GeriatricsNCT04105036
Social Deprivation Assessment in Older Adults
An observational study of Geriatrics and Social Deprivation, run by Jewish General Hospital at 1 site in Canada.
Trial summary
Social deprivation is a state to which older adults may be exposed, leading to adverse social, psychological, and health outcomes. Social deprivation may be more sensitive than socioeconomic status for predicting adversity while using only a few items for evaluation. Read more about this study
- Who is it for?
- Ages 45 to 85 yearsHealthy volunteers can take part
- Conditions the study is for
- Geriatrics, Social Deprivation
- What is being tested?
- Data Collection
- How many people
- 30,000 participants
- Where
- 1 siteCanada
- Study dates
- 1 Apr 2020to 1 Mar 2025
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 45 to 85 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Study population: Individuals eligible for this study will be the participants of the CLSA
Who may be able to join
- Participants of the comprehensive CLSA assessment.
Who cannot join
- No information on social status
- No information on social, psychological, and health outcomes
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Social Deprivation Assessment in Older Adults: Results From the Canadian Longitudinal Study on Aging
Social deprivation is a state to which older adults may be exposed, leading to adverse social, psychological, and health outcomes. Social deprivation may be more sensitive than socioeconomic status for predicting adversity while using only a few items for evaluation. However, there is no practical assessment for social deprivation in older Canadian adults. Two indices that capture a broad picture of social vulnerability have previously been developed for older Canadians. Using participants in the Canadian Longitudinal Study on Aging (CLSA), the overall objective is to examine and compare the associations of the COAD score and index, as well as the Keefe et al. and Andrew et al. indices with prevalent and incident adverse social, psychological, and health outcomes in participants at baseline assessment.
Read the detailed description
Social deprivation is a state in which individuals are at risk for adverse health, as well as psychological and social outcomes. Social deprivation emphasises relative rather than absolute conditions, taking into account cultural standards of living in its classification of individuals. Increasing age is associated with increasing prevalence of social deprivation, putting older adults at risk for negative outcomes such as poor quality of life and ill-being. Rapid apprehension of social deprivation states by researchers and healthcare providers could improve management, favour proactivity, and increase understanding of health and social trends in older individuals.
No Canadian clinical assessment of social deprivation exists. There are only two social vulnerability indices that have been associated with incident health outcomes. On the other hand, the Evaluation of Deprivation and Inequalities in Health Examination Centres (EPICES: Évaluation de la Précarité et des Inégalités de santé dans les Centres d'Examens de Santé) is a brief social deprivation assessment developed and validated in France. The Canadian Older Adult Deprivation (COAD) scale is a modified EPICES assessment. Using participants in the Canadian Longitudinal Study on Aging (CLSA), the global objective of this study is to examine whether the COAD score is in fact associated with social deprivation and its association with adverse social, psychological, and health outcomes.
Social deprivation is considered the state of an individual experiencing social withdrawal, poor economic conditions, and cultural deprivation; it exposes individuals to adverse social, health, and psychological outcomes. Social deprivation has been found to be influenced with many factors, including an individual's socioeconomic status (SES), gender, ethnicity and age, to name a few. The Canadian population is unique in its composition, with large immigrant, diverse, and ageing populations. This emphasises the need for a simple assessment specific to the Canadian population that can quickly yet accurately identify socially deprived older individuals. Currently, such a scale does not exist in the Canadian context. To bridge this gap, the French social deprivation assessment Evaluation of Deprivation and Inequalities in Health Examination Centres (EPICES: Évaluation de la Précarité et des Inégalités de santé dans les Centres d'Examens de Santé) will be adapted to the Canadian context, creating the Canadian Older Adult Deprivation (COAD) scale. Moreover, as two Canadian social vulnerability and isolation indices have been previously created, the potential overlap between these indices and the COAD scale will be examined.
