Reappraising Intergeneration Relationships in Dementia Caregiving
1 other identifier
interventional
154
1 country
2
Brief Summary
It is hypothesized that reappraising intergeneration relationships through perspective-taking will enhance the well-being of adult-child caregivers. Incorporating both psychological and social perspectives, the study makes a unique contribution to address research gaps by evaluating an integrated model of intervention for dementia caregivers. The conceptual model involves the following components: 1) relational insights; 2) self-reflection to integrate the challenges and benefits in caregiving; 3) interpersonal empathy To test the incremental value of perspective-taking reappraisals, the study involves a two-arm randomized controlled trial of 12 weeks of intervention with two conditions: 1) Reappraisal through Perspective Taking and 2) Basic Skill Building. Telephone-administered sessions are integrated with group sessions and home visits to maximize sustainability and accessibility of the intervention. One hundred fifty-four participants will be recruited and randomized. Primary outcomes are reduced depressive symptoms and enhanced psychological well-being for the caregivers. Secondary outcomes include enhanced social support for caregivers and reduced behavioral problems in the care-recipients.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Nov 2018
Typical duration for not_applicable
2 active sites
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
First Submitted
Initial submission to the registry
June 28, 2018
CompletedFirst Posted
Study publicly available on registry
July 12, 2018
CompletedStudy Start
First participant enrolled
November 11, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 8, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
July 8, 2021
CompletedDecember 14, 2018
December 1, 2018
2.7 years
June 28, 2018
December 12, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Change in Center for Epidemiological Studies-Depression Search Results Center for Epidemiological Studies Depression
20-item measure that asks caregivers to rate how often over the past week they The scale rates experienced symptoms associated with depression.. Response options range from 0 to 3 for each item (0 = Rarely or None of the Time, 1 = Some or Little of the Time, 2 = Moderately or Much of the time, 3 = Most or Almost All the Time). Scores range from 0 to 60, with high scores indicating greater level of having depressive symptoms.
Week 1, 6, 12, 24
Change in Ryff's Psychological Well-being
The 18-version of the scale taps the six areas of psychological well-being: autonomy, environmental mastery, personal growth, positive relations with others, purpose in life, and self-acceptance. Respondents rate statements on a scale of 1 to 6, with 1 indicating strong disagreement and 6 indicating strong agreement. The range of scores is from 0 to 108. Higher scores suggest higher levels of well-being. The subscale score of each of the six areas can be calculating by summation of the three items associated with each of the area.
Weeks 1,6, 12, 24
Secondary Outcomes (2)
Change in Revised Memory and Problem Checklist
Weeks 1, 6, 12 ,24
Change in MacArther Social Support Scales
Weeks 1,6, 12, 24
Study Arms (2)
Perspective Taking Reappraisal
EXPERIMENTALThis arm focuses on reappraisals with perspective taking with a limited amount of basic skill building
Basic Skill Building
OTHERThis arm focuses on basic skill building only.
Interventions
Interventions involving 1) appreciating relational insights; 2) enhancing self-awareness; 3) empathetic understanding of care-recipient; 4) integrating self-care and caring for others and 5) negotiation.
These skill-building exercises are commonly used in psycho-education programs for caregivers:monitoring mood and activities, relaxation techniques and scheduling pleasant events, basic communication with the care recipient, communicating the caregivers' own needs with other family member or related persons including helpers and professional staff.
Eligibility Criteria
You may qualify if:
- Primary caregivers aged 20 or older and who have been caring for persons (aged 60 or above) with a physician diagnosis of Alzheimer's disease in the mild to moderate range as determined by the Clinical Dementia Rating Scale.
- Primary caregivers who have been providing unpaid care for more than 12 hours a week for at least the past three months.
- The care should involve day-to-day decision-making as well as any of the following: feeding, dressing, bathing, toileting, housework, preparing meals, medication and handling finances.
- They can be daughter/son or daughter-/son-in-law of the care recipient.
You may not qualify if:
- signs of severe intellectual deficits
- demonstrated suicidal ideation
- exhibited evidence of psychotic disorders
- hearing/ visual impairment
- inability to read or speak Chinese/Cantonese fluently and severe.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Applied Social Sciences, Hong Kong Polytechnic University
Hong Kong, Hong Kong
Institute of Active Ageing
Kowloon, Hong Kong
Related Publications (1)
Au A, Gallagher-Thompson D, Wong MK, Leung J, Chan WC, Chan CC, Lu HJ, Lai MK, Chan K. Behavioral activation for dementia caregivers: scheduling pleasant events and enhancing communications. Clin Interv Aging. 2015 Mar 26;10:611-9. doi: 10.2147/CIA.S72348. eCollection 2015.
PMID: 25848237BACKGROUND
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Alma Au, PhD
The Hong Kong Polytechnic University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor
Study Record Dates
First Submitted
June 28, 2018
First Posted
July 12, 2018
Study Start
November 11, 2018
Primary Completion
July 8, 2021
Study Completion
July 8, 2021
Last Updated
December 14, 2018
Record last verified: 2018-12
Data Sharing
- IPD Sharing
- Will not share