'Putting Life in Years' (PLINY) telephone friendship groups research study: pilot randomised controlled trial.

'Putting Life in Years' (PLINY) telephone friendship groups research study: pilot randomised controlled trial.
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“将生命付诸实践”(Pliny)电话友谊小组研究研究:飞行员随机对照试验。

DOI:
10.1186/1745-6215-15-141
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发表时间:
2014-04-24
期刊:
影响因子:
2.5
通讯作者:
Goyder EC
Goyder EC
中科院分区:
医学4区
文献类型:
--
作者:
Mountain GA;Hind D;Gossage-Worrall R;Walters SJ;Duncan R;Newbould L;Rex S;Jones C;Bowling A;Cattan M;Cairns A;Cooper C;Edwards RT;Goyder EC

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老年人的孤独与较差的健康相关生活质量(HRQOL)有关。我们进行了一项平行分组的随机对照试验,以评估电话交友对维持老年人高分辨率生活质量的有效性和成本效益。一名内部飞行员测试了试验和干预的可行性。参与者年龄74岁,认知功能良好,独立生活在英国一个城市,通过一般做法和其他来源招募,然后随机分为:(1)6周的简短一对一电话通话,然后是12周的小组电话通话,最多6名参与者,由训练有素的志愿者协调人领导;或(2)控制组。主要试验需要在为期一年的应计窗口内征聘248名参与者,其中124人将接受电话好友服务。试点规定了三个成功标准,以使主要试验进展到完成:在95天内招募68名参与者;在6个月内保留80%的参与者;通过国家慈善机构的当地特许经营权成功交付电话友谊。主要的临床结果是随机6个月后通过电话收集的短式(36)健康量表(SF-36)精神健康(MH)维度评分。我们向9,579名老年人通报了这项研究。在95天内,70名同意的参与者被随机分配到试验组,其中56人(80%)提供了有效的初步结果数据(26人干预,30人对照)。随机分配到研究部门的24名参与者实际上收到了电话好友,这是因为志愿者辅导员的招聘和留住不佳。因此,审判提前结束。6个月后,干预组和对照组的SF-36MH平均得分分别为78分(SD18)和71分(SD21)(平均差值7;95%可信区间-3~16)。征聘和留住参加最终审判的参与者是可行的,征聘窗口为1年。志愿机构若要招募足够的志愿人员,以配合试行招募所产生的电话交友需求,则须在多个主要人口中心进行研究,并/或涉及志愿人员的专责管理。ISRCTN28645428。
Loneliness in older people is associated with poor health-related quality of life (HRQoL). We undertook a parallel-group randomised controlled trial to evaluate the effectiveness and cost-effectiveness of telephone befriending for the maintenance of HRQoL in older people. An internal pilot tested the feasibility of the trial and intervention. Participants aged >74 years, with good cognitive function, living independently in one UK city were recruited through general practices and other sources, then randomised to: (1) 6 weeks of short one-to-one telephone calls, followed by 12 weeks of group telephone calls with up to six participants, led by a trained volunteer facilitator; or (2) a control group. The main trial required the recruitment of 248 participants in a 1-year accrual window, of whom 124 were to receive telephone befriending. The pilot specified three success criteria which had to be met in order to progress the main trial to completion: recruitment of 68 participants in 95 days; retention of 80% participants at 6 months; successful delivery of telephone befriending by local franchise of national charity. The primary clinical outcome was the Short Form (36) Health Instrument (SF-36) Mental Health (MH) dimension score collected by telephone 6 months following randomisation. We informed 9,579 older people about the study. Seventy consenting participants were randomised to the pilot in 95 days, with 56 (80%) providing valid primary outcome data (26 intervention, 30 control). Twenty-four participants randomly allocated to the research arm actually received telephone befriending due to poor recruitment and retention of volunteer facilitators. The trial was closed early as a result. The mean 6-month SF-36 MH scores were 78 (SD 18) and 71 (SD 21) for the intervention and control groups, respectively (mean difference, 7; 95% CI, -3 to 16). Recruitment and retention of participants to a definitive trial with a recruitment window of 1 year is feasible. For the voluntary sector to recruit sufficient volunteers to match demand for telephone befriending created by trial recruitment would require the study to be run in more than one major population centre, and/or involve dedicated management of volunteers. ISRCTN28645428.
DOI: 10.1046/j.1523-536x.2002.00184.x
发表时间: 2002-09-01
影响因子: 2.5
作者:
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通讯作者: Dennis, CL
DOI: 10.1016/j.socscimed.2006.02.020
发表时间: 2006-08-01
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发表时间: 1985-09-01
影响因子: 1.2
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DOI: 10.1002/jcop.20317
发表时间: 2009-07-01
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