Caregiver as Navigator: Develop Skills Online (CAN-DO)
- Conditions
- Dementia
- Interventions
- Other: Healthy Living online course
- Registration Number
- NCT06177990
- Lead Sponsor
- Emory University
- Brief Summary
This study is designed to learn more about ways to promote caregiver mastery online. 270 dementia family caregivers will be enrolled and randomized to take the CAN-DO online course immediately or after a waiting period. They will participate in interviews before and after the course; total time of study participation is 6 months.
- Detailed Description
Family members and friends are the core of the uncoordinated system of care that tenuously maintains persons living with dementia in their community settings and delays their placement into more costly settings of institutional care, providing more contributed and out of pocket care support than Medicare and Medicaid combined.
The CAN-DO program fills a significant gap in caregiver psychoeducation programming by focusing not principally on day-to-day care management but on the many substantial system navigation tasks that caregivers assume. Supported by preliminary efficacy data, CAN-DO will employ state-of-the art asynchronous interactive learning methods to enhance caregivers' mastery of skills and confidence to navigate healthcare and other (legal, financial, social service, and family) systems that are crucial to the continued community living of persons affected with dementia illnesses.
This study will enroll 270 dementia family caregivers who will be randomized to take the CAN-DO course immediately or after a waiting period. They will participate in interviews before and after the course; total time of study participation is 6 months.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 270
- Family member or friend providing at least 4 hours per week of informal care for a community-dwelling person living with ADRD
- 18 years or older
- Has internet access
- Does not have to co-reside with the individual
- Understands, speaks, and reads English
- Family caregiver plans to move care recipient to an institutional setting within the next six months
- Care recipient currently enrolled in hospice
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Attention Control program group Healthy Living online course Participants will receive an online course about "Healthy Living" for the first 4 months after randomization. After the Attention Control participants complete their 4-month interview, they will be invited to participate in the CAN-DO program.
- Primary Outcome Measures
Name Time Method Change in Caregiver Assessment of Behavioral Skill scale score Baseline, 2, 4, 6, and 8 months post-intervention This study outcome will also measure Caregiver Mastery. Caregiver Assessment of Behavioral Skills score will be assessed using the Fortinsky scale that includes 17 items rated from 0-3 each. Possible score range is 0-51. Higher score correlates with better outcome.
Change in Pearlin Caregiver Stress Scales score Baseline, 2, 4, 6, and 8 months post-intervention This primary outcome will measure Caregiver Mastery (including Competence, Confidence, Management of Situation). The Pearlin caregiver scale includes 8 items, with a rating from 1-4 for each of them. Total possible score range is 8-32. Higher score correlates with better outcome.
Change in Perceived Stress Scale score Baseline, 2, 4, 6, and 8 months post-intervention This outcome will measure Caregiver Emotional Wellbeing. The Perceived Stress Scale includes 10 items, each of them rated 1-5, with a total possible score 10-50. Lower score correlates with better study outcome.
Change in State-Trait Anxiety Scale score Baseline, 2, 4, 6, and 8 months post-intervention This outcome will measure Caregiver Emotional Wellbeing. The State-Trait Anxiety Scale includes 20 items, each of them rated 1-4. Total possible score range 20-80 with higher score correlated with better study outcome.
Change in Caregiver Burden Index Baseline, 2, 4, 6, and 8 months post-intervention This outcome will measure Caregiver Emotional Wellbeing. The caregiver burden Index includes 22 items, each of them rated 0-4, with a total possible score 0-88. Lower score correlates with better study outcome.
Change in Dyadic Relationship Scale score Baseline, 2, 4, 6, and 8 months post-intervention This outcome will assess Caregiver Emotional Wellbeing. The Dyadic Relationship Scale includes 11 items rated from 1 to 4, with a total possible score range 11-44. Higher score correlates with better outcome.
- Secondary Outcome Measures
Name Time Method Change in Quality of Life in Alzheimer's score Baseline, 2, 4, 6, and 8 months post-intervention This outcome will assess Care Recipient Quality of Life. The total possible score is 13-52; Higher score correlates with better outcome.
Change in Revised Memory and Behavior Problem Checklist score Baseline, 2, 4, 6, and 8 months post-intervention This outcome will assess Care Recipient Quality of Life. Total possible score: 0-96; Higher score correlates with worse outcome.
Trial Locations
- Locations (1)
Emory Roybal Center for Dementia Caregiving Mastery
🇺🇸Atlanta, Georgia, United States