The Progressively Lowered Stress Threshold Model

NCT04305652 | Completed

• 1 other identifier: 2018/248
• Study Type: interventional
• Target: 29
• Locations: 1 country
• Sites: 1

Brief Summary

Today, with the prolongation of human life, the elderly population has increased and the frequency of diseases seen in old age has increased due to this situation. The most common of these diseases is Alzheimer's disease. The Progressively Lowered Stress Threshold (PLST) is a conceptual model for reducing behavioral symptoms in individuals with dementia. In this study, it is aimed to determine the effect of interventions according to Decreased Stress Threshold Model on the level of neuropsychiatric symptoms and agitation of Alzheimer's patient and caregivers care satisfaction and life satisfaction.

Conditions

Alzheimer Disease; CAREGİVER

Keywords

Alzheimer Disease; Caregivers; Care satisfaction; Agitation

Outcome Measures

Primary Outcomes (1)

• Cohen-Mansfield Agitation Inventory

  Cohen-Mansfield Agitation Inventory, assessing the frequency of agitation symptoms.The total score that can be taken from the scale ranges between 29-203.

  3 month

Secondary Outcomes (4)

• Neuropsychiatric Inventory

  3 month

• The Turkish version of the Carer's Assessment of Satisfaction Index.There was no cut-point in score interpretation, and a higher total score indicates higher caregiver satisfaction

  3 month

• Life Satisfaction scale

  3 month

• the standardized Mini-Mental State Examination

  1month

Study Arms (2)

Control group

NO INTERVENTION

Care providers of Alzheimer's patients aged 65 and over (the standardized Mini-Mental State Examination (MMSE) test cognitive levels score is 19 and below )

Experimental group

EXPERIMENTAL

Care providers of Alzheimer's patients aged 65 and over (the standardized Mini-Mental State Examination (MMSE) test cognitive levels score is 19 and below) The caregivers of Alzheimer's patients will be trained for 3 months according to the Progressively Lowered Stress Threshold Model with a home visit.

Other: The Progressively Lowered Stress Threshold Model

Interventions

The Progressively Lowered Stress Threshold Model OTHER

PLST is a conceptual model for reducing behavioral symptoms in individuals with dementia. The PLST model provides the foundation for a psychoeducational intervention that assists formal and informal caregivers in understanding behaviors and planning care for individuals with dementia. If the model is to be applied at home, at least three home visits are made in line with the listed principles. While making a diagnosis during the first home visit, a maintenance plan for the problems is created in other home visits and the caregiver is trained to implement the care plan. After the home visits, the process is carried out by providing counseling through telephone calls or face-to-face interviews when necessary.

Experimental group

Eligibility Criteria

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

You may qualify if:

• years and above,
• Caring for moderate to mild Alzheimer's patients (test cognitive levels score is 19 and below)
• Being a close relative of the patient,
• Being the primary caregiver,
• Having volunteered to participate in the study
• There is no problem with communication

You may not qualify if:

• Younger than 18,
• Caring for an advanced Alzheimer's patient
• Paid caregiver
• Having a communication problem
• the standardized Mini-Mental State Examination (MMSE) test cognitive levels score is above 20 points

Sponsors & Collaborators

• Aksaray University: lead

Study Sites (1)

Aksaray University Health Science Faculty

Aksaray, 68100, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Alzheimer Disease; Psychomotor Agitation

Condition Hierarchy (Ancestors)

Dementia; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Tauopathies; Neurodegenerative Diseases; Neurocognitive Disorders; Mental Disorders; Dyskinesias; Neurologic Manifestations; Psychomotor Disorders; Neurobehavioral Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Aberrant Motor Behavior in Dementia; Behavioral Symptoms; Behavior

Study Officials

• Cemile Kütmeç Yılmaz

  Aksaray University, Faculty of Health Science, Nursing Department,

  PRINCIPAL INVESTIGATOR

• Kadriye Sayın Kasar

  Aksaray University, Faculty of Health Science, Nursing Department,

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: No Intervention: Control group Experimental: Experimental group
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: A Randomized Controlled Trial

Study Record Dates

• First Submitted: March 10, 2020
• First Posted: March 12, 2020
• Study Start: January 1, 2020
• Primary Completion: November 20, 2020
• Study Completion: January 30, 2021
• Last Updated: May 19, 2021

Record last verified: 2021-05

Locations

TU (1)