Medical <scp>student‐led</scp> social phone calls with elder mistreatment victims: Changes in loneliness, depression, and perspectives of aging

Hoyumpa, Gabrielle; Narro, Analisa; Law, Matthew; Ciavarra, Bronson; Phung, Vanessa; Chiang, Sarah; Oyler, Tyson; Lydick, Hayden; Flores, Renee J; Lee, Jessica L.; Burnett, Jason

doi:10.1111/jgs.17713

Cited by 5 publications

(4 citation statements)

References 8 publications

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“…The current study piloted a SIL intervention in adult stroke survivors using weekly HPS-delivered social phone calls. Friendly-caller programs are supported methods to address SIL (Kahlon et al, 2021;Hoyumpa et al, 2022), but the feasibility and effectiveness of these programs are lacking for the stroke population. Our study found that most stroke survivors were interested in participating, but black individuals were somewhat less likely to agree to participation.…”

Section: Discussionmentioning

confidence: 99%

“…Although underpowered to assess statistical effectiveness of the social calls, the assessment data indicated encouraging trends with the largest effect found for loneliness. Social phone calls are designed specifically to alleviate loneliness, but have been shown to also improve outcomes such as depression and anxiety given their relationship with social disconnection (National Academies of Sciences, 2020; Kahlon et al, 2021;Hoyumpa et al, 2022). This is important because there are few studies targeting social connection in stroke survivors despite a 40% increased risk in recurrent stroke predicted by social disconnection (e.g., SIL) (Cené et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

“…Social isolation and loneliness (SIL) are important modifiable risk factors that increase the risk of stroke (32%) and recurrent stroke (40%) and contribute to poor outcomes including depression and anxiety (Valtorta et al, 2016;National Academies of Sciences, 2020;Cené et al, 2022). Interventions such as friendly visits, intergenerational and peer-initiated social phone calls, and behavioral activation programs have been effective in reducing SIL in older adults (Choi et al, 2020;Bruce et al, 2021;Hoyumpa et al, 2022;Noble et al, 2022;Fields et al, 2023). However, these interventions have not been tested in stroke survivors (Cené et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

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The feasibility of health professional student delivered social visits for stroke survivors with loneliness

Burnett,

Broussard,

Ciavarra

et al. 2024

Front. Stroke

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ObjectivesTo examine the feasibility of a social phone call program to address social isolation and loneliness in stroke survivors.Materials and methodsWe paired 14 lonely community-living stroke survivors with 14 health professional students for 6-weekly unstructured social phone calls. Feasibility data and measures of social isolation, loneliness and other psychosocial metrics were collected pre- and post-intervention. Students journaled following each unstructured call to capture the informal conversation and their sentiments.ResultsSixty-two percent of the targeted sample was interested. Fourteen eligible and interested participants were enrolled. The 13 (93%) participants completing all calls and surveys were an average of 57 years old, 85% female, and 77% non-Hispanic white. At baseline, participants were highly lonely and moderately depressed. Participants disclosed physical and emotional challenges, previous valued employment, and enjoyment from the calls. Students reported enjoying the connections, learning about the struggles of aging-in-place after stroke, and valuing compassionate care for the stroke population.ConclusionsKnowledge gaps remain regarding effective social support interventions to provide continuity of care directed at managing social disconnection after stroke. A health professional student-delivered social phone call intervention with stroke survivors appears to be a feasible, in part, and encouraging approach for addressing social isolation and loneliness. Future trials require re-evaluation of eligibility criteria and strategies to boost enrollment before efficacy testing is conducted in a larger trial.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The feasibility of health professional student delivered social visits for stroke survivors with loneliness

Burnett,

Broussard,

Ciavarra

et al. 2024

Front. Stroke

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“…Helping individuals process complex emotional experiences of loneliness which may stem from grief, changes in living situation, or health challenges, can be therapeutic. 28,30 In our experience, asking about loneliness builds trust and human connection.…”

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confidence: 99%

A paradigm shift—Loneliness as a root cause of symptom distress among older adults

Kotwal

Meier

2022

J American Geriatrics Society

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Elder abuse prevalence and risk factors: findings from the Canadian Longitudinal Study on Aging

et al. 2022

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Elder abuse (EA) is a pervasive problem with serious consequences. Prior population-based EA risk factor research has largely used cross-sectional designs that limit causal inferences, or agency records to identify victims which threatens external validity. Based on a national, prospective, population-based cohort sample of older adults (n = 23,468) over a three-year period from the Canadian Longitudinal Study on Aging, the current study sought to estimate the prevalence of EA and identify risk and protective factors. Past-year prevalence of any EA was 10.0%. Older adults with greater vulnerability related to physical, cognitive and mental health, childhood maltreatment, and shared living were at higher EA risk, while social support was protective against EA. Older adults identifying as Black or reporting nancial need were at heightened EA risk. This longitudinal, population-based study advances our understanding of EA risk/protective factors across several domains and informs the development of EA prevention strategies. Full TextElder abuse (EA) is recognized by policymakers, researchers, and clinicians as a pervasive public health issue affecting an aging population with major health and psychosocial consequences. The Centers for Disease Control and Prevention recently highlighted EA as a public health problem requiring formal surveillance. 1 The 2015 decennial White House Conference on Aging designated EA as one of four top-priority issues affecting older adults, 2 and the World Health Organization highlighted EA as a key issue affecting older adults in its recent World Report on Ageing and Health. 3 EA refers to an intentional act or lack of action by a person in a relationship involving an expectation of trust that causes harm or risk of harm to an older adult; it comprises ve subtypes, including nancial abuse/exploitation, emotional/psychological abuse, physical abuse, sexual abuse, and neglect by others. 4 Recent reviews of population-based EA studies have found pooled one-year prevalence rates between 14% and 16% globally, and between 4% and 8% in Canada, among cognitively intact, community-dwelling older adults. 5,6 EA victimization is associated with serious consequences such as poor physical and mental health, diminished quality of life, and increased rates of emergency services use, hospitalization, and nursing home placement. [7][8][9] Despite the scope and consequences of this problem, our understanding of EA risk and protective factors remains limited, as existing studies have used convenience sampling designs in social service or clinical health settings, [10][11][12][13] Adult Protective Services (APS) case records as a means to identify EA victims, [14][15][16] or crosssectional population-based designs that carry greater external validity but violate the temporal link between proposed risk/protective factors and EA necessary to make causal inferences. 17-21 Risk/protective factor knowledge is necessary to inform the development of targeted, mechanistic EA prevention strategies. Evidenceba...

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Medical student‐led social phone calls with elder mistreatment victims: Changes in loneliness, depression, and perspectives of aging

Cited by 5 publications

References 8 publications

The feasibility of health professional student delivered social visits for stroke survivors with loneliness

The feasibility of health professional student delivered social visits for stroke survivors with loneliness

A paradigm shift—Loneliness as a root cause of symptom distress among older adults

Elder abuse prevalence and risk factors: findings from the Canadian Longitudinal Study on Aging

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