Juntos/Together Program to Build Confidence for Complex Care Tasks Among Latino Family Caregivers
- Conditions
- Dementia Caregivers
- Interventions
- Behavioral: LST-LC Education
- Registration Number
- NCT05582473
- Brief Summary
The overall goal of this study is to culturally adapt and test the effectiveness of Learning Skills Together (LST) in improving self-efficacy among Latino family caregivers. To address this overall goal, the study team propose the following aims: i) culturally adapt the LST intervention for Latino caregivers using a community-engaged approach; and ii) examine the effect of the LST intervention on Latino caregiver self-efficacy, depression, and well-being using a randomized wait-list control group.
- Detailed Description
The study team will use a randomized wait-list control group design with blinded outcomes assessment to examine the effectiveness of LST-LC on caregiver confidence and self-efficacy in performing complex care tasks. This design has the advantage of making enrollment more feasible as participants may find the intervention highly desirable and will eventually receive it. Yet, the design provides a randomized comparison with a non-intervention control group. Participants will be individually randomized 1:1 to an immediate intervention group (IG) and a wait-list (delayed) control group (WLC).
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 50
- a family member to an individual living with AD/ADRD (Alzheimers Disease/Alzheimers Disease and related dementias) who has received a diagnosis from a physician,
- aged 18 years or older,
- providing assistance with at least two instrumental activities of daily living or one activity of daily living,
- providing care to a person with dementia in mid-stage as defined by a score between 4 and 6 on the Global Deterioration Scale (GDS), and
- not paid to provide care
- are unable to read and speak English or Spanish,
- previously participated in LST, and/or
- have plans to place the care recipient in a skilled nursing facility within the next 6 months (i.e., study duration).
- Participants must have a Patient Health Questionnaire (PHQ-9) score of less than 15, the threshold for moderately severe depression
- Participants with severe depression
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Learning Skills Together-Latino Caregivers (LST-LC) LST-LC Education The study team convened a team of health care professionals, including nursing, occupational therapy, speech-language pathology, gerontology, nutrition, and dental hygiene, to develop a community-based education program for family caregivers.
- Primary Outcome Measures
Name Time Method Change in Caregiver Self-Efficacy Scale Baseline to 6 weeks This is a unidimensional measure, with total score ranging between 1 and 10, with mean (SD) of 6.0 (2.1) in a sample of 158 caregivers (Ritter et al., 2022). Higher scores indicate higher confidence.
- Secondary Outcome Measures
Name Time Method Complex Care Tasks Scale Baseline to 6 weeks A scale developed by the study team with total score ranging from 14 to 70. Items are summed and averaged. In our pilot study with 35 caregivers, the mean (SD) was 3.7 (0.8) (Meyer et al., 2022). Higher scores indicate higher confidence.
Caregiver Confidence in Medical Sign/Symptom Management (CCSM) scale Baseline to 6 weeks A 25 item scale which evaluates the efforts to support family caregivers of people with dementia in their daily medical management responsibilities requires a measure of caregiver self-efficacy (confidence).The total score on this scale ranges from 25 to 125, with items summed and averaged with a mean (SD) of 3.8 (0.6) in a sample of 194 caregivers (Zimmerman et al., 2018). Higher scores indicate higher confidence.
Trial Locations
- Locations (1)
UT Health San Antonio
🇺🇸San Antonio, Texas, United States