Jessica L Lee1, Jason Burnett1, Rui Xia2, Scott M Smith3, Carmel B Dyer1. 1. a Division of Geriatric and Palliative Medicine; Texas Elder Abuse and Mistreatment (TEAM) Institute; and UTHealth Consortium on Aging , The University of Texas Health Science Center at Houston (UTHealth). 2. b UTHealth Division of Geriatric and Palliative Medicine ; TEAM Institute. 3. c Human Health and Performance Directorate , NASA Lyndon B. Johnson Space Center.
Abstract
OBJECTIVES: Interventions are critical to improving clinical outcomes in elder self-neglecters. This study assessed feasibility of a randomized controlled trial of oral vitamin D in Adult Protective Services-substantiated self-neglect clients ≥65 years. METHODS: Participants were directly observed to consume ergocalciferol 50,000 IU (treatment) or ergocalciferol 400 IU (control), once a month, for 10 months. For months 6-10, half the control group randomly crossed into the treatment group (crossover). Intervention feasibility was measured by number of potential participants who agreed to participate and by retention rates during the study. RESULTS:Ninety-four referrals were received and 59 (63%) agreed to participate. Forty-nine participants were enrolled after prescreening and 35 completed the two-phase trial for a 72% retention rate. The participants' average age was 75.2 ± 6.8 years, mainly female (59%), African-American (47%), and living alone (41%). DISCUSSION: Despite assumptions that self-neglecters are resistant to care, we have successfully conducted the first clinical intervention in this vulnerable population.
RCT Entities:
OBJECTIVES: Interventions are critical to improving clinical outcomes in elder self-neglecters. This study assessed feasibility of a randomized controlled trial of oral vitamin D in Adult Protective Services-substantiated self-neglect clients ≥65 years. METHODS:Participants were directly observed to consume ergocalciferol 50,000 IU (treatment) or ergocalciferol 400 IU (control), once a month, for 10 months. For months 6-10, half the control group randomly crossed into the treatment group (crossover). Intervention feasibility was measured by number of potential participants who agreed to participate and by retention rates during the study. RESULTS: Ninety-four referrals were received and 59 (63%) agreed to participate. Forty-nine participants were enrolled after prescreening and 35 completed the two-phase trial for a 72% retention rate. The participants' average age was 75.2 ± 6.8 years, mainly female (59%), African-American (47%), and living alone (41%). DISCUSSION: Despite assumptions that self-neglecters are resistant to care, we have successfully conducted the first clinical intervention in this vulnerable population.
Authors: Shawna L Mercer; Barbara J DeVinney; Lawrence J Fine; Lawrence W Green; Denise Dougherty Journal: Am J Prev Med Date: 2007-08 Impact factor: 5.043
Authors: Scott M Smith; Susan A Mathews Oliver; Sara R Zwart; Geeta Kala; P Adam Kelly; James S Goodwin; Carmel B Dyer Journal: J Nutr Date: 2006-10 Impact factor: 4.798
Authors: Cynthia Lien; Tony Rosen; Elizabeth M Bloemen; Robert C Abrams; Maria Pavlou; Mark S Lachs Journal: J Am Geriatr Soc Date: 2016-10-14 Impact factor: 5.562
Authors: Carmel Bitondo Dyer; James S Goodwin; Sabrina Pickens-Pace; Jason Burnett; P Adam Kelly Journal: Am J Public Health Date: 2007-07-31 Impact factor: 9.308
Authors: Yuen Y E Wong; Kieran A McCaul; Bu B Yeap; Graeme J Hankey; Leon Flicker Journal: J Clin Endocrinol Metab Date: 2013-06-20 Impact factor: 5.958