- Conditions
- Geriatrics, Social Deprivation
- Being tested
- Data Collection
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Data CollectionOther
Telephone interview questionnaire, in-home face-to-face interview, and data from the Collection Site
| Study group | Role | What they receive |
|---|---|---|
| 45-54 years of age | Divided into two subgroups: individuals who are and are not socially deprived Receives: Other: Data Collection | |
| 54-64 years of age | Divided into two subgroups: individuals who are and are not socially deprived Receives: Other: Data Collection | |
| 65-74 years of age | Divided into two subgroups: individuals who are and are not socially deprived Receives: Other: Data Collection | |
| 75-85 years of age | Divided into two subgroups: individuals who are and are not socially deprived Receives: Other: Data Collection |
What is being measured
The primary outcome is the main question the study is designed to answer.
Social Deprivation
EPICES ( Évaluation de la Précarité et des Inégalités de santé dans les Centres d'Examens de Santé) scale, the cutoff 30.17 will be used
Measured: 1 day
Secondary outcomes (14)
Polypharmacy
The number of prescription medications taken on a daily basis, and in particular any number above 4 per day and the use of psychoactive drugs including benzodiazepines, antidepressants or neuroleptics
Measured: 1 day
Comorbidities
Number of comorbidities
Measured: 1 day
Mortality
Incident mortality
Measured: 1 day
Depression
10 items from the Center for Epidemiological Studies' Short Depression Scale (CES-D) score ≥10
Measured: 1 day
Falls
Number (if any) of falls
Measured: 1 day
Mobility aid
Is a mobility aid used
Measured: 1 day
Mobility
Difficulty walking 2 to 3 neighbourhood blocks
Measured: 1 day
Activities daily living (ADL)
ADL score out of 6. Where a score of 3-5 is indicative of mild stages of neurocognitive disorders.
Measured: 1 day
Instrumental activities of daily living (IADL) scales
IADL score out of 8. Where a score of 4-7 is indicative of mild stages of neurocognitive disorders.
Measured: 1 day
Self-reported happiness, perception of health and mental health
Scored as excellent, very good, good, fair, or poor
Measured: 1 day
Income
Personal income before tax
Measured: 1 day
Social interaction/the availability of social support
Variables selected from the: social participation (SPA) questionnaire, social network (SN) questionnaire, social support availability (SSA) questionnaire
Measured: 1 day
Place of living
Participants place of living is coded as home versus institution
Measured: 1 day
Cognitive performance
Cognitive Module Assessment of the CLSA study from baseline assessment (e.g. the Animal Fluency Test)
Measured: 1 day
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Sep 2019
- Study start1 Apr 2020
- Primary completion1 Mar 2025 (estimated)
- Study completion1 Mar 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for GeriatricsStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Cross-sectional
- Enrolment
- 30,000 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Jewish General Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Olivier Beauchet, Jewish General Hospital
- Investigators
- Olivier Beauchet, MD, Principal investigator, McGill University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04105036
- Sponsor's protocol ID
- 2020-1956
- Status last verified
- Sep 2024
- First submitted
- 23 Sep 2019
- Last updated
- 19 Sep 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 19 Sep 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Social Deprivation Assessment in Older Adults: Results From the Canadian Longitudinal Study on Aging
- ClinicalTrials.gov ID
- NCT04105036
- Acronym / sponsor ID
- 2020-1956
- Conditions
- Geriatrics, Social Deprivation
- Study type
- Observational
- Recruitment status
- Unknown status
- Enrolment
- 30,000 participants (estimated)
- Lead sponsor
- Jewish General HospitalUniversity, hospital or other
- Study start
- 1 Apr 2020 (actual)
- Primary completion
- 1 Mar 2025 (estimated)
- Study completion
- 1 Mar 2025 (estimated)
- First posted
- 26 Sep 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Social deprivation is a state to which older adults may be exposed, leading to adverse social, psychological, and health outcomes. Social deprivation may be more sensitive than socioeconomic status for predicting adversity while using only a few items for evaluation. However, there is no practical assessment for social deprivation in older Canadian adults. Two indices that capture a broad picture of social vulnerability have previously been developed for older Canadians. Using participants in the Canadian Longitudinal Study on Aging (CLSA), the overall objective is to examine and compare the associations of the COAD score and index, as well as the Keefe et al. and Andrew et al. indices with prevalent and incident adverse social, psychological, and health outcomes in participants at baseline assessment.
