Modifying a Telephone Based Care Program to Assess for Self-Neglect
- Conditions
- Self Neglect
- Interventions
- Behavioral: Benjamin Rose Institute Care Consultation (BRI-CC)
- Registration Number
- NCT03885063
- Brief Summary
The purpose of this study is to assess the feasibility of enrollment, attrition, and adherence of Benjamin Rose Institute Care Consultation (BRI-CC) on unmet needs in low-income older adults who screen positive for dementia and their caregiver (CG).
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 60
- able to provide consent and understand English since most of the measures have not been translated into other languages
- has a CG willing to participate, specifically the CG must provide assistance in personal care, daily living tasks, and/or healthrelated decisions at least 3 hours per day and at least 3 days per week
- screen positive for dementia.
- participant who receives home-delivered meals plans to relocate to long-term care prior to study enrollment
- reportedly moving out of the catchment area during the proposed study period
- non-English speaking
- unable to provide informed consent
- pre-diagnosed terminal illness
- non-working telephone
- visual impairment inhibiting the dyad from reading the instruments
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Benjamin Rose Institute Care Consultation (BRI-CC) Benjamin Rose Institute Care Consultation (BRI-CC) -
- Primary Outcome Measures
Name Time Method Feasibility as assessed by why subjects were not able to participate in BRI-CC 6 months Feasibility as assessed by attrition rate 6 months attrition rate = # not completing the study
/ # enrolled at baselineFeasibility as assessed by adherence rate 6 months adherence rate = # completing all BRI-CC sessions / # enrolled in intervention group
Feasibility as assessed by why subjects dropped out of BRI-CC 6 months Feasibility as assessed by enrollment rate 6 months enrollment rate = # enrolled / # who met inclusion criteria
- Secondary Outcome Measures
Name Time Method Unmet needs of participants who receive home-delivered meals as assessed by domains of the Unmet Needs Instrument 6 months Responses will be entered onto a 10-item dichotomous response (need met or unmet) instrument that will be summed across six assessment domains: 1) understanding dementia, 2) accessing healthcare services, 3) accessing community services 4) accessing family services, 5) legal and financial issues, and 6) emotional support.
Self Neglect as assessed by the Elder Self-Neglect Instrument (of participants who receive home-delivered meals) 6 months The Elder Self-Neglect Assessment (ESNA) is a 25-item rating scale to assess for SN. Each item is a 5-point Likert scale to assess the participant and the participant's home. Scores are tallied with the following suggested interpretations: (1) if high scores for social behavioral SN (B) but not environmental SN (E), then there is high risk for SN, (2) if high scores are for both B \& E, then severe unintentional SN, and (3) if high E but not B, then intentional SN. An item example asks, "Does the older adult wear dirty clothes"?
Caregiver depression as assessed by the Geriatric Depression Scale- Short Form 6 months The Geriatric Depression Scale (Short-Form) (GDS-SF) is a 15-item "yes" and "no" self-rated screen to assess depression. Scores range from 0-15 with scores of 5 and greater are indicative of depression
Unmet needs of of participants who receive home-delivered meals as assessed by domains of the Unmet Needs Instrument 3 months Responses will be entered onto a 10-item dichotomous response (need met or unmet) instrument that will be summed across six assessment domains: 1) understanding dementia, 2) accessing healthcare services, 3) accessing community services 4) accessing family services, 5) legal and financial issues, and 6) emotional support.
Caregiver unmet needs as assessed by domains of the Unmet Needs Instrument 6 months Responses will be entered onto a 10-item dichotomous response (need met or unmet) instrument that will be summed across six assessment domains: 1) understanding dementia, 2) accessing healthcare services, 3) accessing community services 4) accessing family services, 5) legal and financial issues, and 6) emotional support.
Number of participants who receive home-delivered meals who were admitted to the hospital 6 months Number participants who receive home-delivered meals who were relocated for long term care 6 months Psychosocial well-being of the caregiver (CG) as assessed by the Zarit Burden Interview baseline The Zarit Burden Interview is a 22-item self-rated screen to assess CG burden. This measure uses a 5-point Likert scale to assess direct stress of the CG, specifically caregivers of persons with dementia. It has been shown to be sensitive to change.
Potential resources and services to support unmet pet caretaking needs as assessed by structured interviews over the telephone with participants who receive home-delivered meals baseline Number of participants who receive home-delivered meals who were readmitted to the hospital 6 months Psychosocial well-being of the informal caregiver as assessed by the Zarit Burden Interview 6 months The Zarit Burden Interview is a 22-item self-rated screen to assess CG burden. This measure uses a 5-point Likert scale to assess direct stress of the CG, specifically caregivers of persons with dementia. It has been shown to be sensitive to change.
Emotional significance of pets to participants who receive home-delivered meals as assessed by the Monash Dog Owner Relationship Scale (MDORS) baseline Unmet Pet Care needs of participants who receive home-delivered meals as assessed by the Unmet Pet Care Needs (UPCN) scale baseline The UPCN scale was developed by the researchers which taps a respondent's need for information or help surrounding pet-related issues. It is based on the Benjamin Rose Institute Unmet Needs Scale (see references). Response categories are dichotomous (0=No and
1=Yes). The total score is the sum of the items noted for each measure. Higher scores indicate greater unmet need for information or help. The individual scales may be summed to create a score for total unmet need.Barriers to pet caretaking as assessed by structured interviews over the telephone with participants who receive home-delivered meals baseline
Trial Locations
- Locations (1)
The University of Texas Health Science Center at Houston
🇺🇸Houston, Texas, United States