Dementia Caregiver Rehabilitation: Enhancing Veteran and Family-Centered Care
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 32
- 试验地点
- 2
- 主要终点
- Zarit Burden Inventory
研究概览
简要总结
The purpose of this study is to study the effects of an education and skill-building intervention on family caregivers of Veterans with dementia.
详细描述
According to VA estimates, nearly 500,000 Veterans suffer from dementia. There is currently no cure for dementia. Ultimately, dementia will have a large impact on quality of life in Veterans and families, lead to expensive nursing home placement, and decrease life expectancy for patients and family caregivers. The experience of high burden in a caregiver for a Veteran with dementia increases the likelihood of permanent nursing home placement and can separate Veterans from their families. To address the high burden of caring for a Veteran with dementia, the investigators aim to study the effect of a rehabilitative intervention for family caregivers of Veterans with dementia. This novel approach will use video technology that can reach caregivers in rural areas who do not have easy access to major VA medical centers.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Inclusion criteria -- Participants must:
- •be adults (age 18)
- •report distress associated with being the primary caregiver for a Veteran family member with all-cause dementia
- •reporting at least 2 of the following 6 items at baseline assessment: felt overwhelmed, felt like they often needed to cry, were angry or frustrated, felt they were cut off from family or friends, reported moderate to high levels of general stress, or felt their health had declined
- •provide at least one hour of care (supervision or direct assistance) per week over the past 3 months (other sources of caregiving for the Veteran with dementia can also be utilized; e.g., respite, home health aide, other family members, etc.)
- •be proficient in spoken and written English
- •be capable of providing informed consent
排除标准
- •Exclusion criteria -- Potential participants will be screened and excluded for:
- •current or lifetime history of any psychiatric disorder with psychotic features
- •prominent suicidal or homicidal ideation
- •having met DSM-IV criteria for drug or alcohol abuse or dependence (except nicotine) within the past six months
- •presence of alcohol intoxication (by breathalyzer) or alcohol withdrawal (by exam) during study recruitment or participation
- •diagnosis of probable or possible dementia
- •a Telephone Cognitive Screen score of < 20
- •participation in another caregiver intervention within the past year
- •lack of regular access to a telephone
- •illness that would prevent 24 months of study participation
- •planned transfer of care receiver to another caregiver or nursing home within 12 months
结局指标
主要结局
Zarit Burden Inventory
时间窗: change from baseline at 6-months post intervention
The Zarit Burden Inventory is a self-report measure of caregiver burden. Higher scores on this assessment indicate greater levels of caregiver burden. Potential scores range from 0-88 with higher scores indicating more severe burden.
次要结局
- Center for Epidemiological Studies-Depression(change from baseline at 6-months)
- Long-term Care Placement Status (Care Recipient)(6-months post intervention)
- Change in All-cause Mortality Status (Care Recipient)(6-months post intervention)