Caring for Caregivers and People Living With Dementia Under Home-Based Primary Care
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Dementia
- Sponsor
- Massachusetts General Hospital
- Enrollment
- 50
- Locations
- 2
- Primary Endpoint
- Feasibility for the Caregiver to Engage With and Complete Baseline Assessments.
- Status
- Completed
- Last Updated
- 7 months ago
Overview
Brief Summary
The goal of this clinical trial is to develop a dementia care intervention for persons receiving home-based primary care (HBPC) and living with dementia (PLWD) and their caregivers, and test the feasibility of implementing the intervention in HBPC practices to ultimately improve outcomes of PLWD and their caregivers.
The main aims are to:
- Develop and refine HBPC Dementia Care Quality at Home
- Establish feasibility (primary outcome), acceptability, and fidelity of HBPC Dementia Care Quality at Home through an open-pilot trial involving two HBPC practices. Trained clinicians and staff at two HBPC practices will implement the intervention
Relevant stakeholders (caregivers of PLWD, and HBPC clinicians and staff) will participate in qualitative focus groups to provide feedback on the intervention.
Detailed Description
The overarching goal of this project is to develop a dementia care intervention for PLWD and their caregivers, Dementia Care Quality at Home, and test the feasibility of implementing the intervention in two HBPC practices to ultimately improve outcomes of PLWD and their caregivers. The investigators will evaluate the feasibility, acceptability, and fidelity in implementing HBPC Dementia Care Quality at Home in two practices for persons living with dementia and their caregivers through an open pilot. Hypothesis: HBPC Dementia Care Quality at Home will meet benchmarks of feasibility, acceptability, and fidelity by the HBPC practices implementing it and by caregivers of PLWD who experience the intervention. The investigators will assess feasibility of caregivers of PLWD to engage with the intervention, the acceptability of the intervention to caregivers, and the impact of the intervention on caregiver well-being by surveying caregivers at the conclusion of the pilot. In addition, the investigators will assess feasibility, acceptability, and fidelity of the intervention in the practices.
Investigators
Christine S. Ritchie, MD, MPH
Professor of Medicine
Massachusetts General Hospital
Eligibility Criteria
Inclusion Criteria
- •Caregiver participants will:
- •be adults (18 years or older)
- •have English fluency and literacy
- •live in the United States
- •live with and care for an individual with Alzheimer's Disease and Alzheimer's Disease Related Dementias (ADRD)
- •anticipate providing care for the next 6 months
- •provide an average 4 hours of supervision or direct assistance per day for the care recipient and
- •have been identified by the practice as experiencing caregiver stress.
- •Staff participants will:
- •be 18 years or older
Exclusion Criteria
- •Participants under the age
- •Participants who have no English fluency and literacy and do not live in the United States.
- •For caregiver participants, not caring for and living with a patient that is part of a HBPC primary care program or closely connected to the practice.
Outcomes
Primary Outcomes
Feasibility for the Caregiver to Engage With and Complete Baseline Assessments.
Time Frame: Baseline
The percentage of identified caregivers who complete baseline assessments.
Feasibility for the Caregiver to Access Educational Materials and Community Resources.
Time Frame: Post-intervention (6 months)
Percent of caregivers will report using 1 or more materials provided by the practice.
Feasibility for the Practice of Identifying Potential Patients/Caregivers
Time Frame: Baseline
Ability of practice to generate list of their patients living with dementia using a questionnaire to the practice
Feasibility for the Practice of Assessing Eligible Patient/Caregiver Dyads.
Time Frame: Baseline
Ability of practice to identify eligible patient/caregiver dyads (e.g., caregiver experiencing burden or distress).
Feasibility for the Practice to Use Baseline Assessments.
Time Frame: Post-intervention (6 months)
Percent of practice personnel who conduct assessments that rate assessments as feasible to use
Feasibility for the Practice to Complete Baseline Assessments
Time Frame: Post-intervention (6 months)
The percent of audited assessments that are completed.
Secondary Outcomes
- Feasibility for the Practice of Recruiting Patient/Caregiver Dyads(Pre-intervention)
- Caregivers - Net Promoter Score of Intervention(Post-intervention (6 months))
- Feasibility for the Practice to Use Care Modules.(Post-intervention (6 months))
- Feasibility for the Practice to Complete Care Modules(Post Intervention (6-months))
- Feasibility for the Practice of Percent of Racial and Ethnic Minorities Recruited.(Pre-intervention (baseline))
- Patient Quality of Life(Pre-Intervention (baseline) and post-intervention (6 months))
- Heard and Understood(Post Intervention (6 months))
- Feasibility for the Practice of Clinicians to Engage With the Tele-video Case Conference.(Post-intervention (6 months))
- Acceptability of the Intervention to Caregivers to Participate in the Intervention.(Pre-intervention (baseline))