Volunteering Program for Chinese Dementia Caregivers

NCT04346745 | Completed Results

• 1 other identifier: AAAS3969
• Study Type: interventional
• Target: 38
• Locations: 1 country
• Sites: 1

Brief Summary

Although many older Chinese Americans are expected to need intensive care because of cognitive impairment, a large gap exists in development of culturally sensitive interventions to reduce stress among caregivers in Chinese American communities. This research project will develop and pilot test a culturally sensitive intervention, the peer mentoring program (PMP), which is informed by the sociocultural stress and coping model. This project will generate preliminary data for a larger randomized controlled trial for efficacy or effectiveness testing of PMP, which is an innovative intervention to support dementia among Chinese Americans, by empowering the existing human resources of experiential caregivers in the same ethnic community.

Conditions

Caregiver Burnout

Keywords

Chinese; Volunteering; Peer mentoring; dementia caregivers; mental health; stress

Outcome Measures

Primary Outcomes (4)

• Caregiver Burden Score at Month 3 and Month 9

  This outcome will be measured by Zarit's Burden Interview (ZBI). ZBI contains 22 items. Each item on the interview is a statement which the caregiver is asked to endorse using a 5-point scale. Response options range from 0 (Never) to 4 (Nearly Always). In general, higher score indicates higher levels of burden. The full summed score ranges from 0 to 88, with higher scores indicating higher levels of burden (Cronbach's α = .80).

  Month 3, Month 9

• Caregiver's Depression at Month 3 and Month 9

  Depressive symptoms were measured by the 10-item Center for Epidemiological Studies Depression Scale (Andresen et al., 1994). Caregivers reported their depressive symptoms in the past week on a 4-point scale (from 0 = rarely or none of the time to 3 = most or all of the time). The summed scores ranged from 0 to 30, and higher scores indicated higher levels of depressive symptoms (Cronbach's α = .86).

  Month 3, Month 9

• Caregiving Competency at Month 3 and Month 9

  Caregiving competency was measured by the Caregiving Competence Scale. It is a 4-point Likert (not at all, just a little, somewhat, very much) scale including four questions: How do you believe that you've learned to deal with very difficult situations? How much do you feel that all in all, you're a good caregiver? How competent do you feel? How self-confident do you feel? We summed the scores of four items with higher scores indicating larger competence (Cronbach's alpha=0.62). The range of the score is 0-16.

  Month 3, Month 9

• Loneliness at Month 3 and Month 9

  Loneliness was assessed by the Revised-University of California at Los Angeles Loneliness Scale. Caregivers rated their feelings of lacking companionship, left out of life, and isolation from others respectively on a 3-point scale (hardly ever, sometimes, often). We added up scores for the three questions to produce a continuous variable ranging from 0 to 6, with higher scores indicating higher levels of loneliness (Cronbach's alpha = 0.80).

  Month 3, Month 9

Study Arms (2)

Treatment group

EXPERIMENTAL

The treatment group will receive intervention of a peer mentoring program plus usual services they could receive from community agencies.

Behavioral: Peer Mentoring Program

Control group

NO INTERVENTION

The control group received a package of educational materials on knowledge of dementia, caregiving skills.

Interventions

Peer Mentoring Program BEHAVIORAL

The Peer Mentoring Program (PMP) is a 3-month intervention to provide one-on-one mentoring support via phone calls to reduce the stress of Chinese dementia caregivers. The PMP will address the following topics: cultural beliefs about dementia and family caregiving, culturally effective coping strategies, and culturally appropriate social support.

Treatment group

Eligibility Criteria

• Age: 21 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• The caregivers will be recruited if they:
• self-identify as Chinese
• are 21 years old or older
• speak Mandarin or Cantonese Chinese
• provide care to a family member with dementia or cognitive impairment related to dementia for 10 hours or more a week
• are interested in receiving peer mentoring
• report moderate to severe caregiver burden
• can access a telephone and communicate via phone call.
• The volunteer mentors will be recruited if they:
• are 50 years old or older
• self-identify as Chinese
• speak Mandarin or Cantonese Chinese
• have experience providing care to a family member with dementia or cognitive impairment related to dementia
• can access a telephone and communicate via phone call
• can attend volunteering training in person

You may not qualify if:

• do not self-identify as Chinese
• do not speak Mandarin or Cantonese Chinese

Sponsors & Collaborators

• Columbia University: lead

Study Sites (1)

Columbia University

New York, New York, 10027, United States

Location

Related Publications (1)

• Liu J, Cheung ESL, Lou Y, Wu B. A peer mentoring program for Chinese American dementia caregivers: a pilot randomized controlled trial. Aging Ment Health. 2024 Nov;28(11):1479-1488. doi: 10.1080/13607863.2024.2346599. Epub 2024 May 2.

  PMID: 38695396 DERIVED

MeSH Terms

Conditions

Caregiver Burden; Psychological Well-Being

Condition Hierarchy (Ancestors)

Stress, Psychological; Behavioral Symptoms; Behavior; Personal Satisfaction

Results Point of Contact

• Title: Associate Professor
• Organization: Columbia University

jl4658@columbia.edu

2128512246

Study Officials

• Jinyu Liu, PhD

  Baylor University

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: randomized controlled trial

Study Record Dates

• First Submitted: April 8, 2020
• First Posted: April 15, 2020
• Study Start: July 1, 2019
• Primary Completion: March 31, 2022
• Study Completion: March 31, 2022
• Last Updated: September 19, 2024
• Results First Posted: September 19, 2024

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)