Study of the Aliviado DSD Caregiving Mastery Program
Development and Piloting of a Family-Centered, mHealth-Enhanced Intervention to Promote Caregiving Mastery in Detection, Prevention, and Management of Delirium Superimposed on Dementia
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Shih-Yin Lin
- Phone Number: (720) 883-5715
- Email: SL199@nyu.edu
Study Contact Backup
- Name: Yong K. Choi K. Choi
- Phone Number: (206) 496-2147
- Email: yong.choi@pitt.edu
Study Locations
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New York
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New York, New York, United States, 10010
- NYU Langone Health
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Pennsylvania
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Pittsburgh, Pennsylvania, United States, 15260
- University of Pittsburgh
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
To be eligible as a "dementia caregiver" in the co-design workshop, an individual must:
- be at least 18 years old,
- be English-speaking,
- provide at least 8 hours of unpaid care weekly or live with a community-dwelling PLWD,
- self-identify as unfamiliar with DSD,
- have the capacity to consent, and
- have Internet access
To be eligible as a "DSD caregiver" in the co-design workshop, an individual must:
- be at least 18 years old,
- be English-speaking,
- be a current or past dementia caregiver with experience caring for a relative or friend during his/her DSD episode within the past 12 months,
- have the capacity to consent, and
- have Internet access.
To be eligible to participate in the feasibility trial, an individual must meet all of the following criteria:
- Being 18 years old or older,
- English-speaking,
- Providing at least 8 hours of unpaid care per week to, or living with, a community dwelling PLWD whose Delirium Risk Assessment Score >=5,
- Having the capacity to give informed consent, and
- Having a smartphone with Internet access.
Exclusion Criteria:
- Individuals who are blind or deaf will be excluded.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Family Caregivers of PLWD at High Risk for Delirium
Participants will complete the Aliviado DSD Caregiving Mastery Program.
This involves a caregiver education/training period from Week 0 to Week 2, and an implementation period from Week 3 to Week 6.
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Family caregiver intervention consisting of mHealth-app based educational videos and articles; caregiver-administered assessment tools and care plans; and motivational push notification reminders and encouragements.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Number of Participants Who Complete the Study
Time Frame: Week 6
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Measure of feasibility.
Feasibility indicated by retention rate of 85%.
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Week 6
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Program Satisfaction Questionnaire Score: Satisfaction
Time Frame: Week 6
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Measure of acceptability.
Acceptability was indicated by at least 80% of caregivers reporting high satisfaction.
The questionnaire comprised 16 items, including 12 Likert-type questions assessing program satisfaction, one Yes/No question assessing caregivers' intention to make changes in how they provide care for PLWD based on what they learned from the program, and three open-ended questions for additional feedback.
Each Likert-type item was rated on a 4-point scale (1 = strongly disagree; 2 = disagree; 3 = agree; 4 = strongly agree).
The total satisfaction score was calculated as the sum of the 12 Likert-type items, yielding a possible range of 12-48, with higher scores indicating greater satisfaction (high satisfaction defined as a score > 36).
This outcome is measured as the number of participants with a high satisfaction score.
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Week 6
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Program Satisfaction Questionnaire Score: Intention to Change
Time Frame: Week 6
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Measure of acceptability.
Acceptability was indicated by at least 80% of caregivers responding "Yes" to the Yes/No question on the Program Satisfaction Questionnaire: "Will you make any changes in how you care for your relative or friend with dementia based on what you learned in this program?"
This outcome is measured as the number of participants who answer "Yes" to the intention-to-change question.
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Week 6
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Number of Participants Who Complete All Training Videos by Week 2
Time Frame: Up to Week 2
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Measure of acceptability.
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Up to Week 2
|
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Number of Participants Who Complete Weekly Delirium Screening at Least Twice by Week 6
Time Frame: Up to Week 6
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Measure of acceptability.
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Up to Week 6
|
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Modified IBM Computer Usability Satisfaction Questionnaire Score
Time Frame: Up to Week 6
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Modified by the Aliviado team to assess the usability of mobile apps, it consists of (1) 22 Likert-type questions rated on a scale from 1 to 5 (1="Strongly Disagree"; 2 ="Disagree"; 3="Neither agree or disagree"; 4="Agree" 5="Strongly Agree") assessing app usability, content, and interface; (2) one 4-point item on readiness to launch; (3) three Yes/No questions assessing frequency of app use and internet connectivity; and (4) three open-ended questions to provide additional feedback.
