RecruitingNot Applicable

CAPABLE Care + Connect

United States450 participantsStarted 2025-08-14

Plain-language summary

In this evaluation scale-up research project, the investigators seek to test an implementation of CAPABLE on the infrastructure of home-based primary care for individuals who may experience social isolation and/or loneliness. These two home-based care programs may improve each other and provide opportunity to further improve quality of life for people living with disabilities and the caregivers. The purpose of this mixed methods study is to adapt and test CAPABLE, an existing evidence-based program, to a new target population with the scalable infrastructure of home-based primary care.

Who can participate

Age range50 Years

SexALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Any patient currently in JHOME * At risk for or experiencing social isolation as defined by the Lubben Social Network Scale 6 item score less than or equal 12 points or loneliness as defined by the UCLA Loneliness Scale 3 item score of 6 to 9 points * Cognitive inclusion criteria Montreal Cognitive Assessment (MOCA) \>23 as determined by referring JHOME study team member provider * English speaking (measures are standardized in English) * Ability to participate in an approximately 45-60 min virtual or in person meeting * Eligible for CAPABLE * 50 years or older * Not hospitalized over night more than 4 times in the last 12 months * Have some difficulty with any ADL * Cognitively intact * Live in Baltimore County or Baltimore City * Not receiving active cancer treatment * Interested in participating in CAPABLE Care partners will be included if the care partners provide \> 10 hours of care/week Exclusion Criteria: * Terminally ill * live in long term care setting * receiving active cancer treatment Standard of Care/Comparison group Inclusion Criteria: • Any patient currently in JHOME who did not receive the CAPABLE intervention

What they're measuring

Change in Function as assessed by the Katz Index of Independence in Activities of Daily Living Scale

Timeframe: Baseline, 16 weeks

Change in Function as assessed by Lawton & Brody's assessment of Instrumental Activities of Daily Living Scale (IADL)

Timeframe: Baseline, 16 weeks

Change in Pain as assessed by the Brief Pain Inventory Scale (Short Form)

Timeframe: Baseline, 16 weeks

Change in Function as assessed by the American Community Survey Disability Measure

Timeframe: Baseline, 16 weeks

Change in Depression as assessed by the Patient Health Questionnaire Depression Scale (PHQ-8)

Timeframe: Baseline, 16 weeks

Change in Social Connection as assessed by the Lubben Social Network Scale

Timeframe: Baseline, 16 weeks

Change in Social Connection as assessed by the University of California Los Angeles (UCLA) Loneliness Scale

Timeframe: Baseline, 16 weeks

Trial details

NCT IDNCT07123298

SponsorJohns Hopkins University

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2026-05

Contact for this trial

Chloe Wynn, MS

667-208-7444 cwynn3@jh.edu

View on ClinicalTrials.gov More Social Isolation in Older Adults trials

Plain-language summary

Who can participate

Age range50 Years

SexALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

What they're measuring

Change in Function as assessed by the Katz Index of Independence in Activities of Daily Living Scale

Timeframe: Baseline, 16 weeks

Change in Function as assessed by Lawton & Brody's assessment of Instrumental Activities of Daily Living Scale (IADL)

Timeframe: Baseline, 16 weeks

Change in Pain as assessed by the Brief Pain Inventory Scale (Short Form)

Timeframe: Baseline, 16 weeks

Change in Function as assessed by the American Community Survey Disability Measure

Timeframe: Baseline, 16 weeks

Change in Depression as assessed by the Patient Health Questionnaire Depression Scale (PHQ-8)

Timeframe: Baseline, 16 weeks

Change in Social Connection as assessed by the Lubben Social Network Scale

Timeframe: Baseline, 16 weeks

Change in Social Connection as assessed by the University of California Los Angeles (UCLA) Loneliness Scale

Timeframe: Baseline, 16 weeks