Support Via Technology: Living and Learning With Advancing FTD
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 16
- 试验地点
- 1
- 主要终点
- Revised Memory and Behavior Problems Checklist (RMBPC)
研究概览
简要总结
Much effort over the last several decades has been devoted to developing and implementing psychoeducational interventions for family caregiving partners for those with Alzheimer's and relatedm dementias (ADRD). However, few interventions address the specific needs of care partners for those with frontotemporal degeneration (FTD).
This study tests an intervention to support family caregivers for those with FTD.
详细描述
Much effort over the last several decades has been devoted to developing and implementing psychoeducational interventions for family caregiving partners for those with Alzheimer's and related dementias (ADRD). However, few interventions address the specific needs of care partners for those with frontotemporal degeneration (FTD), the most common form of dementia in adults under age 60.
Caring for a family member with FTD can affect the psychological, social, and relational health of families. Care partners for those with the disease have higher levels of burden and depression, as well as more sleep disturbances and worse financial strain than care partners for those with ADRD. Psychoeducational interventions can alleviate some of the psychological symptoms associated with dementia caregiving, but few programs have been designed for care partners for persons with FTD. Further, many of the existing programs are inaccessible for families due to distance and cost. The STELLA (Support via TEchnology: Living and Learning with Advancing dementia) intervention is designed to teach ADRD care partners strategies for managing behavioral symptoms associated with dementia. STELLA uses videoconferencing to connect care partners, in their own homes, with experienced Guides (e.g., nurses). The Guides use cognitive behavioral techniques to assist care partners in identifying and implementing strategies to reduce distressing behavioral symptoms in the person with dementia.
Our pilot work found that early versions of STELLA reduced the frequency of behavioral symptoms and care partner reactivity to them. In this study, the investigators will adapt STELLA to specifically address the needs of family care partners for persons with frontotemporal degeneration. Aim 1. Adapt STELLA to the needs of care partners for those with FTD
- Gather FTD care partner feedback on STELLA and suggestions for tailoring STELLA for FTD
- Adapt STELLA for FTD care partners based on end-user feedback Aim 2. Assess the feasibility, acceptability and STELLA-FTD with FTD care partners Aim 3. Assess the preliminary efficacy of STELLA-FTD on the primary outcomes: reducing the frequency of behavioral symptoms and care partner reactivity to the symptoms as measured on the Revised Memory and Behavior Problems Checklist (RMBPC).
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Care Partner for family member, close friend or kin with FTD, primary progressive aphasia, progressive supranuclear palsy or other frontotemporal degenerative dementia
- •Must speak English
- •Must be able to see and hear the videoconference-based interactions.
排除标准
- •- Family member does not care for someone with FTD conditions.
研究组 & 干预措施
STELLA-FTD study
One group only
干预措施: STELLA-FTD (Other)
结局指标
主要结局
Revised Memory and Behavior Problems Checklist (RMBPC)
时间窗: Pre-intervention (at Week 1) and Post-Intervention (at Week 8)
The primary outcome variable, reactivity, will be assessed with the RMBPC, which measures the frequency of care recipient behavioral symptoms and care partner reactions to these behaviors. The RMBPC was chosen because it aligns with our theoretical foundation that assumes burden is a result of care partner reactions to behavioral symptoms. The RMBPC is a 29-item caregiver report measure, 5-point Likert scale with frequency measuring from 0 (never occurred) to 4 (daily or more often) and reactivity measuring from 0 (not at all) to 4 (extremely) for a total score between 0-116 for each subscale (frequency subscale and reactivity subscale). Higher scores indicate greater behavioral problems.
次要结局
- Quality of Life Alzheimer's Disease, Care Partner(Pre-intervention (at Week 1) and Post-Intervention (at Week 8))
- Center for Epidemiologic Studies Depression(Pre-intervention (at Week 1) and Post-Intervention (at Week 8))
- Experience Survey(Post-Intervention (at Week 8))
- Family Caregiver Self-Efficacy Scale(Pre-intervention (at Week 1) and Post-Intervention (at Week 8))
- Marwit Meuser Caregiver Grief Index(Pre-intervention (at Week 1) and Post-Intervention (at Week 8))
- Contact Survey(Post-Intervention (at Week 8))
- Caregiver Guilt Questionnaire (CGQ)(Pre-intervention (at Week 1) and Post-Intervention (at Week 8))
- Ten-Item Personality Inventory (TIPI)(Pre-Intervention (at Week 1))
- Sleep Hygiene Index(Post-Intervention (at Week 8))
研究者
Allison Lindauer
Principal Investigator
Oregon Health and Science University