Comparative Effectiveness of Dementia Care Strategies in Underserved Communities
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Dementia
- Sponsor
- RAND
- Enrollment
- 144
- Locations
- 1
- Primary Endpoint
- Change in Caregiver Burden at 6 and 12 Months
- Status
- Completed
- Last Updated
- 10 years ago
Overview
Brief Summary
Dementia is a condition that is growing in prevalence and which harms not only the afflicted individual but also adversely affects the health of their family and other informal caregivers. New methods for delivering comprehensive assistance to persons with dementia and their caregivers are known to be effective and can delay nursing home placement, but this study will discover 1) whether more face-to-face involvement rather than telephone delivery of this assistance will work better among poor patients in Los Angeles, and 2) if one method is better than the other, what are the differences in costs between them. These data will enable administrators in public health care settings around the US and non-profit foundations addressing dementia patient and caregiver needs to decide what method provides the best value and the best outcome relative to its cost.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Caregivers of persons with dementia
- •Caregivers must either live with the care recipient (person with dementia) or be the identified primary support
- •Caregiver relationship must have been present for the prior 6 months
- •Caregivers must have telephone access
- •Caregivers must speak English or Spanish
- •Care recipients must have a prior dementia diagnosis
- •Care recipients must be living in the community other than a nursing facility
Exclusion Criteria
- •Persons with dementia, lacking an informal caregiver who can communicate in Spanish or English, or living in a long term care facility
- •Caregiver lacks the capacity to consent to study participation
Outcomes
Primary Outcomes
Change in Caregiver Burden at 6 and 12 Months
Time Frame: 0, 6 and 12 months
The Zarit Burden Interview (BI) is a widely used validated measure to assess stressors experienced by caregivers of persons with dementia. Originally a 29-item instrument, the 22-item modified version is easily completed by telephone. This instrument covers five constructs of burden: health, psychological well-being, finances, social life, and relationship with impaired person and an overall summary score of caregiver burden. Higher Zarit scores indicate greater caregiver burden. The minimum possible score is 0, and the maximum possible score is 110.
Change in Care Recipient Memory and Problem Behaviors at 6 and 12 Months
Time Frame: 0, 6 and 12 months
The Revised Memory and Behavior Problem Checklist (RMBPC) was developed by Teri and colleagues. The RMBPC instrument assess 24 care receiver problems in the areas of behavior, memory, and depression and whether each behavior had occurred in the prior week. Higher RMBPC scores mean worse memory/behavior problems. The minimum possible score for number of problems is zero, and the maximum score for number of problems is 24.
Secondary Outcomes
- Change in Caregiver Depression at 6 and 12 Months(0, 6 and 12 months)
- Change in Process Measures of Dementia Care Quality at 6 and 12 Months(0, 6 and 12 months)
- Change in Caregiver Quality of Life at 6 and 12 Months(0, 6 and 12 months)
- Change in Care Recipient Quality of Life at 6 and 12 Months(0, 6 and 12 months)