- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03881631
Improving Well-Being for Older Adult Family Dementia Caregivers
May 5, 2023 updated by: Kathi Heffner, University of Rochester
Mindfulness-Based Stress Reduction for Family Caregivers of Dementia Patients
This study will examine the effects of the Mindfulness-Based Stress Reduction (MBSR) program and the Living Well program, compared to a control group, to see if the programs might be associated with better immune function (response to current influenza vaccine), physical and emotional health, and well-being.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
A considerable literature documents that a wide variety of psychosocial interventions can lessen the psychological burden of family or spousal dementia caregiving.
Some caregiver intervention studies have included measures of self-reported physical health and sleep, and others have focused on improving inflammation in caregivers.
The current study will add to this literature by examining the effects of two behavioral interventions on adaptive immune responses, particularly, antibody response to influenza vaccination, in older adult family caregivers.
Study Type
Interventional
Enrollment (Actual)
142
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
New York
-
Rochester, New York, United States, 14642
- University of Rochester Medical Center
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
55 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
Yes
Description
Inclusion Criteria:
- 55 years of age and older
- English-speaking (consent process and assessments will be conducted in English only)
- Currently living with or in proximity to, and the primary caregiver for, a loved one with dementia who lives in the community-for the purposes of this study, "loved one" refers to a family member such as a spouse, ex-spouse, significant other, sibling, in-law, parent, or other type of close established relationship (e.g., close friend) regarded as family; "primary caregivers" provide daily informal (non-paid) in-person care.
- Currently experiencing moderate to high levels of perceived stress (PSS-10 ≥ 12) and/or caregiver burden (MCSI ≥ 5)
- Participants will be asked to stabilize medications prior to beginning the trial, and for the duration of the trial (If medication dose changes do occur, analytic models will include those changes as time-varying covariates)
Exclusion Criteria:
- Loved one with dementia currently resides in a long-term care facility (e.g., nursing home) without the caregiver.
- Given the didactic and self-directed nature of the MBSR program, individuals with major, uncorrected sensory impairments and cognitive deficits, as determined by a Montreal Cognitive Assessment (MoCA) score of 23 or lower 29, will be excluded, as will participants with other neuropsychological deficits deemed significant enough to interfere with study participation. Low literacy is not an exclusion criterion; questionnaires will be orally administered when necessary.
- Modules from the Mini International Neuropsychiatric Exam (MINI 30) will be used to exclude subjects who have these psychiatric conditions: current alcohol dependence, current non-alcohol psychoactive substance use dependence, psychotic disorders (current and lifetime), bipolar disorder, and current mood disorder with psychotic features.
- Subjects will also be excluded for the following reasons: having completed an MBSR program in the past; allergy to eggs (the influenza vaccine is most commonly manufactured using an egg-based process); history of Guillain-Barré syndrome; immunodeficiency or receipt of immunosuppressive therapy; recent major surgery; and active neoplastic disease.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Factorial Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Mindfulness Based Stress Reduction (MBSR) Program
The MBSR program is an eight-week-long course designed to teach subjects how to develop their inner resources in the service of taking better care of themselves.
MBSR training includes the learning and refining of a range of skills aimed at increasing relaxation and awareness of physical experiences and sensations related to physical symptoms, emotions, and thoughts.
Special emphasis is placed on movement, meditation, and breathing.
|
Group-based intervention
Other Names:
|
Active Comparator: Living Well (LW) Program
LW is an eight-week course of group presentations and discussions on topics related to the promotion of health and well-being in the context of dementia caregiving.
LW is designed to teach participants how to improve their physical and emotional health as a complement to traditional medical treatments.
|
Group-based intervention
|
No Intervention: Usual Care
The usual care arm is a no intervention group wherein participants experience their usual circumstances.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Antibody response to influenza vaccination
Time Frame: pre-vaccination to 6 weeks and 6 months post-vaccination
|
Change in amount of antibody titers following influenza vaccination
|
pre-vaccination to 6 weeks and 6 months post-vaccination
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Granzyme B (GrzB) activity after influenza vaccination
Time Frame: pre-vaccination to 6 weeks and 6 months post-vaccination
|
Change in GrzB activity, a measure of antigen-specific cytotoxic T cell activity, following influenza vaccination
|
pre-vaccination to 6 weeks and 6 months post-vaccination
|
Ratio of T-cell cytokines, interferon (IFN)-gamma and IL-10
Time Frame: pre-vaccination to 6 weeks and 6 months post-vaccination
|
Change in IFN:IL-10 ratio following influenza vaccination
|
pre-vaccination to 6 weeks and 6 months post-vaccination
|
Inflammatory cytokines, interleukin (IL)-6 and tumor necrosis factor (TNF)-alpha
Time Frame: baseline to 6 weeks to 6 months post-intervention
|
Change in inflammatory cytokine levels over time
|
baseline to 6 weeks to 6 months post-intervention
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
July 18, 2016
Primary Completion (Actual)
May 3, 2023
Study Completion (Actual)
May 3, 2023
Study Registration Dates
First Submitted
March 15, 2019
First Submitted That Met QC Criteria
March 16, 2019
First Posted (Actual)
March 19, 2019
Study Record Updates
Last Update Posted (Actual)
May 8, 2023
Last Update Submitted That Met QC Criteria
May 5, 2023
Last Verified
May 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- STUDY00000881
- R01AG052495 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
YES
IPD Plan Description
Data sharing is in accordance with NIH Data Sharing Policy.
IPD Sharing Time Frame
Within 12 months of study end
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
- ANALYTIC_CODE
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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