Coaching Dementia Caregivers to Master Care-Resistant Behavior and Improve Coping Strategies
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Care-resistant Behavior
- Sponsor
- University of Alabama at Birmingham
- Enrollment
- 266
- Locations
- 1
- Primary Endpoint
- Change in caregiver self-efficacy measured by selection of items from 10-item CurB-CuRB-IT Strategy checklist
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
266 family caregivers will be randomly assigned to either immediate intervention or delayed intervention groups. All caregivers will complete baseline surveys and 3 weeks of daily diaries. The immediate intervention group will receive 12 weeks of CuRB-IT. They will complete 3 rounds of 3-week daily diaries followed by an intermittent survey at 12 week intervals for the next 33 weeks. The delayed intervention group will receive 12 weeks of attention, complete 1 round of 3-week daily diaries followed by an intermittent survey, then complete 12 weeks of CuRB-IT, and complete 2 rounds of 3--week daily diaries followed by an intermittent survey at 12-week intervals for the next 18 weeks.
Detailed Description
The purposes of the delayed-intervention randomized clinical trial (N=266) are to: Care-Resistant Behavior Internet Training (CuRB-IT). 1. examine the efficacy of CuRB-IT in increasing the self-efficacy of family caregivers of persons living with dementia to handle care-resistant behaviors (CRB); 2. further test the efficacy of CuRB-IT in improving caregivers coping strategies (a) among the experimental (immediate-intervention group) as compared to the control (delayed-intervention group) (between groups) and (b) within-person from pre- to post- intervention; 3. examine intervention decay at 3- and 6-months post intervention to determine performance of intervention and inform scheduling of booster sessions; 4. assess the efficacy of the CuRB-IT intervention in preventing onset of poor coping strategies by family caregivers; 5. test the hypothesized mechanism of action that increased CRB self-efficacy and use of CuRB-IT problem-focused coping strategies mediate the relationship between CRB stress appraisal and caregiving activities.
Investigators
Rita A. Jablonski
Professor
University of Alabama at Birmingham
Eligibility Criteria
Inclusion Criteria
- •Caregiver of any race or gender who is aged \>18 years
- •provides unpaid care,
- •cares for a spouse/common-law, sibling, parent or grandparent (or in-law, aged 60+ years),
- •lives with or shares cooking facilities with the care recipient,
- •Care recipient has mild cognitive impairment or dementia as identified using the Quick Dementia Rating System instrument,
- •the care provided consists of help with at least 2 Instrumental Activities of Daily Living or one Activity of Daily Living,
- •the care recipient is resistant to receiving assistance with, or refuses to do, at least one instrumental or activity of daily living
Exclusion Criteria
- •persons who cannot speak/read English
- •who do not have reliable access to a smart phone or internet
Outcomes
Primary Outcomes
Change in caregiver self-efficacy measured by selection of items from 10-item CurB-CuRB-IT Strategy checklist
Time Frame: Once at week 49
Control (delayed)
Change in caregiver responses to dementia-related behaviors
Time Frame: Once at week 49
Experimental (immediate) and control (delayed intervention). Measured using yes/no responses to 8 items (2 from the Conflicts Tactics Scale Revised, 2 from the Conflicts Tactics Scale modified for Older Adults, and 4 from the Conflict Tactics Scale for Child Mistreatment).
Change in frequency of care-resistant behaviors and other dementia-related behaviors measured by a 19-item self-report scale (yes/no) for dementia family caregivers
Time Frame: Daily during weeks 49, 50, and 51
Experimental and control
Change in caregiver self-efficacy coping skills
Time Frame: Once at week 49
Experimental (immediate) and control (delayed intervention). Measured using 14 items from the Brief Coping Scale.