Alzheimer Disease
Conditions
Brief summary
The goal of this randomized clinical trial it to test the efficacy of CuidaTEXT, the first Alzheimer's disease and Related Dementias (ADRD) caregiver support intervention to capitalize on text messaging, among Latinos. Researchers will compare those who receive the CuidaTEXT intervention to those who do not receive the intervention to see if CuidaTEXT effects Latino caregiver stressors and their negative consequences . Participants will receive a variety of text messages, from automatic to keyword-drive, regarding ADRD education, social support, self-care, ADRD care management, and behavioral symptoms. Participants will also complete measures regarding depressive symptoms, coping, behavioral symptoms, and preparedness for caregiving.
Interventions
BEHAVIORALCuidaTEXT
CuidaTEXT is a multidomain, bilingual 6-month text message intervention that includes delivery and content features tailored to Latino caregivers. All caregivers receive one core daily automatic message on five domains: ADRD education, social support, self-care, ADRD care management, and behavioral symptoms. Caregivers can access on-demand automatic messages to expand on the five domains via sending keywords and interact with a coach via a live chat for more personalized help.
Sponsors
National Institute on Aging (NIA)
University of Puerto Rico
Icahn School of Medicine at Mount Sinai
University of Miami
University of Kansas Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
Yes
Inclusion criteria
* Over the age of 18 * Spanish and English-speaking people who identify as Latino * Reports providing hands-on care for a relative who has been given a clinical or research ADRD diagnosis and has an Eight-item Informant Interview to Differentiate Aging and Dementia (AD-8) screening score ≥2, indicating cognitive impairment * Has a score of 7 or higher on the 10-item Center for Epidemiologic Studies Depression Scale (CESD-10) * Self-reports being able to read and write * Owns a cell phone with a flat fee, and uses it at least weekly for texting.
Exclusion criteria
* Participation in another wellbeing-related clinical trial * Cohabitation with another participant in the CuidaTEXT R01 Study * Participants who provide care for a person with ADRD already cared for by another participant in the CuidaTEXT R01 study * Participant plans to move to another country within seven months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in caregiver depressive symptoms | Baseline and 6 months | Change in caregiver depressive symptoms from baseline to 6 months as measured by the 10-item Center for Epidemiologic Studies Depression Scale (CESD-10). The CES-D-10 is a self-report rating scale that measures characteristic symptoms of depression in the past week (e.g. depression, loneliness). Each item is rated on a 4-point scale (Rarely or None of the Time-Most or All of the Time). The summary score ranges from 0 to 30 with higher scores indicating higher severity. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in caregiver behavioral distress symptoms | Baseline and 6 months | Change in caregiver behavioral distress symptoms from baseline to 6 months as measured by the Neuropsychiatric Inventory-Questionnaire (NPI-Q).If any of 12 care recipient behavioral symptoms is present in the last month (e.g., repeating, delusions), caregivers rate their own distress on a 6-point scale (Not at All-Extreme). A distress summary score is calculated by adding the scores of all items, with scores ranging from 0 to 60. Higher scores indicate higher distress. |
Countries
United States
Contacts
Primary ContactRachel Ruiz
Backup ContactJaime Perales Puchalt, PhD, MPH
Outcome results
None listed