[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100659200":3},{"organization":4,"outcomesModule":7,"designInfo":41,"detailedDescription":44,"studyPopulation":44,"armGroups":50,"interventions":61,"overallOfficials":67,"centralContacts":71,"locations":44,"responsibleParty":76,"collaborators":79,"id":83,"slug":84,"hasResults":85,"nctId":86,"briefTitle":87,"officialTitle":88,"acronym":52,"eligibilityCriteria":89,"healthyVolunteers":85,"sex":90,"minAge":91,"maxAge":44,"enrollmentInfo":92,"targetDuration":44,"studyType":95,"phases":96,"briefSummary":98,"conditions":99,"keywords":102,"overallStatus":107,"whyStopped":44,"lastUpdateSubmitDate":108,"lastUpdatePostDateStruct":109,"startDateStruct":112,"completionDateStruct":114,"leadSponsor":116,"locationsCount":44},{"fullName":5,"class":6},"University of Washington","OTHER",{"primaryOutcomes":8,"secondaryOutcomes":13,"otherOutcomes":29},[9],{"measure":10,"description":11,"timeFrame":12},"Health-related quality of life measured by the RAND 36-Item Health Survey (RAND-36)","The RAND 36-Item Health Survey assesses health-related quality of life across eight domains, including physical functioning, bodily pain, role limitations, emotional well-being, social functioning, energy\u002Ffatigue, and general health. Scores are transformed to a 0-100 scale, with higher scores indicating better health-related quality of life.","Baseline, 8 weeks, and 12 weeks (1-month follow-up)",[14,17,20,23,26],{"measure":15,"description":16,"timeFrame":12},"Frailty measured by the Fried Frailty Phenotype","The Fried Frailty Phenotype assesses five criteria: unintentional weight loss, weakness (grip strength), exhaustion, slow walking speed, and low physical activity. The total score ranges from 0 to 5, with higher scores indicating greater frailty. A score of 0 indicates robustness, 1-2 indicates pre-frailty, and 3-5 indicates frailty.",{"measure":18,"description":19,"timeFrame":12},"Physical performance measured by the Short Physical Performance Battery (SPPB)","The Short Physical Performance Battery (SPPB) assesses lower-extremity function using three components: balance, gait speed, and chair stands. Component scores are combined for a total score ranging from 0 to 12, with higher scores indicating better physical performance.",{"measure":21,"description":22,"timeFrame":12},"Loneliness measured by the 3-item Revised UCLA Loneliness Scale","The 3-item Revised UCLA Loneliness Scale assesses subjective feelings of loneliness and social isolation. Total scores range from 0 to 6, with higher scores indicating greater loneliness.",{"measure":24,"description":25,"timeFrame":12},"Depressive symptoms measured by the Center for Epidemiologic Studies Depression Scale (CES-D)","The 20-item Center for Epidemiologic Studies Depression Scale (CES-D) assesses the frequency of depressive symptoms experienced during the past week. Total scores range from 0 to 60, with higher scores indicating more severe depressive symptoms.",{"measure":27,"description":28,"timeFrame":12},"Perceived stress measured by the 10-item Perceived Stress Scale (PSS-10)","The 10-item Perceived Stress Scale (PSS-10) assesses the degree to which situations in one's life are perceived as stressful. Total scores range from 0 to 40, with higher scores indicating greater perceived stress.",[30,34,38],{"measure":31,"description":32,"timeFrame":33},"Problem-solving skills measured by the Social Problem-Solving Inventory-Revised: Short Form (SPSI-R:S)","The 25-item SPSI-R:S assesses five dimensions of problem solving: Positive Problem Orientation, Negative Problem Orientation, Rational Problem Solving, Impulsivity\u002FCarelessness Style, and Avoidance Style. Each subscale ranges from 0 to 20. Higher Positive Problem Orientation and Rational Problem Solving scores and lower Negative Problem Orientation, Impulsivity\u002FCarelessness, and Avoidance scores indicate more effective problem solving. An overall score can also be calculated, with higher scores indicating better problem-solving ability.","Baseline, 5, 8 weeks, and 12 weeks (1-month follow-up)",{"measure":35,"description":36,"timeFrame":37},"Social support measured by the Medical Outcomes Study (MOS) Social Support Survey","The 19-item Medical Outcomes Study (MOS) Social Support Survey assesses perceived availability of social support across emotional\u002Finformational, tangible, affectionate, and positive social interaction domains. Scores are transformed to a 0-100 scale, with higher scores indicating greater perceived social support.","Baseline, 5, 8 and 12 weeks",{"measure":39,"description":40,"timeFrame":37},"Self-efficacy measured by the General Self-Efficacy Scale (GSES)","The 10-item General Self-Efficacy Scale (GSES) assesses confidence in one's ability to cope with difficult or challenging situations. Total scores range from 10 to 40, with higher scores indicating greater self-efficacy.",{"allocation":42,"interventionModel":43,"interventionModelDescription":44,"primaryPurpose":45,"observationalModel":44,"timePerspective":44,"maskingInfo":46},"RANDOMIZED","PARALLEL",null,"SUPPORTIVE_CARE",{"masking":47,"maskingDescription":44,"whoMasked":48},"SINGLE",[49],"OUTCOMES_ASSESSOR",[51,57],{"label":52,"type":53,"description":54,"interventionNames":55},"VOCALE