Ambulatory assessment of stress- and resilience-related mechanisms in everyday life of caregivers and people with dementia
- Conditions
- Caregiver burden of relatives of people with dementia
- Registration Number
- DRKS00025269
- Lead Sponsor
- Zentrum für Qualität in der Pflege
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Complete
- Sex
- All
- Target Recruitment
- 20
Regarding family caregivers:
- primary caregiver
- informal caregiver
- regular contact with person with dementia (min. 1 time daily)
- greatest time availability to patient compared to other caregivers,
- BMI between 18 and 25,
- fluent in German
Regarding person with dementia:
- MMST (patient) <=26 (confirmed dementia diagnosis of relative).
Regarding family caregivers:
Smoking (more than 5 cigarettes / day), professional caregiver caring for their relative as part of their professional activities, pregnancy or breastfeeding, taking medication with immunological / endocrine effect or effect on the autonomic nervous system, chronic inflammatory disease, the following acute mental illnesses: major depressive episode with psychotic symptoms, delusional disorder,
Regarding person with dementia:
Patient in nursing home
current inpatient stay of the patient
Study & Design
- Study Type
- observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Primary outcome measures of interest are biopsychological stress markers (cortisol awakening response, daily profiles of cortisol, daily profiles of alpha-amylase, heart rate variability), subjective momentary stress experience, chronic stress experience (using hair cortisol as well as subjective data) and resilience. In addition, depressiveness, health-related quality of life, behavioral symptoms of the person with dementia, caregiver burden, partnership quality, (dyadic) coping, self-efficacy, activity, sleep behavior, anticipatory grief, and salivary microbiome are collected.
- Secondary Outcome Measures
Name Time Method If possible, a classification of family caregivers into different vulnerability categories in analogy to a traffic light (green = low stress experience, good handling of the disease; yellow = medium stress experience, problems in handling the disease; red = high stress experience and problems in handling the disease) based on the care and stress load in everyday life should be developed, which could serve as a starting point for further support options. For this purpose, items are to be determined that allow assignment to the above-mentioned vulnerability categories. This should create the basis for an outpatient intervention in which caregivers receive reminders and suggestions for interventions (e.g.: positive activity planning) in their everyday life based on their current stress and care burden experience.