Resilient Together for Dementia: A Live Video Resiliency Dyadic Intervention for Persons With Dementia and Their Care-partners Early After Diagnosis
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 12
- 试验地点
- 1
- 主要终点
- Proportion of potential eligible participants
研究概览
简要总结
The proposed study will establish the feasibility, acceptability and credibility of a novel live video dyadic resiliency intervention, Resilient Together for Dementia (RT-D), aimed at preventing chronic emotional distress and preserving quality of life among dyads at risk for chronic emotional distress early after a diagnosis of Alzheimer's disease or a related dementia (ADRD).
详细描述
Both persons living with dementia (PWDs) and their spousal care-partners experience high levels of clinically elevated emotional distress, which can become chronic without treatment and negatively impact the health, quality of life, communication, and care-planning of both partners. A tailored dyadic intervention, such as the proposed Resilient Together for Dementia, delivered over live video to this at risk population during the window of opportunity when PWDs can participate has the potential to prevent chronic emotional distress and preserve quality of life for PWDs and their loved ones.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •PWD inclusion criteria are:
- •Recent (~1 month) chart documented ADRD diagnosis,
- •ADRD symptom onset after age 65 ,
- •cognitive assessment scores and symptoms consistent with early stage dementia, as determined by the Clinical Dementia Rating Scale scores of .5 or 1.0
- •cognitive awareness of his/her problems (as determined by the treating neurologist), and
- •ability to understand study and research protocol, as determined by a standardized teach-back method assessment
- •Additional inclusion criteria for dyads are:
- •English speaking adults (18 years or older),
- •dyad lives together,
- •at least one partner endorses clinically significant emotional distress during screening (>7 on Hospital Anxiety and Depression scale subscales)
排除标准
- •patient is deemed inappropriate by the neurology team,
- •either partner has a co-occurring terminal illness,
- •patient was diagnosed with forms of dementia with clinical profiles that would preclude participation (e.g., Frontotemporal Dementia- behavioral variant), as determined by treatment team.
研究组 & 干预措施
Open Pilot RT-D Dyads
Persons living with dementia (PWDs) and their spousal care-partners
干预措施: Resilient Together for Dementia (Behavioral)
结局指标
主要结局
Proportion of potential eligible participants
时间窗: After each dyad completion, throughout study of 1.5-2 months
Feasibility of recruitment - Recruitment will be monitored by screening clinic visits for potentially eligible individuals and review recruitment progress in weekly meetings to promote completion within the study time frame. Recruitment will be monitored but will not set official benchmarks and modify procedures after each dyad.
次要结局
- Proportion of sessions participants attend(After each dyad completion, throughout study of 1.5-2 months)
- Proportion of participants screened(After each dyad completion, throughout study of 1.5-2 months)
- Proportion of participants who consent or not consent to participate(After each dyad completion, throughout study of 1.5-2 months)
- Change in Hospital Anxiety and Depression Scale (HADS)(Baseline and 6 weeks (post-intervention))
研究者
Sarah Bannon
Assistant Professor
Icahn School of Medicine at Mount Sinai