The feasibility of health professional student delivered social visits for stroke survivors with loneliness

Jason Burnett, Jordan Broussard, Bronson Ciavarra, Louisa Smitherman, Mary Li, Emma Thames, Sharon Zachariah, Grace Kim, Rachel Pijnnaken, Hannah Zeller, John M. Halphen, Sean I. Savitz, Namkee Choi, Jennifer E. S. Beauchamp
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Abstract

To examine the feasibility of a social phone call program to address social isolation and loneliness in stroke survivors.We paired 14 lonely community-living stroke survivors with 14 health professional students for 6-weekly unstructured social phone calls. Feasibility data and measures of social isolation, loneliness and other psychosocial metrics were collected pre- and post-intervention. Students journaled following each unstructured call to capture the informal conversation and their sentiments.Sixty-two percent of the targeted sample was interested. Fourteen eligible and interested participants were enrolled. The 13 (93%) participants completing all calls and surveys were an average of 57 years old, 85% female, and 77% non-Hispanic white. At baseline, participants were highly lonely and moderately depressed. Participants disclosed physical and emotional challenges, previous valued employment, and enjoyment from the calls. Students reported enjoying the connections, learning about the struggles of aging-in-place after stroke, and valuing compassionate care for the stroke population.Knowledge gaps remain regarding effective social support interventions to provide continuity of care directed at managing social disconnection after stroke. A health professional student-delivered social phone call intervention with stroke survivors appears to be a feasible, in part, and encouraging approach for addressing social isolation and loneliness. Future trials require re-evaluation of eligibility criteria and strategies to boost enrollment before efficacy testing is conducted in a larger trial.
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卫生专业学生为有孤独感的中风幸存者提供社会访问的可行性
我们将 14 名在社区生活的孤独的中风幸存者与 14 名健康专业学生配对,进行为期 6 周的非结构化社交电话通话。我们在干预前后收集了可行性数据以及社会隔离、孤独感和其他社会心理指标的测量数据。学生们在每次非结构化通话后都会写日记,以记录非正式对话和他们的感受。有 14 名符合条件且有兴趣的参与者报名参加。完成所有通话和调查的 13 名参与者(93%)平均年龄为 57 岁,85% 为女性,77% 为非西班牙裔白人。基线时,参与者高度孤独,中度抑郁。参与者披露了身体和情感方面的挑战、以前的重要工作以及从通话中获得的乐趣。学生们表示喜欢这种联系,了解了中风后就地养老的艰辛,并重视对中风患者的关爱。由健康专业学生提供的针对中风幸存者的社交电话干预似乎是一种可行的、部分且令人鼓舞的解决社会隔离和孤独的方法。未来的试验需要重新评估资格标准和策略,以便在更大规模的试验中进行疗效测试之前提高入组人数。
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