Improving Family Quality of Life Through Training to Reduce Care-Resistant Behaviors by People With Alzheimer Dementia and Traumatic Brain Injury (NeuroNS) Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Dementia
- Sponsor
- University of Alabama at Birmingham
- Enrollment
- 88
- Locations
- 1
- Primary Endpoint
- Change in Zarit Burden Interview
- Status
- Completed
- Last Updated
- 4 months ago
Overview
Brief Summary
To reduce care resistant behaviors (CRB) among people with dementia residing in nursing homes, to a distance-learning education, training, and coaching program for family caregivers of people with dementia or TBI; assess the efficacy of the intervention for reducing frequency or severity of CRB-triggered symptoms of agitation, aggression, and irritability; assess the efficacy of the intervention for improving quality of life of patients, caregivers, and families; and determine how patient and caregiver characteristics influence the effectiveness of the intervention.
5. Evaluate how the intervention affects the health care costs of people with dementia or TBI.
Detailed Description
To address the previously unanswered question of whether theoretically-driven caregiver education and coaching in nonpharmacologic approaches to reduce care resistant behaviors as a trigger of behavioral and psychiatric symptoms of dementia (BPSD) and neuropsychiatric symptoms after Traumatic Brain Injury (NPTBI) will improve caregiver burden, quality of life (QOL), and related outcomes of patients with these conditions and their family members. The intervention of interest is the Neurobehavioral Non-Pharmacologic Supportive Strategies for Family Caregivers of Persons with Dementia or TBI (NeuroNS-Care). Behavioral symptoms in dementia and following TBI vary considerably over time, with a tendency toward spontaneous regression to the mean. Additionally, caregivers often develop idiosyncratic strategies in response to adverse behaviors that might be either adaptive or maladaptive. In order to separate the effects of time alone from the effects of the coaching intervention, one group will be randomized to delayed intervention following a 6 week wait time. This will allow the investigative team the opportunity to compare the natural history of the outcome variables in an "untrained" portion of the sample to the effects of training over a similar time period.
Investigators
David Geldmacher
Professor
University of Alabama at Birmingham
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Change in Zarit Burden Interview
Time Frame: Change from baseline to 6-month follow-up
A measure of caregiver burden
Secondary Outcomes
- Change in Connor-Davidson Resilience Scale (CD-RISC)(Change from baseline through 6-month follow-up)
- Change in Family Quality of Life (Dementia or TBI versions)(Change from baseline through 6-month follow-up)
- Change in Neuropsychiatric Inventory(Change from baseline through 6-month follow-up)
- Change in Dementia Quality of Life (DEMQOL/DEMQOL proxy)(Change from baseline through 6-month follow-up)