A Dyadic Telehealth Program to Support Alzheimer's Disease Patients and Their Caregivers During COVID-19
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 29
- 试验地点
- 2
- 主要终点
- Pittsburgh Sleep Quality Index score
研究概览
简要总结
This study aims to refine and evaluate feasibility of a telehealth intervention for persons with Alzheimer's disease and their caregivers. The intervention will use evidence-based techniques for decreasing symptoms of depression, anxiety, and poor sleep, that are commonly reported among this vulnerable group during the COVID-19 pandemic. Improved symptoms among this group may improve their other health outcomes and quality of life and furthermore the quality of care that caregivers provide for persons with Alzheimer's disease during this challenging time.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Inclusion criteria for patients
- •Have a diagnosis of AD (probable or possible), other related dementia, or mild cognitive impairment as documented in electronic medical record
- •Community-dwelling
- •Aged > 50 years
- •Have no previously diagnosed sleep disorders (e.g., sleep apnea, restless legs syndrome)
- •Able to ambulate with or without assistive devices (i.e., dyads will be excluded if the care recipient is bedbound)
- •Have an eligible caregiver
- •Inclusion criteria for caregivers
- •Aged >18 years
- •Live with the eligible patient
- •Have regularly assisted the care recipient with >1 of 7 basic activities of daily living (ADLs; i.e., eating, dressing/undressing, grooming, walking across a room, getting in and out of bed, bathing, toileting) or >1 of 7 Instrumental ADL (IADLs; i.e., using the telephone, getting to places beyond walking distance, shopping, preparing meals, doing housework, taking medicine, handling money) for the past 6 months
- •Have no history of cognitive impairment
- •Can communicate in English.
排除标准
- •Professional caregivers will be excluded. Patients will be excluded if they are bedbound. If the eligibility criteria for either a patient or a caregiver are not met, their dyads will be excluded for this study
结局指标
主要结局
Pittsburgh Sleep Quality Index score
时间窗: immediately after the last session of the intervention
Self-reported sleep quality over the past week for patients (reported by caregivers) and caregivers. Range from 0 to 21 with lower scores indicating better subjective sleep quality.
Sleep efficiency-Actigraphy
时间窗: immediately after the last session of the intervention
Nighttime sleep efficiency (i.e., mean percent of time in bed spent asleep) will be calculated from 7 days of wrist actigraphy for patients and caregivers. Range from 0 to 100% with a higher percent indicating better objective sleep quality
次要结局
- Total scores on the Patient Health Questionnaire-9(immediately after the last session of the intervention)
- Total scores on the Rating Anxiety in Dementia(immediately after the last session of the intervention)
- Total scores on the Generalized Anxiety Disorder-7(immediately after the last session of the intervention)
- Total scores on the Cornell Scale for Depression in Dementia(immediately after the last session of the intervention)
研究者
Yeonsu Song, PhD, RN, FNP
Assistant Professor
University of California, Los Angeles