A Trial of a Positive Psychology Intervention for Older Adults (RESET) During the COVID-19 Pandemic

Last updated: April 1, 2025
Sponsor: University of Michigan
Overall Status: Active - Recruiting

Phase

N/A

Condition

Depression

Pain (Pediatric)

Pain

Treatment

Wellness Check Control

RESET

Clinical Study ID

NCT05451589
HUM00209259
R01NR020442
  • Ages > 50
  • All Genders

Study Summary

The heightened vulnerability to COVID-19 of African American older adults in Detroit, Michigan and other marginalized communities is linked to systemic racism experienced over the life course. Structural inequities also magnify the pandemic's impact on older adults' physical and psychosocial functioning. Many older adults in Detroit, burdened by poor health even before the pandemic, face a downward spiral of increased distress, reduced physical and social activity, and physical deconditioning. RESET (Re-Engaging in Self-care, Enjoying Today) is a self-management and resilience-building intervention led by community health workers (CHWs) at the Detroit Health Department (DHD). The central hypothesis of this study is that RESET, with components that include group telephone calls, a podcast series, and activity trackers, will improve psychosocial and physical functioning at 2 and 8 months. Specific aims are: 1) With input from a Community Advisory Board, modify RESET for group delivery and refine content after testing in a mini-pilot (n=10). 2) Conduct a randomized, controlled trial to assess the impact of RESET (compared to a one-time /telephone wellness check) on PROMIS-29 Psychosocial Score (a weighted combination of distress, fatigue, pain, social participation and sleep) among 456 primarily African American older adults age 50 and over who are at elevated risk of poor functioning. 3) Collect qualitative (interview) data from participants and other stakeholders, and use this data to better understand trial results, as well as to assess community impact and inform a dissemination toolkit.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Any elevated physical or psychosocial symptoms as follows:

Depression: Score ≥3 on the Patient Health Questionnaire-2 (PHQ-2); Anxiety: Score > 3 on the GAD-2 anxiety screening scale; Fatigue: Rating >=4 on a 0 to 10 scale (0 = fatigued at all and 10 = extremely fatigued); Loneliness, as indicated by a score >=6 on 3-item UCLA Loneliness Scale; Perceived stress, as indicated by a mean score >3 on the Perceived Stress Scale-4; Chronic pain: Self-reported pain in muscles or joints for >3 months, >4 (0-10 scale) mean pain intensity over last month, and >=1 day in past month when pain made it difficult to do usual activities.

  • Have a cell or landline phone.

  • Able to converse comfortably in English.

Exclusion

Exclusion Criteria:

  • Serious acute illness or hospitalization in last month.

  • Planned major surgery in next three months that would interfere with programparticipation (e.g., knee or hip replacement).

  • Severe cognitive impairment or dementia.

  • Any other diseases or conditions that would impair cooperation with the study teamor ability to complete study procedures, as determined by the clinicians on theinvestigative team. This would include but not be limited to severe psychiatricdisorders, active suicidal ideations or history of suicide attempts, and anuncontrolled drug and/or alcohol addiction).

Study Design

Total Participants: 456
Treatment Group(s): 2
Primary Treatment: Wellness Check Control
Phase:
Study Start date:
March 01, 2023
Estimated Completion Date:
June 30, 2026

Connect with a study center

  • University of Michigan

    Ann Arbor, Michigan 48109
    United States

    Active - Recruiting

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