Knowledge and Interpersonal Skills to Develop Exemplary Relationships
Trial Snapshot
- Phase
- Not Applicable
- Status
- Terminated
- Enrollment
- 23
- Locations
- 1
- Primary Endpoint
- Change in frequency of verbal mistreatment
Study Overview
Brief Summary
This pilot study will test the effect of an online asynchronous psychoeducational intervention to improve relationship quality and prevent verbal-type elder mistreatment in caregiving dyads. The investigators will use a pre-post test design to test the feasibility and acceptability of this video-based intervention, and to determine the likelihood that participation in this program may improve caregiver relationship quality.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Prevention
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Provides assistance to someone over the age of 60 with an illness or a disability ("care recipient") who requires personal assistance from another person (e.g., bathing, preparing meals). (Assistance provided with at least 1 activity of daily living and/or at least 2 instrumental activities of daily living.)
- •Person receiving care from the study participant has a cognitive impairment. This does not have to be diagnosed.
- •Participant provides at least 8 hours of assistance to the care recipient per week
- •Participant does not intend to place the care recipient in a skilled nursing facility or assisted living facility within 3 months of consenting into the study
Exclusion Criteria
- •Does not read and speak English
- •Cannot access a computer and internet (needed to complete lessons)
Arms & Interventions
KINDER Participant
The intervention will be provided with a 8-part psychoeducational intervention delivered online on a weekly basis. Online modules will be comprised of a short (approximately 3 minute) videos followed by more specific text-based information and links to additional resources. At the end of the module, participants will complete a short quiz, followed by a reflection exercise to reinforce learning. Each model, participants will be asked to select a goal to complete a pleasurable activity and receive an option to set a text or email reminder to do so.
Intervention: KINDER (Behavioral)
Outcomes
Primary Outcomes
Change in frequency of verbal mistreatment
Time Frame: This measure will be asked immediately before the intervention, immediately after the intervention, and 2 months after the intervention is complete. The question asks participants about events in the previous 2 months.
This scale will measure frequency of verbal mistreatment using a measure based on the Conflict Tactics Scale (Straus et al., 1996), with additional questions from other items (Acierno et al., 2010; Beach et al., 2005; Conrad et al., 2011; Deliema et al., 2012)
Change in the number of positive aspects of the relationship with the care recipient (Dyadic Relationship Scale)
Time Frame: This measure will be asked immediately before the intervention, immediately after the intervention, and 2 months after the intervention is complete. The question asks participants about events in the previous 2 months.
Participants are asked how much they agree with positive statements about their relationship with the care receiver on a 0 to 3 scale. This item comes from Sebern \& Whitlatch (2007)
Secondary Outcomes
- Change in caregiver competence (Caregiving Competence Scale)(This measure will be asked immediately before the intervention, immediately after the intervention, and 3 months after the intervention is complete. The question asks participants about events in the previous 3 months.)
- Change in perceived stress (Perceived Stress Scale)(This measure will be asked immediately before the intervention, immediately after the intervention, and 3 months after the intervention is complete. The question asks participants about events in the previous 3 months.)
- Change in depression (Patient Health Questionnaire-9)(This measure will be asked immediately before the intervention, immediately after the intervention, and 3 months after the intervention is complete. The question asks participants about events in the previous 3 months.)
- Change in caregiver mastery (Caregiver Mastery Scale)(This measure will be asked immediately before the intervention, immediately after the intervention, and 3 months after the intervention is complete. The question asks participants about events in the previous 3 months.)
- Change in caregiver burden (Zarit Burden Index)(This measure will be asked immediately before the intervention, immediately after the intervention, and 3 months after the intervention is complete. The question asks participants about events in the previous 3 months.)
Investigators
Donna Benton
Research Associate Professor
University of Southern California