In-Home Technology for Caregivers of People With Dementia and Mild Cognitive Impairment: Spanish Language Homes
Commercializing In-Home Supportive Technology for Dementia Caregivers
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
This study aims to develop, refine, evaluate, and commercialize a hardware/software system designed to integrate in-home sensors and devices, Internet-of-Things technologies (i.e., devices that can be controlled and communicated with via the internet), and social networking to create a more safe and supportive home environment for caregivers and people who have Alzheimer's disease, other dementias, or mild cognitive impairment. The system monitors troublesome behaviors in people with dementia or mild cognitive impairment (e.g., wandering), and targets mechanisms (e.g., worry, social isolation) thought to link behavioral symptoms in people with dementia or mild cognitive impairment with adverse caregiver outcomes (declines in health and well-being). The system is designed to minimize demands on caregivers' limited time and energy and to provide a platform for data collection that can be used by researchers and care professionals.
Hypotheses:
- Spanish-speaking caregivers in the active treatment condition will have better health and well-being (i.e., less caregiver depression, anxiety, loneliness, and burden) and higher user satisfaction compared to those in the control condition.
- The magnitude of the difference in health and well-being and user satisfaction for Spanish-speaking caregivers in the active treatment condition compared to those in the control condition will increase over time (reflecting additional bot learning and ability to adjust to changing caregiver needs).
- In the active treatment condition, greater utilization of features (e.g., selecting and receiving warnings, obtaining daily reports, accessing social support services) will be associated with better caregiver health and well-being and higher user satisfaction.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Scott Newton, B.A.
- Phone Number: 510-643-8952
- Email: scottnewton@berkeley.edu
Study Contact Backup
- Name: Claire Yee, Ph.D.
- Phone Number: 510-643-8952
- Email: claireyee@berkeley.edu
Study Locations
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California
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Berkeley, California, United States, 94720
- University of California, Berkeley
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Caregivers speak Spanish in their homes
- Caregivers currently reside in the United States with spouse/family member who has received a medical diagnosis of Alzheimer's disease, other dementia, or mild cognitive impairment
- Caregivers primarily use a smartphone (e.g., iPhone, Android)
- Caregivers have internet and WiFi service
Exclusion Criteria:
- Caregivers providing care for individuals with known non-neurodegenerative conditions affecting behavior and cognition
- Caregivers providing care for individuals with longstanding Axis I psychiatric disorder
- Caregivers providing care for individuals with metabolic disorder or major organ dysfunction
- Caregivers providing care for individuals with alcohol abuse or dependence (within 5 years of dementia onset)
- Caregivers providing care for individuals with head trauma with loss of consciousness greater than 30 minutes
- Caregivers providing care for individuals with contraindications to MRI imaging
- Caregivers providing care for individuals with large confluent white matter lesions
- Caregivers providing care for individuals with significant systemic medical illness
- Caregivers providing care for individuals who use a medication likely to affect central nervous system functions adversely
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: In-Home Technology System
The full system [(a) 1 gateway that connects with home internet to communicate/control the equipment; (b) 5 indoor motion sensors; (c) 3 door/cabinet entry sensors; (d) 1 water leak sensor; (e) 1 "call for help" button; (f) 2 motion-activated LED night lights; (g) 2 Vayyar fall detection and sleep quality sensors] will be self-installed by 60 Spanish-speaking caregivers in their homes.
Monitoring of sensors, provision of warnings, messaging, and social networking features will be activated remotely for those participants who have been randomly assigned to this arm.
Participation will extend over a 6 month period with questionnaires (e.g., health and well-being) administered 3 times (at the time of installation and every 3 months thereafter).
|
Intelligent bots monitor the in-home sensors, learn typical patterns, and provide caregivers with text messages and alerts via cell phone when worrisome behaviors occur.
Caregivers are able to: (a) select services (e.g., warnings for falls, wandering, late night activity); (b) access daily reports (summaries of daily activities that can also be shared with health care providers); and (c) obtain support (e.g.
Caregiver Support Groups that connect caregivers with knowledgeable experts and other caregivers, Caregiver Events that provide virtual meetings about relevant topics, and Trusted Circle task management to distribute the caregiving work load).
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Sham Comparator: Limited In-Home Technology System
The full system [(a) 1 gateway that connects with home internet to communicate/control the equipment; (b) 5 indoor motion sensors; (c) 3 door/cabinet entry sensors; (d) 1 water leak sensor; (e) 1 "call for help" button; (f) 2 motion-activated LED night lights; (g) 2 Vayyar fall detection and sleep quality sensors] will be self-installed by 60 Spanish-speaking caregivers in their homes.
Only monitoring of the water leak sensor and associated warnings will be activated remotely for those participants who have been randomly assigned to this arm.
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Intelligent bots monitor the in-home water leak sensor and provide caregivers with text messages and alerts via cell phone when worrisome conditions occur.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
3 Months Assessment for Center for Epidemiological Studies Depression Scale (CES-D)
Time Frame: 3 months after baseline
|
Questionnaire to measure depression (Radloff, 1977).
