CAPABLE Care + Connect

Summary

In this evaluation scale-up research project, the investigators seek to test an implementation of CAPABLE on the infrastructure of home-based primary care for individuals who may experience social isolation and/or loneliness. These two home-based care programs may improve each other and provide opportunity to further improve quality of life for people living with disabilities and the caregivers. The purpose of this mixed methods study is to adapt and test CAPABLE, an existing evidence-based program, to a new target population with the scalable infrastructure of home-based primary care.

Conditions

• Social Isolation in Older Adults
• Social Isolation or Loneliness
• Social Isolation
• Quality of Life
• Disability Physical
• Homebound Persons

Interventions

BEHAVIORAL

CAPABLE Care + Connect - Open Label Pilot

As in CAPABLE, the delivery characteristics of CAPABLE Care + Connect consist of an assessment-driven, individually tailored package of interventions delivered over the course of 4 months by an occupational therapist (OT) (\~6 home visits for ≤ 1hour), a registered nurse (RN) (\~4 home visits for ≤ 1hour) and a handy worker (HW). Adaptations targeting those in JHOME will be made on a per-client basis as part of the open-label pilot. The investigators will further refine and develop the intervention by receiving feedback from the open label pilot participants and CAPABLE clinicians who implemented the pilot to gain those perspectives of the acceptability and feasibility of implementing the CAPABLE Care + Connect intervention. Based on this feedback, the study team will have developed an adapted iteration of the prototype.

BEHAVIORAL

CAPABLE Care + Connect - Pilot

As in CAPABLE, the delivery characteristics of CAPABLE Care + Connect consist of an assessment-driven, individually tailored package of interventions delivered over the course of 4 months by an occupational therapist (OT) (\~6 home visits for ≤ 1hour), a registered nurse (RN) (\~4 home visits for ≤ 1hour) and a handy worker (HW). Refinements based on the open label pilot results will be included.

Sponsors & Collaborators

• National Institute on Disability, Independent Living, and Rehabilitation Research

  collaborator FED

• The Rita and Alex Hillman Foundation

  collaborator UNKNOWN

• Johns Hopkins University

  lead OTHER

Principal Investigators

• Thomas Cudjoe, MD, MPH, MA · Johns Hopkins University

Study Design

Allocation

NON_RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

50 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2025-08-14

Primary Completion

2026-05-31

Completion

2026-05-31

Countries

• United States

Study Locations