A Web-Based Psychoeducation and Symptom-Monitoring Program to Enhance Dementia Caregiver Self-Efficacy in Managing BPSD
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- Caregiver Self-Efficacy in Managing Behavioral and Psychological Symptoms of Dementia
研究概览
简要总结
Behavioral and psychological symptoms of dementia (BPSD), such as agitation, anxiety, depression, sleep disturbance, and apathy, are common among people with dementia and often increase the burden on family caregivers. Many caregivers have limited knowledge and confidence in managing these symptoms.
This study aims to evaluate the effectiveness of a 6-week web-based psychoeducation and BPSD symptom-monitoring program in improving caregivers' self-efficacy in managing BPSD. Community-dwelling family caregivers of people with dementia will be recruited through healthcare, care, or community service settings and related activities in Taiwan.
Participants will be assigned sequentially to either an intervention group receiving web-based psychoeducation, BPSD symptom monitoring, and usual care, or a control group receiving usual care alone. The primary outcome is caregiver self-efficacy. Secondary outcomes include BPSD severity and caregiver burden.
详细描述
Behavioral and psychological symptoms of dementia (BPSD) affect many people living with dementia during the course of the disease and are associated with increased caregiver burden, psychological distress, and reduced quality of life. Family caregivers frequently experience difficulties in recognizing BPSD, identifying possible triggers, and applying appropriate management strategies. Although web-based psychoeducation has shown potential benefits for dementia caregivers, evidence regarding its effectiveness in improving caregiver self-efficacy through the integration of structured symptom monitoring remains limited.
This study will evaluate a six-week web-based psychoeducation and BPSD symptom-monitoring program developed for family caregivers of community-dwelling people with dementia. The intervention is delivered through an AppSheet-based online platform and includes web-based educational modules and BPSD symptom diary recording. The symptom diary allows caregivers to record symptom types, circumstances, possible triggers, management strategies, and outcomes. Educational topics include understanding dementia, recognition of BPSD and possible triggers, BPSD management and caregiving strategies, communication and home care, caregiver self-care, and community support resources.
This study uses a quasi-experimental two-group pretest-posttest parallel design. Approximately 80 family caregivers will be recruited through healthcare, care, or community service settings and related activities in Taiwan. Participants will be assigned sequentially in alternating order to either the intervention group or the usual care control group.
Outcome assessments will be conducted at baseline (Week 0) and after the six-week intervention (Week 6) for both groups. Participants in the intervention group will additionally complete a follow-up assessment at Week 10 to evaluate maintenance of intervention effects.
The primary outcome is caregiver self-efficacy measured using the Revised Scale for Caregiving Self-Efficacy (RSCSE). Secondary outcomes include BPSD measured using the Neuropsychiatric Inventory Questionnaire (NPI-Q) and caregiver burden measured using the Zarit Burden Interview (ZBI).
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 20 Years 至 90 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Family caregivers aged 20 to 90 years.
- •Currently the primary caregiver of a community-dwelling person diagnosed with dementia by a physician.
- •Able to read and understand Chinese and able to use a smartphone, tablet, or computer with Internet access.
- •Willing to participate in the study and complete the required study procedures and questionnaires.
排除标准
- •Unable to read or understand Chinese.
- •Currently caring for a person with dementia who resides in a long-term care institution, such as a nursing home or residential care facility.
- •Unable to comply with study procedures or complete the questionnaires due to physical or psychological conditions, as assessed by the researcher.
研究组 & 干预措施
Intervention Group
Participants receive a 6-week web-based psychoeducation and BPSD symptom-monitoring program in addition to usual care. The intervention includes web-based educational content on dementia care and BPSD management, as well as BPSD symptom diary recording.
干预措施: Web-Based Psychoeducation and Symptom-Monitoring Program (Behavioral)
Control Group
Participants receive usual care without access to the web-based psychoeducation and symptom-monitoring program during the study period.
结局指标
主要结局
Caregiver Self-Efficacy in Managing Behavioral and Psychological Symptoms of Dementia
时间窗: Baseline and Week 6
Caregiver self-efficacy will be assessed using the Revised Scale for Caregiving Self-Efficacy (RSCSE). The primary outcome is the change in caregiver self-efficacy from baseline to Week 6 between the intervention and control groups.
次要结局
- Behavioral and Psychological Symptoms of Dementia(Baseline and Week 6)
- Caregiver Burden(Baseline and Week 6)
研究者
Shan-Hua Chen
Principal Investigator
Lotung Poh-Ai Hospital