CONFIDENCE Financial Education for Caregivers

NCT05292248 | Completed Results

• 1 other identifier: 20210794HU
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to determine how feasible it is to deliver an online course to reduce out-of-pocket costs of caregiving and reduce financial stress among Latino family caregivers to a family member living with dementia. The investigators hope that that the results of this study will help to reduce high these out-of-pocket costs and improve financial wellbeing for Latino family caregivers. Caregivers will be asked to to participate in 3 online surveys, in addition to participating in 5, 1.5 hour group-based Zoom learning sessions.

Conditions

Caregiver Burden; Financial Stress; Dementia; Alzheimer Disease

Keywords

Out-of-pocket costs; Behavioral intervention; Hispanic; Latino; Self-Efficacy

Outcome Measures

Primary Outcomes (1)

• Monthly Out-of-pocket Caregiving Costs

  Monthly out-of-pocket costs of caregiving is based on the tool used by the AARP Public Policy Institute in their 2016 report on the out-of-pocket costs of caregiving. This measure combines caregiver recall of care costs in the previous month, collected at baseline, with 5 days of daily spending diaries. Daily surveys will be sent using an email with a survey link, and a text message reminder. Monthly costs include less-frequent, high-cost expenditures (e.g., mortgage payment), while daily costs include lower-cost items caregivers may pay for more frequently (e.g., groceries). Daily self-reports of spending will be averaged and multiplied by 6 to approximate the number of days in a month, and added to estimated monthly costs. Positive scores indicate increased out-of-pocket costs. The researchers advise against relying on this outcome. In this pilot study, we found that this measure has qualitatively different meanings for adult child and spousal caregivers.

  Change in median costs from from baseline to 8 weeks post-intervention

Secondary Outcomes (3)

• Psychological Financial Strain

  Change from baseline to post-intervention (within 1 week); change from baseline to 8 weeks post-intervention

• Caregiver Self-efficacy

  Change from baseline to post-intervention (within 1 week); change from baseline to 8 weeks post-intervention

• Caregiver Resourcefulness

  Change from baseline to post-intervention (within 1 week); change from baseline to 8 weeks post-intervention

Study Arms (1)

CONFIDENCE Education Intervention

EXPERIMENTAL

Participants will attend the 5-week CONFIDENCEProgram. This program will include attending 5 group-based sessions delivered by videoconference. Each session will last approximately 1.5 hours each and will cover topics such as how to budget, accessing community resources to displace the out-of-pocket costs of caregiving, asking for help, balancing employment and caregiving, and more.

Behavioral: Confidently Navigating Financial Decisions and Enhancing Financial Wellbeing in Dementia Caregiving

Interventions

Confidently Navigating Financial Decisions and Enhancing Financial Wellbeing in Dementia Caregiving BEHAVIORAL

Multicomponent psychoeducational intervention focused on financial wellbeing

CONFIDENCE Education Intervention

Eligibility Criteria

• Age: 50 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Caregiver to someone diagnosed by a physician with probably Alzheimer's disease or a related dementia at least 6 months ago
• Latino or Hispanic ethnicity
• At least 50 years of age of older
• Able to attend 5, 1.5 hour to 2 hour group-based lessons over 5 weeks
• No plans to place family member in a facility within the next 3 months

You may not qualify if:

• Unreliable access to email, a computer and internet access
• Does note speak and read English
• Previously participated in CONFIDENCE program

Sponsors & Collaborators

• Case Western Reserve University: lead
• AARP Foundation: collaborator
• University of Southern California: collaborator

Study Sites (1)

Case Western Reserve University

Cleveland, Ohio, 44106, United States

Location

Related Publications (7)

• Rainville C, Skufca L, Mehegan L. Family Caregiving and Out-of-Pocket Costs: 2016 Report: AARP; 2016. https://www.khi.org/assets/uploads/news/14680/family-caregiving-cost-survey-res-ltc.pdf

  BACKGROUND

• Norvilitis JM, Szablicki PB, Wilson SD. Factors Influencing Levels of Credit-Card Debt in College Students. J of Applied Social Psychology 2003;33(5):935-47.

  BACKGROUND

• Ritter PL, Sheth K, Stewart AL, Gallagher-Thompson D, Lorig K. Development and Evaluation of the Eight-Item Caregiver Self-Efficacy Scale (CSES-8). Gerontologist. 2022 Mar 28;62(3):e140-e149. doi: 10.1093/geront/gnaa174.

  PMID: 33146727 BACKGROUND

• Shim S, Barber BL, Card NA, Xiao JJ, Serido J. Financial socialization of first-year college students: the roles of parents, work, and education. J Youth Adolesc. 2010 Dec;39(12):1457-70. doi: 10.1007/s10964-009-9432-x. Epub 2009 Jul 4.

  PMID: 20938727 BACKGROUND

• Shapiro GK, Burchell BJ. Measuring financial anxiety. Journal of Neuroscience, Psychology, and Economics. 2012;5(2):92-103.

  BACKGROUND

• Zauszniewski JA, Lai CY, Tithiphontumrong S. Development and testing of the Resourcefulness Scale for Older Adults. J Nurs Meas. 2006 Spring-Summer;14(1):57-68. doi: 10.1891/jnum.14.1.57.

  PMID: 16764178 BACKGROUND

• Meyer K, Mage SM, Gonzalez A, Zauszniewski JA, Rhodes S, Perales-Puchalt J, Wilber K, Song L, Puga F, Benton D. Lessons from a Pilot Study of a Culturally Tailored Financial Well-Being Intervention Among Latino Family Caregivers. J Appl Gerontol. 2025 Jun;44(6):938-948. doi: 10.1177/07334648241293524. Epub 2024 Oct 17.

  PMID: 39420566 DERIVED

MeSH Terms

Conditions

Caregiver Burden; Financial Stress; Dementia; Alzheimer Disease

Condition Hierarchy (Ancestors)

Stress, Psychological; Behavioral Symptoms; Behavior; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurocognitive Disorders; Mental Disorders; Tauopathies; Neurodegenerative Diseases

Results Point of Contact

• Title: Kylie Meyer, Principal Investigator
• Organization: Case Western Reserve University

knm77@case.edu

216-368-1928

Study Officials

• Kylie Meyer, PhD

  Case Western Reserve University

  PRINCIPAL INVESTIGATOR

Publication Agreements

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: March 14, 2022
• First Posted: March 23, 2022
• Study Start: May 1, 2022
• Primary Completion: December 15, 2023
• Study Completion: March 1, 2024
• Last Updated: August 23, 2024
• Results First Posted: August 23, 2024

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF
• Time Frame: Data will be made available, upon request, within 1 year of the study close date or the first publication using research data described, whichever comes first.
• Access Criteria: Access will be provided using .csv files for de-identified study data and PDF supporting documents, sent by email.

Locations

US (1)