Technology Intervention to Support Caregiving for Alzheimer's Disease (I-CARE)
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Dementia, Alzheimer Type
- Sponsor
- Indiana University
- Enrollment
- 61
- Locations
- 2
- Primary Endpoint
- Feasibility: Recruitment Rate
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
The specific aims of this study are 1) to test the trial and intervention feasibility of Brain Care Notes (BCN) app, 2) To estimate the effect size of BCN on reducing informal caregiver burden at 6 months, and 3) To estimate the effect size of BCN on reducing patient behavioral and psychological symptoms of dementia (BPSD) at 6 months. Subjects will be recruited from the Aging Brain Care (ABC) program of Eskenazi Health and Indiana University Health located in central Indiana.
Detailed Description
Informal caregivers of patients with Alzheimer's disease and related dementia (ADRD) manage a complex spectrum of patient behavioral and psychological symptoms of dementia (BPSD). BPSD are major contributing factors to caregivers' burden and adverse health outcomes, leading to an increase of unplanned hospitalizations and a decrease in quality of life. The National Alzheimer's Project Act recognizes the need for interventions that "enable family caregivers to continue to provide care while maintaining their own health and well-being." Furthermore, recommendations from 2015 and 2018 Alzheimer's Disease Research Summits include the application of technology to improve caregiving research and ADRD care This pilot randomized controlled trial, will test the feasibility and estimate the effect size of integrating mobile health technology BrainCare Notes (BCN) into an existing, fully operational, and self-sustaining clinical program (Aging Brain Care; ABC) and IU Health primary care physician clinics (IUHP). BCN is a mobile application (app) for informal caregivers of patients with Alzheimer's Disease and related dementia (ADRD). The BCN app delivers 24/7 psychoeducation and caregiver support, assessment of informal caregiver status and patients' behavioral and psychological symptoms of dementia (BPSD), and engagement tools for self-management and communication. Over a 15 month accrual period, we propose to enroll from the ABC clinical program and IUHP 60 dyads consisting of an adult patient with ADRD and one (primary) informal caregiver. The intervention will continue for 6 months and final assessments will be completed at 6 months. Feasibility data will be collected throughout the study and assessed at the end of the study by computing: (a) recruitment rate; (b) data completion; (c) BCN usability; (d) BCN acceptance; and (e) BCN use. Caregiver burden and patient BPSD will be collected at baseline, 3, and 6 months and evaluated for changes from baseline to 6 months in each group. Means, standard deviations, and confidence intervals will be computed to test feasibility hypotheses. Mixed linear models will be used to test hypotheses comparing the two conditions at 6 months.
Investigators
Richard Holden
Professor of Health & Wellness Design
Indiana University
Eligibility Criteria
Inclusion Criteria
- •Patient has received a diagnosis of possible or probable Alzheimer's disease and Related Dementia from a physician in the ABC Clinical Program;
- •Caregiver is at least 18 years of age and does not have a visual impairment significant enough to interfere with his/her ability to use BCN;
- •Both patient and caregiver are community-dwelling in central Indiana; and
- •Both patient and caregiver are willing to participate in the ABC Clinical Program (including receiving home visits).
Exclusion Criteria
- •Either the patient or his/her informal caregiver does not have the ability to communicate in English.
Outcomes
Primary Outcomes
Feasibility: Recruitment Rate
Time Frame: 15 month accrual period
Recruitment rate is the average monthly rate of recruitment into the study, calculated as participants recruited over the accrual period.
Feasibility: Data Completeness
Time Frame: 6 months after enrollment and randomization
Data completeness is the number of enrolled and randomized individuals who provided data at 3 and 6 months.
Feasibility: BCN Usability (3 Months)
Time Frame: 3 months
BCN usability at 3 months is the summary score on the modified System Usability Scale (SUS) 10-item scale instrument, ranging from 0 (worst outcome) to 100 (best outcome).
Feasibility: BCN Usability (6 Months)
Time Frame: 6 months
BCN usability at 6 months is the summary score on the modified System Usability Scale (SUS) 10-item scale instrument, ranging from 0 to 100. Higher scores indicate higher usability.
Feasibility: BCN Acceptance (3 Months)
Time Frame: 3 months
Acceptance at 3 months is the mean score on the Behavioral Intention 4-item scale on a 7-point response scale from 0 (not at all) to 6 (a great deal). Higher scores indicate higher acceptance.
Feasibility: BCN Acceptance (6 Months)
Time Frame: 6 months
Acceptance at 6 months is the mean score on the Behavioral Intention 4-item scale on a 7-point response scale from 0 (not at all) to 6 (a great deal).
Secondary Outcomes
- Caregiver Burden (Baseline)(baseline)
- Caregiver Burden (3 Months)(3 months)
- Caregiver Burden (6 Months)(6 months)
- BPSD Severity (Baseline)(baseline)
- BPSD Severity (3 Months)(3 months)
- BPSD Severity (6 Months)(6 months)
- Acute Care Utilization (3 Months)(3 months)
- Acute Care Utilization (6 Months)(6 months)