Caregiver burden of relatives of people with dementia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Regarding family caregivers: - primary caregiver - informal caregiver - regular contact with person with dementia (min. 1 time daily) - greatest time availability to patient compared to other caregivers, - BMI between 18 and 25, - fluent in German Regarding person with dementia: - MMST (patient) <=26 (confirmed dementia diagnosis of relative).
Exclusion criteria
Exclusion criteria: Regarding family caregivers: Smoking (more than 5 cigarettes / day), professional caregiver caring for their relative as part of their professional activities, pregnancy or breastfeeding, taking medication with immunological / endocrine effect or effect on the autonomic nervous system, chronic inflammatory disease, the following acute mental illnesses: major depressive episode with psychotic symptoms, delusional disorder, Regarding person with dementia: Patient in nursing home current inpatient stay of the patient
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome measures of interest are biopsychological stress markers (cortisol awakening response, daily profiles of cortisol, daily profiles of alpha-amylase, heart rate variability), subjective momentary stress experience, chronic stress experience (using hair cortisol as well as subjective data) and resilience. In addition, depressiveness, health-related quality of life, behavioral symptoms of the person with dementia, caregiver burden, partnership quality, (dyadic) coping, self-efficacy, activity, sleep behavior, anticipatory grief, and salivary microbiome are collected. | — |
Secondary
| Measure | Time frame |
|---|---|
| If possible, a classification of family caregivers into different vulnerability categories in analogy to a traffic light (green = low stress experience, good handling of the disease; yellow = medium stress experience, problems in handling the disease; red = high stress experience and problems in handling the disease) based on the care and stress load in everyday life should be developed, which could serve as a starting point for further support options. For this purpose, items are to be determined that allow assignment to the above-mentioned vulnerability categories. This should create the basis for an outpatient intervention in which caregivers receive reminders and suggestions for interventions (e.g.: positive activity planning) in their everyday life based on their current stress and care burden experience. | — |
Countries
Germany
Contacts
Zentrum für psychische Gesundheit im Alter Landeskrankenhaus (AöR)