Detailed description
Social deprivation is a state in which individuals are at risk for adverse health, as well as psychological and social outcomes. Social deprivation emphasises relative rather than absolute conditions, taking into account cultural standards of living in its classification of individuals. Increasing age is associated with increasing prevalence of social deprivation, putting older adults at risk for negative outcomes such as poor quality of life and ill-being. Rapid apprehension of social deprivation states by researchers and healthcare providers could improve management, favour proactivity, and increase understanding of health and social trends in older individuals.
No Canadian clinical assessment of social deprivation exists. There are only two social vulnerability indices that have been associated with incident health outcomes. On the other hand, the Evaluation of Deprivation and Inequalities in Health Examination Centres (EPICES: Évaluation de la Précarité et des Inégalités de santé dans les Centres d'Examens de Santé) is a brief social deprivation assessment developed and validated in France. The Canadian Older Adult Deprivation (COAD) scale is a modified EPICES assessment. Using participants in the Canadian Longitudinal Study on Aging (CLSA), the global objective of this study is to examine whether the COAD score is in fact associated with social deprivation and its association with adverse social, psychological, and health outcomes.
Social deprivation is considered the state of an individual experiencing social withdrawal, poor economic conditions, and cultural deprivation; it exposes individuals to adverse social, health, and psychological outcomes. Social deprivation has been found to be influenced with many factors, including an individual's socioeconomic status (SES), gender, ethnicity and age, to name a few. The Canadian population is unique in its composition, with large immigrant, diverse, and ageing populations. This emphasises the need for a simple assessment specific to the Canadian population that can quickly yet accurately identify socially deprived older individuals. Currently, such a scale does not exist in the Canadian context. To bridge this gap, the French social deprivation assessment Evaluation of Deprivation and Inequalities in Health Examination Centres (EPICES: Évaluation de la Précarité et des Inégalités de santé dans les Centres d'Examens de Santé) will be adapted to the Canadian context, creating the Canadian Older Adult Deprivation (COAD) scale. Moreover, as two Canadian social vulnerability and isolation indices have been previously created, the potential overlap between these indices and the COAD scale will be examined.
Study design
- Observational model
- Cohort
- Time perspective
- Cross-sectional
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| 45-54 years of age | – | Other: Data CollectionDivided into two subgroups: individuals who are and are not socially deprived |
| 54-64 years of age | – | Other: Data CollectionDivided into two subgroups: individuals who are and are not socially deprived |
| 65-74 years of age | – | Other: Data CollectionDivided into two subgroups: individuals who are and are not socially deprived |
| 75-85 years of age | – | Other: Data CollectionDivided into two subgroups: individuals who are and are not socially deprived |
Who may qualify
- Ages
- 45 to 85 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
- Study population
- Individuals eligible for this study will be the participants of the CLSA
Key inclusion criteria (1 listed)
- Participants of the comprehensive CLSA assessment.
Key exclusion criteria (2 listed)
- No information on social status
- No information on social, psychological, and health outcomes
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Data CollectionTelephone interview questionnaire, in-home face-to-face interview, and data from the Collection Site | Other | 45-54 years of age, 54-64 years of age, 65-74 years of age, 75-85 years of age |
Primary outcome
Social Deprivation
Time frame: 1 day
EPICES ( Évaluation de la Précarité et des Inégalités de santé dans les Centres d'Examens de Santé) scale, the cutoff 30.17 will be used
14 secondary outcomes
Polypharmacy
Time frame: 1 day
Comorbidities
Time frame: 1 day
Mortality
Time frame: 1 day
Depression
Time frame: 1 day
Falls
Time frame: 1 day
Mobility aid
Time frame: 1 day
Mobility
Time frame: 1 day
Activities daily living (ADL)
Time frame: 1 day
Instrumental activities of daily living (IADL) scales
Time frame: 1 day
Self-reported happiness, perception of health and mental health
Time frame: 1 day
Income
Time frame: 1 day
Social interaction/the availability of social support
Time frame: 1 day
Place of living
Time frame: 1 day
Cognitive performance
Time frame: 1 day
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Sep 2024.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Olivier Beauchet, MD principal investigator
McGill University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Geriatrics and Social Deprivation, run by Jewish General Hospital at 1 site in Canada.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 19 Sep 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Social Deprivation (time frame: 1 day). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Sep 2024.