Sleep
Conditions
Keywords
dementia, caregivers, COVID-19 pandemic
Brief summary
This study aims to refine and evaluate feasibility of a telehealth intervention for persons with Alzheimer's disease and their caregivers. The intervention will use evidence-based techniques for decreasing symptoms of depression, anxiety, and poor sleep, that are commonly reported among this vulnerable group during the COVID-19 pandemic. Improved symptoms among this group may improve their other health outcomes and quality of life and furthermore the quality of care that caregivers provide for persons with Alzheimer's disease during this challenging time.
Interventions
BEHAVIORALsleep education program
A multicomponent behavioral sleep program, consisting of sleep hygiene, stimulus control, sleep compression, pleasurable activity, daily walking, and light exposure.
Sponsors
University of California, Los Angeles
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Inclusion criteria for patients * Have a diagnosis of AD (probable or possible), other related dementia, or mild cognitive impairment as documented in electronic medical record * Community-dwelling * Aged \> 50 years * Have no previously diagnosed sleep disorders (e.g., sleep apnea, restless legs syndrome) * Able to ambulate with or without assistive devices (i.e., dyads will be excluded if the care recipient is bedbound) * Have an eligible caregiver Inclusion criteria for caregivers * Aged \>18 years * Live with the eligible patient * Have regularly assisted the care recipient with \>1 of 7 basic activities of daily living (ADLs; i.e., eating, dressing/undressing, grooming, walking across a room, getting in and out of bed, bathing, toileting) or \>1 of 7 Instrumental ADL (IADLs; i.e., using the telephone, getting to places beyond walking distance, shopping, preparing meals, doing housework, taking medicine, handling money) for the past 6 months * Have no history of cognitive impairment * Can communicate in English.
Exclusion criteria
-Professional caregivers will be excluded. Patients will be excluded if they are bedbound. If the eligibility criteria for either a patient or a caregiver are not met, their dyads will be excluded for this study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sleep efficiency-Actigraphy | immediately after the last session of the intervention | Nighttime sleep efficiency (i.e., mean percent of time in bed spent asleep) will be calculated from 7 days of wrist actigraphy for patients and caregivers. Range from 0 to 100% with a higher percent indicating better objective sleep quality |
| Pittsburgh Sleep Quality Index score | immediately after the last session of the intervention | Self-reported sleep quality over the past week for patients (reported by caregivers) and caregivers. Range from 0 to 21 with lower scores indicating better subjective sleep quality. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Total scores on the Patient Health Questionnaire-9 | immediately after the last session of the intervention | Total scores on the Patient Health Questionnaire-9 for caregivers. Range from from 0 to 27 with higher scores indicating worse depressive symptoms among caregivers |
| Total scores on the Cornell Scale for Depression in Dementia | immediately after the last session of the intervention | Total scores on the Cornell Scale for Depression in Dementia. Range from 0 to 38 with higher scores indicating worse depressive symptoms among persons with dementia |
| Total scores on the Rating Anxiety in Dementia | immediately after the last session of the intervention | Total scores on the Rating Anxiety in Dementia for patients. Range from 0 to 54 with higher scores indicating worse anxiety among persons with dementia |
| Total scores on the Generalized Anxiety Disorder-7 | immediately after the last session of the intervention | Total scores on the Generalized Anxiety Disorder-7 for caregivers. Range from 0 to 21 with higher scores indicating worse anxiety among caregivers |
Other
| Measure | Time frame | Description |
|---|---|---|
| Adherence to homework | immediately after the last session of the intervention | Percent of days that dyad members complete the homework over the course of the intervention program will be measured. |
| Attrition rate | immediately after the posttreatment assessment | Percent of number of dyads who fail to complete the study both during the intervention and at posttreatment will be measured. |
| Interventionist adherence | immediately after the last session of the intervention | Percent of completion of delivery of each component in sessions will be measured |
Countries
United States
Outcome results
None listed