Caregiver Burnout, Psychological Distress
Conditions
Brief summary
The investigators will conduct a hybrid efficacy-effectiveness trial intended to address these gaps by testing the efficacy-effectiveness of two multi-family group interventions, and on 250 English-speaking adults: Savvy Caregiver Express™ (3-session, newly piloted in Los Angeles County for feasibility) and Savvy Caregiver Program (original 6-session evidenced-based intervention), across post-intervention, 3- and 6-months.
Detailed description
A number of epidemiological studies, systematic reviews, and consensus reports highlight the importance of non-pharmacological, sociobehavioural interventions to address the health, psychological, and social effects of caregiving for persons living with dementia, and the need for tangible information and resources. The investigators will conduct a hybrid efficacy-effectiveness trial intended to address these gaps by testing the efficacy-effectiveness of two multi-family group interventions, and on 250 English-speaking adults: Savvy Caregiver Express™ (3-session, newly piloted in Los Angeles County for feasibility) and Savvy Caregiver Program (original 6-session evidenced-based intervention), across post-intervention, 3- and 6-months. It is hypothesized that no differences (comparable effects) between the programs in their efficacy/effectiveness and moderating conditions. Focus groups (\ 25 participants) will be conducted to ascertain program acceptability and satisfaction. The analyses will include a multiple linear mixed-effects modeling for our trial outcomes, and thematic analyses for our focus group interview data.
Interventions
BEHAVIORALGroup sessions over 3 weeks
Informational and educational group-mediated program for family members caring for a person living with dementia; 6 sessions.
BEHAVIORALGroup sessions over 6 weeks
Informational and educational group-mediated program for family members caring for a person living with dementia; 3 sessions.
Sponsors
University of Southern California
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Masking description
The outcome assessor will not have previous knowledge of the respondent's interventional group assignment.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* English- speaking women and men age 18 or older who care for or provide assistance to someone with dementia
Exclusion criteria
* Caregivers who have sensory or physical conditions that interfere with participation in an on-site, group-administered activity
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Revised Memory and Behavior Problems Checklist (RMBPC) | up to 7 months | caregiver reactivity to family member's memory/behavior problems |
| Patient Health Questionnaire-9 (PHQ-9) | up to 7 months | caregiver depressive symptoms |
| Generalized Anxiety Disorder (GAD-7) | up to 7 months | caregiver anxiety symptoms |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Intent to Institutionalize | up to 7 months | TA one-item measure that assesses if the caregiver intends to institutionalize the family member in the next 6 months |
| Family Members Instrumental Activities of Daily Living (IADL) | up to 7 months | measures family member's activities of daily living using the Lawton IDL scale |
| Family Members Activities of Daily Living (ADL) | up to 7 months | measures family member's activities of daily living using the Katz ADL scale |
| Caregiver Competence Scales | up to 7 months | measures caregiver skills, mastery, competence, management of the situation based on the Caregiver Competence, Management and Meaning Scales |
| Medical Outcomes Study Social Support Survey (MOS) | up to 7 months | Measures caregiver social support using the MOS scale |
Other
| Measure | Time frame | Description |
|---|---|---|
| Caregiver Satisfaction | up to 7 months | This is a measure developed for this specific study to ascertain the study participant's satisfaction with the intervention itself. |
Countries
United States
Outcome results
None listed