RecruitingNot ApplicableNCT07475039

Project HOPEFUL: A PN-RCT With Implementation Science

Project HOPEFUL (Helping Older PErsons Find Useful Links): Replicating a Partially Nested Randomized Control Trial With Implementation Science


Sponsor

University of Florida

Enrollment

400 participants

Start Date

Sep 5, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

This PN-RCT replicates and evaluates an 8-week warm calling treatment (i.e. caring contacts) delivered to older adults receiving home and community-based services (HCBS; classified as "homebound") in 20-30 minute call "dosages", across 3 conditions, while adding in implementation science measures at multiple levels. Conditions include 2 treatment (i.e. treatment provided by helpers trained in a standardized and manualized Belongingness and Empathy training grounded in narrative reminiscence and the befriending literature (BE condition), and treatment provided by helpers trained in BE + a standardized, manualized, and evidence based suicide intervention training, the Aging Variant of LivingWorks ASIST (BE + ASIST condition), and 1 control (no treatment during the trial; opportunity to receive treatment after the 8 weeks). At the conclusion of treatment, acceptability, appropriateness, feasibility, useability, and sustainability of the program will be evaluated by interventionists, senior center leadership, and regional leadership.


Eligibility

Min Age: 55 Years

Inclusion Criteria16

  • In order to be eligible as a participant in this study, an individual must meet all of the following criteria:
  • Provision of verbal informed consent
  • Classify as an Older Adult (65+)
  • Stated willingness and ability to comply with all study procedures
  • Receive home and community-based services (HCBS) through the Aging Services Network (i.e. HDM (home delivered meals services), CM (congregate meals), etc.)
  • Be affiliated with the triple As and aging entities we have partnered with
  • In order to be eligible to be a trained provider in this study, an individual must meet all of the following criteria:
  • Provision of written informed consent
  • State willingness to comply with all study procedures
  • Be a staff or volunteer within the ASN (Aging Services Network), specifically within the triple As and aging entities we have partnered with
  • Meet Wymann and colleagues (2008) criteria for being a "natural helpers"42 (i.e. be warm, empathic, and having ongoing interaction with participants through one's job role)
  • Be recommended by the aging entity leadership as meeting these qualifications
  • In order to be eligible to be a leadership personnel in this study, an individual must meet all of the following criteria:
  • Provision of written informed consent
  • State willingness to comply with all study procedures
  • Be a in a leadership position within the aging entity or triple A in which we partnered, and have worked with the study team in helping implement the 8 week program

Exclusion Criteria6

  • Had a dementia diagnosis, or another form of cognitive impairment, and/or hearing impairment that would preclude phone conversation.
  • Participation in another warm calling behavioral treatment or intervention study simultaneously occurring
  • Does not have ongoing interactions with potential old adult participants (i.e. is a part of an optimized nutrition service provider in which they do not serve the same older adults consistently over time)
  • Participation in another warm calling behavioral treatment or intervention study simultaneously occurring
  • Has not worked with the study team directly in implementing the 8-week treatment
  • Is not familiar with the implementation of the program

Interventions

BEHAVIORALStandardized and manualized warm calls from providers trained in the BE training

Weekly call dosages averaging 20-30 minutes each, for 8 weeks duration; with a 6 month follow up.

BEHAVIORALStandardized and manualized warm calls from providers trained in the BE training + ASIST training

Weekly call dosages averaging 20-30 minutes each, for 8 weeks duration; with a 6 month follow up.


Locations(1)

University of Florida

Gainesville, Florida, United States

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NCT07475039


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