About this trial
The purpose of this study is to test whether an individual coaching program helps adults age 60 and older feel more connected to other people in ways that matter to them.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 60 or older
Access to social activities outside the home, including through living in senior living communities
Clinically-significant loneliness over the prior month.
Disqualifiers
Current problem drinking
Psychosis
Significant cognitive impairment
Hearing problems that preclude engagement with S-ENG and research assessors.
Trial design
Parallel
Treatments tested in this trial
Social Engage Coaching (S-ENG)
BehavioralSocial Engage Coaching (S-ENG) involves 10 individual coaching sessions focused on increasing social connection. S-ENG is a stepped, modular intervention that was developed to allow personalization to a given subject's needs, preferences, and individualized barriers to social connection. Early sessions include psychoeducation on the importance of social connection; a values clarification exercise on aspects of connection most important to subjects; and assessment of current social networks and social activities. Together, the coach and subject create a conceptualization of reasons for loneliness and identify personalized activities most likely to impact loneliness. The primary activity is 'action planning,' which involves selecting a social goal for the week, brainstorming ways to meet the goal, identifying barriers, and selecting specific actions to take before the next session. The first 8 sessions are offered weekly and the final two are monthly booster sessions.
Treatment groups
Trial outcomes
Primary outcomes
Loneliness
PROMIS Social Isolation Short Form 4a assessed by Ecological Momentary Assessment (EMA) for 10 days.
Belonging
Interpersonal Needs Questionnaire assessed by Ecological Momentary Assessment (EMA) for 10 days.
Time in conversations
Self-report of frequency of conversations with others assessed by Ecological Momentary Assessment (EMA) for 10 days.
Time outside the home
Self-report of frequency of time outside the home assessed by Ecological Momentary Assessment (EMA) for 10 days.
Secondary outcomes
Suicide ideation
Geriatric Suicide Ideation Scale Screening version that provides a continuous score of severity of suicide ideation with four items, assessed by Ecological Momentary Assessment (EMA) for 10 days.
Depression
PROMIS Depression Short Form assessed by Ecological Momentary Assessment (EMA) for 10 days.
Sponsors and contacts
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University of Rochester
Lead sponsor
National Institute of Mental Health (NIMH)
Collaborator