Engaging Caregivers in Dementia Care

NCT02552563 | Completed

• 1 other identifier: 01247
• Study Type: interventional
• Target: 75
• Locations: 1 country
• Sites: 1

Brief Summary

This pilot study seeks to examine the extent to which, relative to usual care, a dementia care management program for veterans and their caregivers (CGs)improves patient (e.g., behavioral symptoms, delayed nursing home placement) and caregiver (e.g., CG mastery, burden, affect) outcomes.

Conditions

Dementia

Outcome Measures

Primary Outcomes (3)

• Revised Memory and Behavior Problems Checklist (RMBPC)

  Frequency of care recipient dementia-related behaviors and associated caregiver distress

  Change in frequency and distress from baseline to 3 and 6 month follow-up

• Neuropsychiatric Inventory Questionnaire (NPI-Q)

  Frequency of care recipient neuropsychiatric symptoms and associated caregiver distress

  Change in frequency and distress from baseline to 3 and 6 month follow-up

• Zarit Burden Interview

  Perceived caregiver burden

  Change in burden from baseline to 3 and 6 month follow-up

Secondary Outcomes (2)

• Pearlin Stress and Coping Scale

  Change in coping skills from baseline to 3 and 6 month follow-up

• Lawton Caregiving and Stress Process Scales

  Change in caregiver mastery from baseine to 3 and 6 month follow-up

Study Arms (2)

Usual Care

NO INTERVENTION

Standard care received by veterans in the Corporal Michael J. Crescenz VA Medical Center

Dementia Care Management

ACTIVE COMPARATOR

CG education, continuous support, communication and coping skills training, and veteran monitoring, via CG report, of medication, symptoms, and service needs.

Behavioral: Dementia Care Management

Interventions

Dementia Care Management BEHAVIORAL

The intervention involves two main components. The first component includes individualized dementia care management that involves regular and extended contact between the CG, care manager, and when appropriate, Veteran's primary care provider (PCP). The care manager monitors Veterans' symptoms via CG report, provides psychoeducation and support to CGs, influences adherence to guidelines by providing timely and tailored information to PCPs, and suggests appropriate care strategies and service referrals. The second major component is the Telehealth Education Program (TEP). For this pilot study, the program was modified for use with individual CGs and was formatted so that CGs could select from a menu of up to 7 modules covering various content areas evaluated during the course of the care management assessments (e.g., communication skills, behavioral management techniques, stress management and coping skills, long-term planning, etc.).

Also known as: Telehealth Education Program

Dementia Care Management

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patient and caregiver 18 years of age or older
• Patient is community dwelling
• Patient has a confirmed dementia diagnosis and/or significant cognitive impairment (per provider or CG report) that is verified upon the RA's cognitive screening assessment (per veteran (BOMC, score of 16 or above) or informant (AD8, score of 2 or above) and/or chart review
• CG lives with and/or provides care for the patient for an average of at least 4 hours per day.
• Veteran provides assent to contact his/her representative to pursue study participation
• Veteran representative as caregiver is willing and able to provide informed consent

You may not qualify if:

• Cognitive, hearing, visual, or other physical impairments leading to difficulty with assent/ informed consent process and/or assessment (veteran or caregiver)

Sponsors & Collaborators

• Corporal Michael J. Crescenz VA Medical Center: lead

Study Sites (1)

Philadelphia VA Medical Center

Philadelphia, Pennsylvania, 19104, United States

Location

MeSH Terms

Conditions

Dementia

Condition Hierarchy (Ancestors)

Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurocognitive Disorders; Mental Disorders

Study Officials

• Shahrzad Mavandadi, PhD

  Corporal Michael J. Crescenz VA Medical Center

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: FED
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Health Science Specialist

Study Record Dates

• First Submitted: September 4, 2015
• First Posted: September 17, 2015
• Study Start: February 1, 2011
• Primary Completion: January 1, 2014
• Study Completion: January 1, 2014
• Last Updated: September 28, 2022

Record last verified: 2022-09

Locations

US (1)