Recruiting
Strength and Pain-Coping Through Resilience and Knowledge
Older adults who are 50 years of age and older with depressive symptoms, pain and difficulty with mobility will participate in the SPARK intervention study that includes 8 nurse visits in participants' homes to help participants with participants' pain and mood.
ClinicalTrials.gov IDNCT07228520
PhaseNA
Enrollment100
SponsorJohns Hopkins University
Age50 Years
SexALL
Conditions studied
Pain, Depressive Symptoms, Aging
About this study
Older adults who are 50 years of age and older with depressive symptoms, pain and difficulty with mobility will participate in the SPARK intervention study that includes 8 nurse visits in participants' homes to help participants with participants' pain and mood.
Interventions
- Behavioral: SPARK — The SPARK program is person directed and will consist of 8 nurse visits during which the nurse assesses each participant for pain, depression and frailty and then implements a manualized individually tailored intervention. Participants will be randomized into either the intervention or the wait list control group. Once the intervention group has completed the intervention group's visits, the wait list control group will begin the waitlist control group's visits. All participants will all be offered the same information and format of nurse visits. The nurses will systematically tailor the content of the visits to the participants' risk profile and goals based on protocols. All participants will be assessed at the start of the study, at 12 weeks and 24 weeks.
Primary outcomes
- Change in Pain Intensity as assessed by the Patient Reported Outcomes Measurement Information System (PROMIS) (Baseline, 12 weeks and 24 weeks)
- Change in Pain Interference as assessed by the PROMIS Pain Interference (Baseline, 12 weeks and 24 weeks)
- Change in Depressive Symptoms as assessed by the Patient Health Questionnaire 9 (PHQ-9) (Baseline, 12 weeks and 24 weeks)
- Change in Depressive Symptoms as assessed by the PROMIS 57 (Baseline, 12 weeks and 24 weeks)
Eligibility information
Inclusion Criteria:
* Self-report pain \>3 out of a 0 -10 scale that has lasted longer than 3 months and keeps subjects from doing at least one activity that subjects would like to do
* Live in the community
* Live in Central Maryland
* Score a 5 or higher on the PHQ-9 (depression measure) at least two times during a two week period (screening call and then at first data collection visit)
* Must be pre-frail (one or two criteria on frailty phenotype) or frail (three or more of the criteria on frailty phenotype)
* One ADL or IADL limitation
Exclusion Criteria:
* Hospitalized \> 3 times in the last year
* Participating in physical therapy
* Have a terminal diagnosis (\<1 year expected survival)
* \> moderate intellectual impairment (5-7 errors) based on the Short Portable Mental Status Questionnaire (SPMSQ)
* Unable to speak or understand English
Study locations
- Johns Hopkins School of Nursing, Baltimore, Maryland 21205 United States
Before you participate: Varda Clinical is an independent discovery tool, not the study sponsor or a medical provider. Eligibility can only be determined by the official study team. Discuss potential risks and benefits with a qualified healthcare professional.
Source: ClinicalTrials.gov. Record last refreshed by Varda Clinical: 2026-09-27.