Utilizing Senior Companions to Enhance Dementia Care
Utilizing Senior Companions to Enhance Dementia Care Services and Supports
연구 개요
상세 설명
This project will evaluate a novel adaption of the Senior Companion Program (SCP) administered by Lutheran Social Service of Minnesota to assist families better manage their relatives' Alzheimer's disease or related dementias (ADRDs); identify and facilitate use of community-based long-term services and supports (LTSS); and improve engagement with healthcare providers. This intervention, called the PorchLight Project has the following aims:
Specific Aim 1. Implement PorchLight Project for 25 persons with ADRD or memory concerns (collectively, persons with memory loss [PWML]) and/or their caregivers in one urban and rural region of Minnesota. A convergent parallel mixed methods design [(QUAN+QUAL)-->QUAL] will be utilized to examine the feasibility, acceptability, and utility of PorchLight Project for 25 families and their SC-Ds (n = 20) over a 3-month period (i.e., Stage I of the NIH Stage Model).
Specific Aim 2. Refine PorchLight Project delivery and implementation for efficacy evaluation. Activities to support this aim will include assessment of R61 milestones and incorporation of R61 findings to refine the PorchLight Project prior to efficacy evaluation. Through stakeholder engagement with the Dementia Healthcare Research Advisory Group (DHR) as well as analysis of the various quantitative and qualitative data elements collected during this Phase, we will finalize and refine effective training approaches for PorchLight Project Senior Companions (SCs), identify and confirm stakeholder-centric measures, and enhance the overall implementation of the PorchLight Project to inform a subsequent R33 Phase.
연구 유형
등록 (실제)
단계
- 해당 없음
연락처 및 위치
연구 장소
-
-
Minnesota
-
Minneapolis, Minnesota, 미국, 55455
- School of Public Health
-
-
참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion criterion for the Senior Companion: 1) be a current volunteer through LSS-MN 2) be willing to complete the CARES® modules and 4-part training session provided by UMN research staff and 3) be 21 years of age or older.
Inclusion criteria for the PWML will be based on one of the following scenarios: 1) the person or their caregiver are concerned about the person's memory loss, 2) the person has a physician diagnosis of ADRD, 3) the caregiver (or PWML) scores 2 or greater on the AD8. The PWML must be 55 years of age or older.
Inclusion criteria for the caregiver is that the individual is 1) 21 years of age or older, 2) self-identifies as someone who provides help to the PWML because of their cognitive impairments, and 3) the care recipient is eligible for the study as per the above criteria.
Exclusion Criteria:
A PWML or caregiver will be ineligible if they have a diagnosis of a serious psychiatric illness, their symptoms have worsened in the last 6 months, and they don't receive steady, ongoing treatment for those symptoms.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 지지 요법
- 할당: 해당 없음
- 중재 모델: 단일 그룹 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
|
실험적: PorchLight Project Intervention Group
Participants in the intervention group will receive home-based support and respite services from PorchLight Project trained Senior Companion volunteers of the Lutheran Social Services of Minnesota.
|
Senior Companions (or other LSS-MN volunteers providing senior companionship services) who deliver the PorchLight Project will complete online CARES® Dementia Care Specialist training modules, additional trainings delivered by the research team (1.
overview of the PorchLight Project, 2. review of the National Consensus Guidelines on Palliative Care, 3. review of the list of guided questions, and 4. review of journaling approach and LTSS resources), and participate in unstructured monthly check-ins (discussions and case review as applicable) with the research team.
|
연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Utilization of LTSS by PWML and Caregivers
기간: Baseline, 1-month, 3-month
|
Community-based service utilization of PWML and caregivers will be assessed by asking participants to identify (from a fixed list of options) fifteen different home and community-based services (HCBS).
|
Baseline, 1-month, 3-month
|
|
Quality of Primary Care Interactions
기간: Baseline, 1-month, 3-month
|
A 3-item measure of quality of interaction during primary care provider encounters.
The total mean of item-responses was calculated, with a minimum value of 1 and a maximum value of 4. The higher scores mean higher quality interactions.
|
Baseline, 1-month, 3-month
|
|
Caregiver Distress: Burden
기간: Baseline, 1-month, 3-month
|
Caregiver distress will be ascertained with the 22-item Zarit Burden Interview.
Scores were summed; the higher the score, the more burden perceived.
Minimum score of 0, high score of 88.
|
Baseline, 1-month, 3-month
|
|
Caregiver Distress: Depressive Symptoms
기간: Baseline, 1-month, 3-month
|
Caregiver distress will be ascertained with the 20-item Center for Epidemiological Studies-Depression scale.
An average/mean, total score of item-responses was computed, with a minimum score of 1 and a high score of 4. The higher the score, the more depressive symptoms experienced.
|
Baseline, 1-month, 3-month
|
|
PWML Well-being
기간: Baseline, 1-month, 3-month
|
We will assess the PWML health related quality of life using the EQ-5D-5L Visual Analog Scale.
The measure is single score of a minimum of 0 and maximum of 100.
Higher scores indicate better health.
|
Baseline, 1-month, 3-month
|
|
PWML Depression
기간: Baseline, 1-month, 3-month
|
PWML Depression will be ascertained using the 15-item Geriatric Depression Scale Short Form.
The scale score is summed, with a minimum score of 0 and a maximum of 15.
The higher the score, the greater the depressive symptoms experienced/indicated.
|
Baseline, 1-month, 3-month
|
|
PWML Quality of Life
기간: Baseline, 1-month, 3-month
|
PWML Quality of Life will be ascertained using the 13-item Quality of Life Alzheimer's Disease-Measure (QOL-AD).
The measure score is summed.
The minimum score is 13 and the maximum score is 52.
The higher the score, the greater perceived quality of life.
|
Baseline, 1-month, 3-month
|
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Caregiver Self-efficacy
기간: Baseline, 1-month, 3-month
|
An 8-item measure of caregiver self-efficacy developed by Fortinsky et al. (2002).
The score is summed; the higher the score, the more self-efficacy the caregiver perceives.
The minimum score on the scale is 8, the maximum is 40.
|
Baseline, 1-month, 3-month
|
공동 작업자 및 조사자
간행물 및 유용한 링크
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
기본 완료 (실제)
연구 완료 (실제)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
기타 연구 ID 번호
- STUDY00004176
- R61AG061903 (미국 NIH 보조금/계약)
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .
PorchLight Project에 대한 임상 시험
-
University of British ColumbiaCanadian Institutes of Health Research (CIHR)완전한
-
London School of Hygiene and Tropical MedicineChildren's Investment Fund Foundation; Splash완전한
-
University of SheffieldPrincess Nourah Bint Abdulrahman University완전한
-
Emory UniversityNational Heart, Lung, and Blood Institute (NHLBI)완전한
-
University of North Carolina, Chapel HillCenters for Disease Control and Prevention완전한
-
Johns Hopkins UniversityNational Institute on Alcohol Abuse and Alcoholism (NIAAA)완전한