The total usability satisfaction score is calculated by averaging responses to the twenty-two 5-point Likert-type items related to app usability, content, and interface.
A score of 4 or higher indicates high user satisfaction and good usability.
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Up to Week 6
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change From Baseline in Caregiver Delirium Knowledge Questionnaire Score at Week 2
Time Frame: Baseline, Week 2
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19-item assessment of caregivers' delirium knowledge.
Item response options include "yes," "no," and "I don't know."
Correct responses receive a score of 1, incorrect responses receive a score of 0. The total score ranges from 0-19; higher scores indicate greater delirium knowledge.
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Baseline, Week 2
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Change From Baseline in Caregiver Delirium Knowledge Questionnaire Score at Week 6
Time Frame: Baseline, Week 6
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19-item assessment of caregivers' delirium knowledge.
Item response options include "yes," "no," and "I don't know."
Correct responses receive a score of 1, incorrect responses receive a score of 0. The total score ranges from 0-19; higher scores indicate greater delirium knowledge.
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Baseline, Week 6
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Change From Baseline in Modified Caregiver Strain Index Score at Week 6
Time Frame: Baseline, Week 6
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13-item assessment of strain related to care provision.
Items are scored on a Likert scale from 0 (no) to 2 (Yes, on a regular basis).
The total score is the sum of responses and ranges from 0 to 26; higher scores indicate greater strain.
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Baseline, Week 6
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Change From Baseline in Center for Epidemiological Studies Depression Scale (CES-D) Score at Week 6
Time Frame: Baseline, Week 6
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20-item assessment of symptoms of depression over the past 7 days.
The total score ranges from 0 to 60, with higher scores indicating the presence of more symptomatology.
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Baseline, Week 6
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Change From Baseline in Short Form Zarit Burden Interview Score at Week 6
Time Frame: Baseline, Week 6
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12-item assessment of caregiver burden.
Items are scored on a Likert scale from 0 (never) to 4 (nearly always).
The total score is the sum of responses and ranges from 0 to 48.
A score of 0-10 indicates no to mild burden; 10-20 indicates mild to moderate burden; and greater than 20 indicates high burden.
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Baseline, Week 6
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Change From Baseline in DSD Caregiving Mastery Assessment Score (Competence) at Week 2
Time Frame: Baseline, Week 2
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4-item DSD Competence Scale modified from Pearline's Competence Scale.
Each item is rated on a scale from 1-4.
The total score is the sum of responses and ranges from 4 to 16.
Higher scores indicate greater levels of mastery.
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Baseline, Week 2
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Change From Baseline in DSD Caregiving Mastery Assessment Score (Competence) at Week 6
Time Frame: Baseline, Week 6
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4-item DSD Competence Scale modified from Pearline's Competence Scale.
Each item is rated on a scale from 1-4.
The total score is the sum of responses and ranges from 4 to 16.
Higher scores indicate greater levels of mastery.
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Baseline, Week 6
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Change From Baseline in DSD Caregiving Mastery Assessment Score (Self-Efficacy) at Week 2
Time Frame: Baseline, Week 2
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25-item DSD self-efficacy scale developed by the Aliviado team to assess confidence of DSD prevention, detection, and management tasks.
Each item is rated on a scale from 0-100.
The total score is the average of sum of non-missing responses and ranges from 0 to 100.
Higher scores indicate greater levels of mastery.
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Baseline, Week 2
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Change From Baseline in DSD Caregiving Mastery Assessment Score (Self-Efficacy) at Week 6
Time Frame: Baseline, Week 6
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25-item DSD self-efficacy scale developed by the Aliviado team to assess confidence of DSD prevention, detection, and management tasks.
Each item is rated on a scale from 0-100.
The total score is the average of sum of non-missing responses and ranges from 0 to 100.
Higher scores indicate greater levels of mastery.
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Baseline, Week 6
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Shih-Yin Lin, NYU Rory Meyers College of Nursing
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 (Actual)
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
- 22-01093
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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