Healthy Aging Research Program (HARP): Engage Coaching Project for Latinos
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- University of Rochester
- Enrollment
- 10
- Locations
- 1
- Primary Endpoint
- Change From Baseline in Loneliness at Post Intervention
Study Overview
Brief Summary
This study asks: "what behavioral strategies are needed to help socially disconnected Hispanic/Latino caregivers with significant barriers to increasing connectedness?" This study uses a mixed methods approach to adapt a brief behavioral intervention-Social Engage psychotherapy-for use with socially disconnected Hispanic/Latino caregivers. This study is a single-arm clinical trial of Social Engage psychotherapy. We propose to enroll 10 participants for up to 8 weekly individual Social Engage psychotherapy sessions, over up to 3 months. Subjects will be aged 40 and older, and be caregivers for a community-dwelling family member with ADRD, living with (or in close proximity to) the family member with dementia, experiencing elevated caregiving distress and social disconnectedness.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 40 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Age ≥ 40 yrs;
- •Hispanic/Latino
- •English or Spanish speaking;
- •Caregiver for a community-dwelling family member with ADRD, living with (or in close proximity to) family member with dementia;
- •Endorse elevated caregiving distress as measured by a score of ≥ 11 on the 10-item Perceived Stress Scale (PSS-10) and/or a score of 5 or greater on the Modified Caregiver Strain Index (MCSI);
- •Endorse clinically significant loneliness as measured by a score of ≥ 6 on the UCLA Loneliness Scale: Short Form.
- •Has access to e-mail in order to complete the e-consent module in REDCap which will be used in this study.
Exclusion Criteria
- •Primary language is not English or Spanish;
- •Recent or current psychosis;
- •Significant cognitive impairment on a cognitive screening measure at the HARP screening assessment;
- •Hearing problems that preclude completion of the intervention.
Arms & Interventions
Engage Coaching
Engage Coaching helps caregivers bolster motivation for increasing connectedness, teaches problem solving skills, and provides behavioral practice with social engagement. Up to 8 brief sessions (typically 30 minutes) are provided weekly over no more than three months.
Intervention: Engage coaching (Behavioral)
Outcomes
Primary Outcomes
Change From Baseline in Loneliness at Post Intervention
Time Frame: Baseline and 3 months
The UCLA Loneliness Scale Version 3 will be used to assess self-reported loneliness. 20 items, rated as to how often the participant has felt a certain way in the prior month (e.g., "How often do you feel alone?") -- "never" (1), "rarely" (2), "sometimes" (3), or "often" (4). Higher scores indicate greater loneliness. However, some individual items must be reverse-coded so that higher total scores reflect greater loneliness (i.e., 1=4, 2=3, 3=2, 4=1). These items (e.g., "How often do you feel there are people you can turn to?") are items 1,5,6,9,10,15,16,19,20. Total scores range from 20 to 80, with higher scores representing a worse outcome (i.e., greater loneliness). Mean change in total scores (change = baseline intervention scores - post scores) will be reported.
Secondary Outcomes
- Change From Baseline in Social Functioning at Post Intervention(Baseline and 3 months)
- Change From Baseline in Quality of Life: Social Relationships at Post Intervention(Baseline and 3 months)
Investigators
Caroline Silva
Assistant Professor
University of Rochester