECONDARY outcome
Timeframe: Baseline, 2 monthsPopulation: Please note that due to loss to follow-up for self-reported outcome measures, the overall number of participants analyzed is not consistent with numbers provided in the rows in the participant flow module.
Self-reported number of hospitalizations
Outcome measures
| Measure |
Immediate Intervention
n=28 Participants
Upon enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
Wait-list Control
n=13 Participants
Two months after study enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
|---|---|---|
|
Change in Number of Hospitalizations During the Study Period (Baseline to 2 Months for Immediate Intervention and Waitlist Control Sites)
|
-0.18 number of hospitalizations
Standard Deviation 0.61
|
-0.08 number of hospitalizations
Standard Deviation 0.28
|
SECONDARY outcome
Timeframe: Baseline, 2 monthsPopulation: Please note that due to loss to follow-up for self-reported outcome measures, the overall number of participants analyzed is not consistent with numbers provided in the rows in the participant flow module.
Self-reported emergency department visit
Outcome measures
| Measure |
Immediate Intervention
n=28 Participants
Upon enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
Wait-list Control
n=13 Participants
Two months after study enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
|---|---|---|
|
Percentage of Participants With an Emergency Department Visit During the Study Period (Baseline to 2 Months for Immediate Intervention and Waitlist Control Sites)
Baseline
|
5 Participants
|
6 Participants
|
|
Percentage of Participants With an Emergency Department Visit During the Study Period (Baseline to 2 Months for Immediate Intervention and Waitlist Control Sites)
Follow-up
|
7 Participants
|
3 Participants
|
SECONDARY outcome
Timeframe: Baseline, 2 monthsPopulation: Please note that due to loss to follow-up for self-reported outcome measures, the overall number of participants analyzed is not consistent with numbers provided in the rows in the participant flow module.
Self-reported number of emergency department visits
Outcome measures
| Measure |
Immediate Intervention
n=28 Participants
Upon enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
Wait-list Control
n=13 Participants
Two months after study enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
|---|---|---|
|
Change in Number of Emergency Department Visits During the Study Period (Baseline to 2 Months for Immediate Intervention and Waitlist Control Sites)
|
0.11 number of visits
Standard Deviation 0.74
|
-0.38 number of visits
Standard Deviation 0.65
|
SECONDARY outcome
Timeframe: Baseline, 2 monthsPopulation: Please note that due to loss to follow-up for self-reported outcome measures, the overall number of participants analyzed is not consistent with numbers provided in the rows in the participant flow module.
Self-reported or emergency contact-reported move to a higher level of care, defined as a move to assisted living, board and care, or nursing home
Outcome measures
| Measure |
Immediate Intervention
n=28 Participants
Upon enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
Wait-list Control
n=13 Participants
Two months after study enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
|---|---|---|
|
Percentage of Participants With a Move to a Higher Level of Care (Baseline to 2 Months for Immediate Intervention and Waitlist Control Sites)
Baseline
|
0 Participants
|
0 Participants
|
|
Percentage of Participants With a Move to a Higher Level of Care (Baseline to 2 Months for Immediate Intervention and Waitlist Control Sites)
Follow-up
|
0 Participants
|
0 Participants
|
SECONDARY outcome
Timeframe: Baseline, 2 monthsPopulation: Please note that due to loss to follow-up for self-reported outcome measures, the overall number of participants analyzed is not consistent with numbers provided in the rows in the participant flow module.
Self-reported skilled nursing facility stay
Outcome measures
| Measure |
Immediate Intervention
n=28 Participants
Upon enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
Wait-list Control
n=13 Participants
Two months after study enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
|---|---|---|
|
Percentage of Participants With a Skilled Nursing Facility Stay (Baseline to 2 Months for Immediate Intervention and Waitlist Control Sites)
Baseline
|
1 Participants
|
0 Participants
|
|
Percentage of Participants With a Skilled Nursing Facility Stay (Baseline to 2 Months for Immediate Intervention and Waitlist Control Sites)
Follow-up
|
0 Participants
|
0 Participants
|
Adverse Events
Immediate Intervention
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Wait-list Control
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Serious adverse events
Adverse event data not reported
Other adverse events
| Measure |
Immediate Intervention
n=47 participants at risk
Upon enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
Wait-list Control
n=28 participants at risk
Two months after study enrollment, participants receive the adapted telephone-based intervention, the Independent Living Program for Affordable Housing, for two consecutive months.
Independent Living Program for Affordable Housing.: Two-month program intended to increase physical activity and function, including the following 4 steps:
1. Environmental and Policy Assessments: Nurse facilitator works with the affordable housing staff to identify and recommend feasible interventions to alter the environment, policy, and procedures to optimize resident function and physical activity.
2. Education: Nurse educates residents and study partners in the principles of the Independent Living Program, using established materials and adult learning techniques.
3. Establishing Resident Goals: The nurse completes Capability Assessment Forms and helps resident set goals to increase function and physical activity.
4. The nurse helps to motivate and mentor residents and study partners to achieve and maintain their goals, using evidence-based approaches.
|
|---|---|---|
|
Injury, poisoning and procedural complications
Fall related to participating in intervention
|
0.00%
0/47 • 0-2 months
|
0.00%
0/28 • 0-2 months
|
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place