Supporting Older Adults Remotely for Mental Illness
(SOAR Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores a 12-week telephone-based support program called Supporting Older Adults Remotely (SOAR), designed for older adults with serious mental illness living in supportive housing. The program aims to help participants improve independent living skills, such as managing medications and navigating healthcare, through structured peer support. Participants will either receive this new program or continue with the usual peer support services. The trial seeks individuals aged 50 or older who need help with daily living skills and currently reside in supportive housing. As an unphased trial, this study offers a unique opportunity to contribute to innovative support methods that could enhance daily living skills for older adults.
What prior data suggests that the SOAR intervention is safe for older adults with mental illness?
Research has shown that programs like Supporting Older Adults Remotely (SOAR) are generally well-received by older adults. Studies have found that receiving support through digital or phone methods helps people manage mental health issues without major side effects. In the SOAR program, trained peer specialists provide structured help over the phone, focusing on skills such as managing medications and maintaining social connections. This method builds on successful strategies that enhance feelings of connection and improve health management. Overall, evidence suggests these programs are safe for participants.12345
Why are researchers excited about this trial?
Researchers are excited about the SOAR program because it offers a structured, personalized approach to mental health support for older adults, delivered conveniently by phone. Unlike standard peer support, which may lack a formal agenda, SOAR incorporates evidence-based strategies tailored to aging individuals, focusing on medication and medical self-management, psychoeducation, and community connection. This method is unique in its reliance on Certified Older Adult Peer Specialists who share lived experiences, potentially making mental health care more relatable and accessible for seniors. The potential for meaningful connection without the need for technology like apps is also a significant plus, considering the diverse tech familiarity among older populations.
What evidence suggests that the SOAR intervention could be effective for supporting older adults with serious mental illness?
Research has shown that phone support programs like SOAR can assist older adults with serious mental health issues. In this trial, participants will receive either the SOAR intervention or Peer Support as Usual. One study found that SOAR, operated by trained older adult peer supporters, is practical and may aid in managing mental health. These programs aim to enhance daily skills, such as taking medications correctly and understanding healthcare, which are crucial for older adults. Virtual mental health services like SOAR are also more accessible and affordable, making them a viable option. Overall, SOAR is designed to help older adults live more independently by addressing their mental health needs through structured peer support.23567
Are You a Good Fit for This Trial?
This trial is for adults aged 50 and older who have a serious mental illness and live in supportive housing. Participants should be able to take part in phone-based support sessions.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive a 12-week, telephone-delivered peer support intervention focusing on medication adherence, medical and psychiatric self-management, and other independent living skills
Follow-up
Participants are monitored for safety and effectiveness after treatment through assessments at baseline and 3, 6, and 12 months
What Are the Treatments Tested in This Trial?
Interventions
- Supporting Older Adults Remotely (SOAR)
Trial Overview
The study compares two types of peer support delivered by phone over 12 weeks: the new SOAR program, which focuses on skills for independent living, versus usual peer support. Participants are randomly assigned to one group.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
Participants receive SOAR, a structured, manualized 12-week, one-on-one peer support intervention delivered by telephone. SOAR is delivered by Certified Older Adult Peer Specialists and incorporates evidence-based aging-in-place strategies and peer lived experience. The intervention focuses on medication management, medical and psychiatric self-management, psychoeducation, coping, goal setting and values clarification, healthcare navigation, social relationships, self-advocacy, and connection to community resources. Participants may use a landline, flip phone, or smartphone; an app is not required. Participants complete study assessments at baseline and 3, 6, and 12 months.
Participants receive Peer Support as Usual, consisting of 12 weekly peer support meetings delivered by telephone. Peer Support as Usual is provided by Certified Older Adult Peer Specialists who have foundational peer support training and do not receive SOAR training. Sessions do not require a structured agenda and include routine peer support services such as action planning, person-centered support, communication, recovery support, advocacy, and trauma-informed peer support. Participants have up to 5 months to complete the 12 sessions. Participants complete study assessments at baseline and 3, 6, and 12 months.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Dartmouth-Hitchcock Medical Center
Lead Sponsor
National Institute of Mental Health (NIMH)
Collaborator
Citations
Certified Older Adult Peer Support Specialist-Delivered ...
The findings suggest that a telephonic self-management program called "SOAR," delivered by Certified Older Adult Peer Support Specialists, is feasible, well- ...
Mental health of older adults
Fact sheet on mental health and older adults covering prevalence, risk factors, prevention and promotion, treatment and care, and WHO's work ...
Mental health care for older adults: recent advances and new ...
There are three skills training programs specifically designed for older adults with severe mental illness and shown to be effective in randomized clinical ...
Psychosocial Interventions for Older Adults With Serious ...
The guide presents psychosocial interventions for older adults experiencing serious mental illness, including: Assertive Community Treatment, Cognitive ...
Designing digital mental health interventions for older adults
Research shows that DMHIs are effective in improving mental health and promoting users' well-being in youth and the general population. Common ...
Supporting Older Adults Remotely (SOAR)
SOAR is designed to support aging in place and improve independent living skills through structured peer support focused on medication adherence ...
Digital peer support interventions for people with mental ...
Studies evaluated digital peer support via online platforms, mobile apps or digital communities for people aged ≥16 years with mental health conditions.
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