20 items are rated on a 0-3 scale and summed (range = 0-60).
There are no subscales.
Higher scores represent worse outcomes.
The clinical cut-off is usually set at a score of 16.
|
3 months after baseline
|
|
6 Months Assessment for Center for Epidemiological Studies Depression Scale (CES-D)
Time Frame: 6 months after baseline
|
Questionnaire to measure depression (Radloff, 1977).
20 items are rated on a 0-3 scale and summed (range = 0-60).
There are no subscales.
Higher scores represent worse outcomes.
The clinical cut-off is usually set at a score of 16.
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6 months after baseline
|
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3 Months Assessment for Zarit Burden Interview-Short Form
Time Frame: 3 months after baseline
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Questionnaire to measure caregiver burden (Zarit, Reever, & Bach-Peterson, 1980).
12 items are rated on 0-4 scale.
Range: 0-48.
No subscales.
Higher scores represent worse outcomes.
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3 months after baseline
|
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6 Months Assessment for Zarit Burden Interview-Short Form
Time Frame: 6 months after baseline
|
Questionnaire to measure caregiver burden (Zarit, Reever, & Bach-Peterson, 1980).
12 items are rated on 0-4 scale.
Range: 0-48.
No subscales.
Higher scores represent worse outcomes.
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6 months after baseline
|
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3 Months Assessment for Beck Anxiety Inventory (BAI)
Time Frame: 3 months after baseline
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Questionnaire to measure anxiety (Beck, Epstein, Brown, & Steer, 1988).
20 items are rated on a 0-3 scale and summed (range= 0-60).
Higher scores indicate worse outcomes.
There are no subscales.
A score greater than 36 is considered to be clinically significant.
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3 months after baseline
|
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6 Months Assessment for Beck Anxiety Inventory (BAI)
Time Frame: 6 months after baseline
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Questionnaire to measure anxiety (Beck, Epstein, Brown, & Steer, 1988).
20 items are rated on a 0-3 scale and summed (range= 0-60).
Higher scores indicate worse outcomes.
There are no subscales.
A score greater than 36 is considered to be clinically significant.
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6 months after baseline
|
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3 Months Assessment for Satisfaction With Life Scale
Time Frame: 3 months after baseline
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Questionnaire measuring overall life satisfaction and well-being (Diener, Emmons, Larsen, & Griffin, 1985).
5 items scored on a 1-7 scale and summed (Range = 5-35).
Lower scores indicate worse outcomes.
A score of 20 is considered neutral with higher scores considered increasingly more satisfied and lower scores considered increasingly more dissatisfied.
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3 months after baseline
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6 Months Assessment for Satisfaction With Life Scale
Time Frame: 6 months after baseline
|
Questionnaire measuring overall life satisfaction and well-being (Diener, Emmons, Larsen, & Griffin, 1985).
5 items scored on a 1-7 scale and summed (Range = 5-35).
Lower scores indicate worse outcomes.
A score of 20 is considered neutral with higher scores considered increasingly more satisfied and lower scores considered increasingly more dissatisfied.
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6 months after baseline
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Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
3 Months Assessment for Revised Functional Limitations Battery
Time Frame: 3 months after baseline
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Questionnaire assessing functional limitations in daily activities; higher scores = greater limitation.
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3 months after baseline
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6 Months Assessment for Revised Functional Limitations Battery
Time Frame: 6 months after baseline
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Questionnaire assessing functional limitations in daily activities; higher scores = greater limitation.
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6 months after baseline
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Robert Levenson, Ph.D., University of California, Berkeley
Publications and helpful links
General Publications
- Chen KH, Wells JL, Otero MC, Lwi SJ, Haase CM, Levenson RW. Greater Experience of Negative Non-Target Emotions by Patients with Neurodegenerative Diseases Is Related to Lower Emotional Well-Being in Caregivers. Dement Geriatr Cogn Disord. 2017;44(5-6):245-255. doi: 10.1159/000481132. Epub 2017 Dec 8.
- Lwi SJ, Ford BQ, Casey JJ, Miller BL, Levenson RW. Poor caregiver mental health predicts mortality of patients with neurodegenerative disease. Proc Natl Acad Sci U S A. 2017 Jul 11;114(28):7319-7324. doi: 10.1073/pnas.1701597114. Epub 2017 Jun 27.
- Otero MC, Levenson RW. Lower Visual Avoidance in Dementia Patients Is Associated with Greater Psychological Distress in Caregivers. Dement Geriatr Cogn Disord. 2017;43(5-6):247-258. doi: 10.1159/000468146. Epub 2017 Apr 11.
- Brown CL, Lwi SJ, Goodkind MS, Rankin KP, Merrilees J, Miller BL, Levenson RW. Empathic Accuracy Deficits in Patients with Neurodegenerative Disease: Association with Caregiver Depression. Am J Geriatr Psychiatry. 2018 Apr;26(4):484-493. doi: 10.1016/j.jagp.2017.10.012. Epub 2017 Dec 27.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 1247267250000-2
- 2SB1AG059458-04A1 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- ICF
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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