Connecting Through Caregiving: Reappraising Intergeneration Relationships for Dementia Caregivers
试验速览
- 阶段
- 不适用
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- Change in Center for Epidemiologic Studies Depressive Scale (CESD)
研究概览
简要总结
The purpose of the present study is to examine the effects of perspective-taking reappraisals on the well-being of adult-child dementia caregivers.
详细描述
Dementia caregiving presents a particular challenge wherein the adult child is parenting his or her parents. Facilitating relational insights, the key components of the Connecting Through Caregiving (CTC) intervention involves the following: 1) enhancing self-awareness of the caregiver, 2) developing interpersonal empathy of the care-recipient, 3) help-seeking, 4) balancing self-care and caring for others and 5) negotiating action plans. The CTC intervention is be evaluated against a basic skill training intervention consisting of scheduling pleasant events, communicating with the care recipient and other family members. Dementia caregivers providing at least 14 hours of care per week to a parent living with dementia are recruited and randomized into one the two conditions. The intervention lasts for six weeks for both conditions. Intervention in the first week consists of a home visit and a telephone follow-up. From the second to fifth week, there are weekly four telephone phone sessions. In the sixth week, there were two more telephone calls to consolidate the intervention and to review implementation plans.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •The study participants will be primary caregivers aged 18 or older and who have been caring for persons (aged 60 or above) with a physician diagnosis of Alzheimer's disease in the mild to moderate range as determined by the Clinical Dementia Rating Scale.
- •Primary caregivers are those who have been providing unpaid care for more than 14 hours a week for at least the past three months.
- •The care should involve day-to-day decision-making as well as any of the following: feeding, dressing, bathing, toileting, housework, preparing meals, medication and handling finances.
- •They can be daughter/son or daughter-/son-in-law of the care recipients.
排除标准
- •Exclusion criteria are as follows: signs of severe intellectual deficits, demonstrated suicidal ideation, exhibited evidence of psychotic disorders, hearing/ visual impairment or inability to read or speak Chinese/Cantonese fluently and severe.
研究组 & 干预措施
Basic Skills Building
This arm focuses on skill building.
干预措施: Basic Skills Building (Other)
Connecting Through Caregiving
This arm focuses on perspective-taking reappraisal procedures.
干预措施: Connecting Through Caregiving (Behavioral)
结局指标
主要结局
Change in Center for Epidemiologic Studies Depressive Scale (CESD)
时间窗: Change from Baseline CESD through study completion, an average of 2 months
Each response was rated from 0 to 3 on a scale of the frequency of the occurrence of the symptom in the past week. Higher scores would suggest a higher
Change in Life Satisfaction (LS): scale
时间窗: Change from Baseline LS through study completion, an average of 2 months
Each response was rated from to 7 on each of the 5 items of the scale with higher score indicating higher level of life satisfaction
次要结局
- Change in Zarit Burden Interview (ZBI)(Change from Baseline ZBI through study completion, an average of 2 months)