A Home-based Training Program for Elderly Patients With Dementia
Establishment and Effectiveness of a Community-based Long-term Care Model for Elderly Persons With Dementia
1 other identifier
interventional
129
0 countries
N/A
Brief Summary
The illness course and symptoms of dementia is usually very long and characterized with behavioral, psychological and physical changes. Family caregivers' stresses change during the illness trajectory as well. The purpose of this study is to compare the costs and effectiveness of two care models- home-based caregiver-training program model and routine care model for dementia elders in Taiwan.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jun 2009
Typical duration for not_applicable
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2012
CompletedFirst Submitted
Initial submission to the registry
January 23, 2016
CompletedFirst Posted
Study publicly available on registry
January 29, 2016
CompletedResults Posted
Study results publicly available
September 24, 2020
CompletedAugust 30, 2023
August 1, 2023
1.3 years
January 23, 2016
February 2, 2017
August 28, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (4)
Caregivers' Self-efficacy
The Agitation Management Self-efficacy Scale was used to measure caregivers' self-efficacy for managing dementia patients' agitation. Caregivers were asked how confident they were about handling the problem for each identified behavioral problem and if they believed that they could manage the problem for behaviors that did not occur. Scores range from 42 to 210, with higher scores representing greater caregiver self-efficacy. In this study, Cronbach's alphas ranged from 0.98 to 0.99 at different time points.
18 months
Caregivers' Preparedness
Preparedness was measured by the 10-item Caregiver Preparedness Scale,asks caregivers to rate how well prepared they think they are for seven domains of caregiving. A final question asks for an overall rating of how well prepared caregivers think they are to care for the care receiver. Items are scored on a 5-point Likert scale from 1 (not prepared) to 5 (well prepared). Scores range from 10 to 50, with higher scores representing greater preparedness for caregiving tasks. Validity and reliability of the original Preparedness scale was supported.24 The content validity index for the Preparedness Scale Taiwanese version was 1.0 and Cronbach's alpha for this scale among Taiwanese caregivers was 0.87. Cronbach's alpha in this study was 0.92.
18 months
Caregivers' Competence
A 17-item Competence Scale was used to assess caregivers' knowledge and skills for managing behavioral problems of patients with dementia. Scores range from 17 to 85, with higher scores representing better competence. In this study, Cronbach's alpha ranged from 0.90 to 0.93 at different time points.
18 months
Dementia Patients' Behavioral Problems
Physically aggressive behaviors of dementia patients were measured by the PAB subscale of the Chinese version CMAI, community form, which was shown to be valid and reliable for a Taiwanese sample. Each item (behavioral problem) is scored according to its frequency from 1 (never happens) to 7 (several times per hour). PAB subscale scores range from 7 to 49, with higher scores indicating more physically aggressive behaviors. In this study, the PAB subscale had Cronbach's alpha of 0.55.
18 months
Secondary Outcomes (2)
Caregivers' Quality of Life
18 months
Caregivers' Depressive Symptoms
18 months
Study Arms (2)
Control group
NO INTERVENTIONCaregivers received general information on dementia care and follow-up phone calls simply to maintain contact, but without any training for developing a behavioral problem-management plan and strategies.
Intervention group
EXPERIMENTALCaregivers received solutions for managing behavioral problems, with referrals to community services and telephone consultation, further assurance and consultation were provided in monthly telephone follow-ups, and progress in behavior management was evaluated.
Interventions
A home-based caregiver-training program consisted of two weekly sessions, each lasting 2 to 3 hours. Following the training sessions, further assurance and consultation were provided in monthly telephone follow-ups, and progress in behavior management was evaluated.
Eligibility Criteria
You may qualify if:
- diagnosed with dementia by a psychiatrist or neurologist
- Age 65 years or older
- living in a community of northern Taiwan
- living in a home setting
- scored \>50 on the Chinese version Cohen-Mansfield Agitation Inventory (CMAI).
You may not qualify if:
- diagnosed with critical illness.
- Primary caregiving responsibility and be at least 20 years old.
- diagnosed with critical illness.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Related Publications (2)
Kuo LM, Huang HL, Liang J, Kwok YT, Hsu WC, Liu CY, Shyu YL. Trajectories of health-related quality of life among family caregivers of individuals with dementia: A home-based caregiver-training program matters. Geriatr Nurs. 2017 Mar-Apr;38(2):124-132. doi: 10.1016/j.gerinurse.2016.08.017. Epub 2016 Oct 6.
PMID: 27720499DERIVEDKuo LM, Huang HL, Liang J, Kwok YT, Hsu WC, Su PL, Shyu YL. A randomized controlled trial of a home-based training programme to decrease depression in family caregivers of persons with dementia. J Adv Nurs. 2017 Mar;73(3):585-598. doi: 10.1111/jan.13157. Epub 2016 Oct 17.
PMID: 27653753DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Dr. Yea-Ing L. Shyu
- Organization
- School of Nursing, College of Medicine, Chang Gung University, Taoyuan, Taiwan
Study Officials
- PRINCIPAL INVESTIGATOR
Yea-Ing L Shyu, PhD
Chang Gung University
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
January 23, 2016
First Posted
January 29, 2016
Study Start
June 1, 2009
Primary Completion
September 1, 2010
Study Completion
March 1, 2012
Last Updated
August 30, 2023
Results First Posted
September 24, 2020
Record last verified: 2023-08
Data Sharing
- IPD Sharing
- Will not share