- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04956874
FL-REACH: Pilot Trial of a Brief Dementia Caregiver Intervention (FL-REACH)
The Florida REACH Translation Project
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Primary Aim The primary aim of this study is to test feasibility of a modified REACH II intervention in an outpatient clinic.
Hypothesis:
The FL REACH intervention can be implemented reliably in this setting, with fidelity to the model and minimal burden on existing clinic structure.
Secondary Aims Aim 2: Examine the effectiveness of a REACH II translation in an outpatient setting.
Hypotheses:
- CG disease knowledge will increase from pre-assessment to post-assessment.
- Caregiver preparedness for caregiving will increase from pre-assessment to post-assessment.
- Perceived risk by CG (CR access to dangerous objects + smoking + supervision + wandering + driving + screaming + desire to hit) will be reduced from pre-assessment to post-assessment.
- Caregivers will demonstrate mastery of skill acquisition related to behavior change strategies.
- Caregiver burden will decrease from pre-assessment to post-assessment.
- Caregiver self-rated health will improve from pre-assessment to post-assessment.
- Caregivers will have initiated the process of advanced care planning by the end of the intervention.
- All measures will maintain gain in the anticipated direction from baseline measures at 6 months post-assessment.
Aim 3: Identify possible moderators of outcome, such as race/ethnicity, language, dosage or relationship.
This Aim is exploratory. Based in previous evidence, we estimate similar outcomes for all participants regardless of demographic factors, but previous trials have never been attempted in this novel setting. We will examine the data for differential outcomes related to such factors.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
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Florida
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Orlando, Florida, United States, 32816
- University of Central Florida
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Orlando, Florida, United States, 32803
- AdventHealth
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- 1. Age 18-89 2. Identified caregiver or care partner of an individual who has been diagnosed with Alzheimer's disease or another dementia by the memory disorders clinic, and/or who has sought ongoing treatment through the memory disorders clinic 3. Able to provide informed consent 4. Able to engage in the intervention weekly by attending sessions in person at the clinic 5. Able to participate in the intervention in English or in Spanish 6. No previous experience with a caregiver training program in the past (this applies to theory based, structured interventions delivered by professionals, and does not include peer-led support groups that the family may have engaged with)
Exclusion Criteria:
- 1. Under age of 18 or over the age of 89 2. Unable to provide informed consent or subject to a conflict of interest for this study 3. Unable to return regularly to the clinic for sessions 4. Engaged in another caregiver training program concurrently or have completed a multi-week caregiver training program in the past (this exclusion applies to theory based, structured interventions delivered by professionals, and does not include peer-led support groups that the family may have engaged with)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Experimental Group
Participants will complete the FL-REACH annualized caregiver intervention.
|
The FL REACH intervention is a 6-session intervention designed to facilitate transition to care following delivery of a memory disorders diagnosis by a MDC team.
The intervention focused on an approach that used a toolbox of strategies to tailor skills-based learning, knowledge transmission, and self-care strategies to dementia caregivers.
This pilot study focuses on adapting the established REACH II intervention for translation to the clinical setting, with a focus not only on implementation of the key components of the program, but also on feasibility and sustainability.
This is part of a stepped-care model that is being developed at the AdventHealth-Orlando MDC.
Caregivers of patients will be referred to the FL REACH intervention for foundational training and skills-development.
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No Intervention: Control Group
No-intervention control group
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Caregiver Burden
Time Frame: Baseline; 6 weeks (therapy termination); 6 month follow-up
|
Zarit Burden Inventory
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Baseline; 6 weeks (therapy termination); 6 month follow-up
|
Preparedness for Caregiving Measure
Time Frame: Baseline, session 2, 4, 6 (therapy termination); 6 month follow-up
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Preparedness for dementia caregiving
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Baseline, session 2, 4, 6 (therapy termination); 6 month follow-up
|
Alzheimer's disease Knowledge Scale
Time Frame: Baseline, 6 (therapy termination); 6 month follow-up
|
Knowledge of Alzheimers Disease and Related Dementias
|
Baseline, 6 (therapy termination); 6 month follow-up
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Risk Assessment
Time Frame: Baseline, 6 (therapy termination); 6 month follow-up
|
FL-REACH Risk assessment
|
Baseline, 6 (therapy termination); 6 month follow-up
|
FL-REACH Satisfaction Survey
Time Frame: Baseline, 6 (therapy termination); 6 month follow-up
|
FL-REACH Satisfaction Survey.
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Baseline, 6 (therapy termination); 6 month follow-up
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Health Self-Report
Time Frame: Baseline, 6 (therapy termination); 6 month follow-up
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Self-Report of personal health
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Baseline, 6 (therapy termination); 6 month follow-up
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Collaborators and Investigators
Sponsor
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- STUDY00000599
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
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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