AGING","EXPERIMENTAL","Participants assigned to the VOCALE intervention will receive an 8-week online, group-based program focused on healthy aging, frailty, and problem-solving. Participants will receive training on how to use the private online discussion platform and will be encouraged to access the platform at least twice per week. Weekly moderated discussions will address health challenges related to frailty and teach participants problem-solving skills using the ADAPT approach: adopting a positive attitude, defining the problem, brainstorming alternatives, predicting consequences, and trying out a solution. Participants may also receive technical support and additional training as needed.",[56],"Behavioral: VOCALE Healthy Aging Online Program",{"label":58,"type":59,"description":60,"interventionNames":44},"Control","NO_INTERVENTION","Participants assigned to the control arm will continue to receive their usual care and services. They will also receive educational materials about self-management and problem-solving, along with a list of healthy aging resources from the National Institute on Aging. They will not participate in the VOCALE online discussion program during the study period.",[62],{"type":63,"name":64,"description":65,"armGroupLabels":66,"otherNames":44},"BEHAVIORAL","VOCALE Healthy Aging Online Program","VOCALE Healthy Aging is an 8-week, group-based online behavioral intervention designed to support older adults with mild to moderate frailty. The intervention is delivered through a private, moderated online discussion platform and combines peer interaction with structured problem-solving training. Participants discuss common health and aging challenges and learn and practice the ADAPT problem-solving approach: adopting a positive attitude, defining the problem, brainstorming alternatives, predicting consequences, and trying out a chosen solution. Participants can access the platform asynchronously and receive training and technical support as needed.",[52],[68],{"name":69,"affiliation":5,"role":70},"Oleg Zaslavsky, PhD","PRINCIPAL_INVESTIGATOR",[72],{"name":69,"role":73,"phone":74,"phoneExt":44,"email":75},"CONTACT","2068493301","ozasl@uw.edu",{"type":70,"investigatorFullName":77,"investigatorTitle":78,"investigatorAffiliation":5,"oldNameTitle":44,"oldOrganization":44},"Oleg Zaslavsky","Professor",[80],{"name":81,"class":82},"National Institute on Aging (NIA)","NIH","100659200","vocale-a-digital-intervention-to-improve-quality-of-life-and-reduce-frailty-among-older-adults-in-retirement-communities-100659200",false,"NCT07860892","VOCALE: A Digital Intervention to Improve Quality of Life and Reduce Frailty Among Older Adults in Retirement Communities","VOCALE: A Digital Intervention to Improve Quality of Life and Reduce Frailty Among Older Adults in CCRCs - A Randomized Controlled Trial","Inclusion Criteria:\n\n* Age 65 years and older\n* Evidence of mild to moderate frailty based on scores of 4-6 according to the Clinical Frailty Scale (CFS)\n* Resident in a retirement community in Seattle area\n\nExclusion Criteria:\n\n* Having difficulty with basic activities of daily living such as eating and getting out of bed\n* Having a Memory Impairment Screen for Telephone (MIS-T) score of \\\u003C3","ALL","65 Years",{"count":93,"type":94},128,"ESTIMATED","INTERVENTIONAL",[97],"NA","The goal of this clinical trial is to learn whether an 8-week online program called VOCALE can improve quality of life and reduce frailty in adults age 65 and older who live independently in retirement communities and have mild to moderate frailty.\n\nThe main questions it aims to answer are:\n\n* Does participating in VOCALE improve participants' quality of life?\n* Does participating in VOCALE reduce frailty?\n* Do changes in problem-solving skills, self-confidence in managing health, and social support help explain how VOCALE may affect quality of life and frailty?\n\nResearchers will compare participants in retirement communities assigned to the VOCALE program with participants in communities assigned to usual care and educational resources to see whether VOCALE improves quality of life and frailty.\n\nParticipants will:\n\n* Complete assessments of their health, quality of life, frailty, and related measures at the beginning of the study, after 8 weeks, and one month later.\n* Complete physical performance assessments.\n* If assigned to VOCALE, receive training on the online platform and participate in moderated online discussions about healthy aging, health challenges, and problem-solving for 8 weeks.\n* If assigned to the comparison group, continue with usual care and receive educational materials and healthy aging resources.",[100,101],"Frailty","Quality of Life",[100,103,104,105,106],"Retirement Community","CCRC","Behavioral","Online","NOT_YET_RECRUITING","2026-09-30",{"date":110,"type":111},"2026-10-06","ACTUAL",{"date":113,"type":94},"2027-01-15",{"date":115,"type":94},"2031-01-30",{"name":5,"class":6}]