Replication and Evaluation of the RISE-APS Model In New Contexts

ConditionsElder Abuse Self-Neglect

Trial statusNot yet recruiting

Trial phaseNot applicable

Trial typeInterventional

Biological sexAll

Age60+

SponsorRISE Collaborative

About this trial

The goal of this study is to learn if the intervention, RISE (in partnership with APS), can be implemented in different contexts and if this RISE-APS model works in supporting older adults who are at risk of or experiencing some form of elder abuse or self-neglect. The main aims are to:

1. Adapt and implement the RISE-APS model in four new contexts 2. Evaluate the RISE-APS model implementation and effectiveness in four new locations

Researchers will compare outcomes of participants who receive APS-only services to those receiving the RISE-APS model to see if the RISE-APS model works better in supporting older adults.

Participants will:

Receive services in either group and participate in brief telephone surveys to track their outcomes over time.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

APS cases assigned for investigation involving older adults age 60 years or older who live in the community and APS has assessed as at risk of or experiencing some form of elder abuse or self-neglect

Disqualifiers

APS clients who refuse services or who live in long-term care settings

Trial design

Design model

Parallel

Treatments tested in this trial

RISE
Behavioral
RISE works with cases involving older adults who are at risk of (prevention) or experiencing (response intervention) OAM. The model operates at Relational, Individual, Social, and Environmental levels and, through its core modalities, the intervention seeks to Repair Harm (restorative approaches), Inspire Change (motivational interviewing), Support Connection (teaming), and Empower Choice (supported decision making) (Burnes et al., 2023). RISE intervenes with the individual older adult OAM victim and alleged harmer (when appropriate), their relationship, and strengthens their informal and formal social supports.
APS
Behavioral
APS focuses on three main phases: case intake, investigation/ assessment, and substantiation/determination.

Treatment groups

300 Participants

are divided into 2 treatment groups

Group A: APS OnlyExperimental treatment 1 intervention

Group B: RISE-APSActive comparator 2 interventions

Trial outcomes

Primary outcomes

Number of Adult Protective Services Re-Investigations

Number of Adult Protective Services (APS) re-investigation will be measured as the number of repeat APS investigations opened on a client in the 6 months following initial case closure during the study period

Time frame

Six months

Adult Protective Services Re-Victimization

Adult Protective Services (APS) re-victimization will be measured as whether or not a client is determined to have experienced a substantiated maltreatment allegation at APS within 6 months following initial case closure during the study period.

Time frame

6 months

Secondary outcomes

PROMIS Emotional Support

Emotional support will be measured using four items from the Patient-Reported Outcomes Measurement Information System (PROMIS) toolbox and assessed with response options from 0 (Never) to 4 (Always).

Time frame

4 months: Two data collection times (pre/post) at beginning of intervention (T0) and four-month post (T2)

Number of Days to Adult Protective Services Re-Investigation

Number of days to adult protective services (APS) re-investigation will be measured as the number of days between initial case closure and when a case is reopened for investigation at APS within a 6 month period.

Time frame

6 months

PROMIS General Self-Efficacy

General Self-Efficacy will be measured using four items from the Patient-Reported Outcomes Measurement Information System (PROMIS) toolbox and assessed with response options from 0 (Never) to 4 (Always).

Time frame

4 months: Two data collection times (pre/post) at beginning of intervention (T0) and four-month post (T2)

PROMIS Perceived Stress

Perceived stress will be measured using four items from the Patient-Reported Outcomes Measurement Information System (PROMIS) toolbox and assessed with response options from 0 (Never) to 4 (Always).

Time frame

4 months: Two data collection times (pre/post) at beginning of intervention (T0) and four-month post (T2)

Other outcomes

RISE Intervention Adoption by Adult Protective Services Caseworkers

RISE intervention adoption will be measured by the proportion of APS caseworkers referring to RISE

Time frame

2 years

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

RISE Collaborative

Lead sponsor

Ventura County APS

Collaborator

Harris County APS

Collaborator

Cuyahoga County APS

Collaborator

ONEgeneration

Collaborator

Harris County AAA

Collaborator

Benjamin Rose

Collaborator

Northwest District APS

Collaborator

West Central Texas AAA

Collaborator

Source ClinicalTrials.gov

This trial is not recruiting at the moment. You can still explore other options: