NCT05877586

Brief Summary

This pilot study will investigate the feasibility of using a digital health application, Communication, Learning, Advocacy, Resources and Expertise (CLARE), in training and support of family and friends (i.e., caregivers) of older adults with Covid in home caregiving, and in their self-care. The study's mixed method, one group, pre-post design will recruit 50 caregivers who are at least 65 years of age at Duke University Hospital. Caregivers must be the primary person who will aid patients at home after hospital discharge. The caregiver will receive a short message service (SMS) link and/or e-mail to download the digital health application on their own smartphone or tablet. The study team will guide the caregiver through features of the application including how to complete demographics questionnaire and surveys for caregiving preparedness, and how to reply to reminders. For data collection, the investigators will use CLARE analytics for feasibility analysis, interview data to determine modifiable factors that will enhance CLARE use, and pre-post preparedness in caregiving data to explore preliminary efficacy of CLARE.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
50

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Oct 2023

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 15, 2023

Completed
2 months until next milestone

First Posted

Study publicly available on registry

May 26, 2023

Completed
5 months until next milestone

Study Start

First participant enrolled

October 9, 2023

Completed
12 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 19, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 19, 2024

Completed
1.2 years until next milestone

Results Posted

Study results publicly available

November 18, 2025

Completed
Last Updated

November 18, 2025

Status Verified

November 1, 2025

Enrollment Period

12 months

First QC Date

March 15, 2023

Results QC Date

September 10, 2025

Last Update Submit

November 4, 2025

Conditions

Keywords

CaregiversTechnology

Outcome Measures

Primary Outcomes (3)

  • Number of Participants Who Agreed to Participate

    Day 1

  • Percentage of CLARE App Tasks Completed

    CLARE app tasks were released at 7:00 AM and 6:00 PM daily. Calculated as the total number of completed tasks for all participants divided by the total number of available tasks for all participants x 100.

    Daily up to study completion, an average of 10 days

  • Number of Participants Who Used CLARE Chat

    Up to study completion, an average of 10 days

Secondary Outcomes (1)

  • Impact of CLARE as Measured by the Number of Participants Considered Prepared by the Preparedness in Caregiving Scale (PCS)

    Study completion, an average of 10 days

Other Outcomes (1)

  • Intent and Use of CLARE

    Study completion, an average of 10 days

Study Arms (1)

Caregivers using CLARE app

EXPERIMENTAL

Caregiver participants in the study

Other: CLARE app

Interventions

CLARE will contain materials on hospital discharge preparation, Covid care, and caregiver self-care, all of which have already been vetted by the DUHS Patient and Family Education department. Existing CLARE teaching on Covid covers isolation; quarantine; home sanitization; and monitoring for Covid symptoms such as cough, fever, fatigue, and shortness of breath. All will be reviewed and amended to reflect the latest CDC guidelines for Covid care at the time of pilot implementation. CLARE will also include reminders on examining the After-Visit-Summary to determine home medications and information on follow-up care. CLARE will have two sessions of training and support to caregivers that can be delivered before hospital discharge and daily for seven days after discharge.

Caregivers using CLARE app

Eligibility Criteria

Age35 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Caregivers must be the primary person assisting patients at home after hospital discharge.
  • Caregivers must be at least 35 years of age.
  • Caregivers must provide care to a loved one who is 55 years and above.
  • Caregivers must possess a smartphone or a tablet.

You may not qualify if:

  • Caregivers who are not the primary person assisting patients at home after hospital discharge.
  • Caregivers who are younger than 35 years old.
  • Caregivers who are caring for a patient younger than 55 years old.
  • Caregivers who do not possess a smartphone or a tablet.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Duke University Hospital

Durham, North Carolina, 27710, United States

Location

Results Point of Contact

Title
Cristina C. Hendrix, DNS, GNP, FAAN
Organization
Duke University

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
OTHER
Intervention Model
SINGLE GROUP
Model Details: Each caregiver will receive a unique invitation code to use the CLARE app. The study team will guide the caregiver through the features of the application. CLARE will provide caregiver training and support up to 7 days after hospital discharge.
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 15, 2023

First Posted

May 26, 2023

Study Start

October 9, 2023

Primary Completion

September 19, 2024

Study Completion

September 19, 2024

Last Updated

November 18, 2025

Results First Posted

November 18, 2025

Record last verified: 2025-11

Data Sharing

IPD Sharing
Will not share

Data obtained from this feasibility study will not be placed or publicly stored for open availability. Given these data are meant to inform acceptability and feasibility of the caregiving app, the data are very specific to the intent of the pilot. As required by the NIH Policy on Dissemination of NIH-funded Clinical Trial Information, descriptive summaries and outcome data will be reported on clinicaltrials.gov. Products produced from this research including qualitative interview documents, qualitative codebooks for analysis, study protocols, and intervention design will follow the Template for Intervention Description and Replication guidelines and be made available online as supplemental appendices to publications and/or on the parent study (Duke Roybal Center) website.

Locations