Web-Based Psychoeducation for Dementia Caregivers
A Web-Based Psychoeducation and Symptom-Monitoring Program to Enhance Dementia Caregiver Self-Efficacy in Managing BPSD
Behavioral and psychological symptoms of dementia (BPSD), such as agitation, anxiety, depression, sleep disturbance, and apathy, are common among people with dementia and often increase the burden on family caregivers. Many caregivers have limited knowledge and confidence in managing these symptoms.
This study aims to evaluate the effectiveness of a 6-week web-based psychoeducation and BPSD symptom-monitoring program in improving caregivers' self-efficacy in managing BPSD. Community-dwelling family caregivers of people with dementia will be recruited through healthcare, care, or community service settings and related activities in Taiwan.
Participants will be assigned sequentially to either an intervention group receiving web-based psychoeducation, BPSD symptom monitoring, and usual care, or a control group receiving usual care alone. The primary outcome is caregiver self-efficacy. Secondary outcomes include BPSD severity and caregiver burden.
Visão geral do estudo
Status
Condições
Intervenção / Tratamento
Descrição detalhada
Behavioral and psychological symptoms of dementia (BPSD) affect many people living with dementia during the course of the disease and are associated with increased caregiver burden, psychological distress, and reduced quality of life. Family caregivers frequently experience difficulties in recognizing BPSD, identifying possible triggers, and applying appropriate management strategies. Although web-based psychoeducation has shown potential benefits for dementia caregivers, evidence regarding its effectiveness in improving caregiver self-efficacy through the integration of structured symptom monitoring remains limited.
This study will evaluate a six-week web-based psychoeducation and BPSD symptom-monitoring program developed for family caregivers of community-dwelling people with dementia. The intervention is delivered through an AppSheet-based online platform and includes web-based educational modules and BPSD symptom diary recording. The symptom diary allows caregivers to record symptom types, circumstances, possible triggers, management strategies, and outcomes. Educational topics include understanding dementia, recognition of BPSD and possible triggers, BPSD management and caregiving strategies, communication and home care, caregiver self-care, and community support resources.
This study uses a quasi-experimental two-group pretest-posttest parallel design. Approximately 80 family caregivers will be recruited through healthcare, care, or community service settings and related activities in Taiwan. Participants will be assigned sequentially in alternating order to either the intervention group or the usual care control group.
Outcome assessments will be conducted at baseline (Week 0) and after the six-week intervention (Week 6) for both groups. Participants in the intervention group will additionally complete a follow-up assessment at Week 10 to evaluate maintenance of intervention effects.
The primary outcome is caregiver self-efficacy measured using the Revised Scale for Caregiving Self-Efficacy (RSCSE). Secondary outcomes include BPSD measured using the Neuropsychiatric Inventory Questionnaire (NPI-Q) and caregiver burden measured using the Zarit Burden Interview (ZBI).
Tipo de estudo
Inscrição (Estimado)
Estágio
- Não aplicável
Contactos e Locais
Contato de estudo
- Nome: Shan-Hua Chen
- Número de telefone: 5430 +88639543131
- E-mail: c887034@mail.pohai.org.tw
Locais de estudo
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Yilan County
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Luodong, Yilan County, Taiwan, 265
- Recrutamento
- Lotung Poh-Ai Hospital
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Contato:
- Shan-Hua Chen
- Número de telefone: 5430 +88639543131
- E-mail: c887034@mail.pohai.org.tw
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Investigador principal:
- Shan-Hua Chen
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Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
Aceita Voluntários Saudáveis
Gêneros Elegíveis para o Estudo
Descrição
Inclusion Criteria:
- Family caregivers aged 20 to 90 years.
- Currently the primary caregiver of a community-dwelling person diagnosed with dementia by a physician.
- Able to read and understand Chinese and able to use a smartphone, tablet, or computer with Internet access.
- Willing to participate in the study and complete the required study procedures and questionnaires.
Exclusion Criteria:
- Unable to read or understand Chinese.
- Currently caring for a person with dementia who resides in a long-term care institution, such as a nursing home or residential care facility.
- Unable to comply with study procedures or complete the questionnaires due to physical or psychological conditions, as assessed by the researcher.
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Cuidados de suporte
- Alocação: Não randomizado
- Modelo Intervencional: Atribuição Paralela
- Mascaramento: Nenhum (rótulo aberto)
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
|---|---|
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Experimental: Intervention Group
Participants receive a 6-week web-based psychoeducation and BPSD symptom-monitoring program in addition to usual care. The intervention includes web-based educational content on dementia care and BPSD management, as well as BPSD symptom diary recording. |
Participants assigned to the intervention group receive a 6-week web-based psychoeducation and BPSD symptom-monitoring program in addition to usual care. The program provides web-based educational content on dementia care, recognition of BPSD and possible triggers, BPSD management and caregiving strategies, communication and home care, caregiver self-care, and community support resources. Participants may also use the online platform to record BPSD symptoms, circumstances, possible triggers, management strategies, and outcomes. The intervention is designed to improve caregiver self-efficacy in managing behavioral and psychological symptoms of dementia. |
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Sem intervenção: Control Group
Participants receive usual care without access to the web-based psychoeducation and symptom-monitoring program during the study period. |
O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
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Caregiver Self-Efficacy in Managing Behavioral and Psychological Symptoms of Dementia
Prazo: Baseline and Week 6
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Caregiver self-efficacy will be assessed using the Revised Scale for Caregiving Self-Efficacy (RSCSE). The primary outcome is the change in caregiver self-efficacy from baseline to Week 6 between the intervention and control groups. |
Baseline and Week 6
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Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Behavioral and Psychological Symptoms of Dementia
Prazo: Baseline and Week 6
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Behavioral and psychological symptoms of dementia will be assessed using the Neuropsychiatric Inventory Questionnaire (NPI-Q). The secondary outcome is the change in symptom severity and caregiver distress from baseline to Week 6 between the intervention and control groups. |
Baseline and Week 6
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Caregiver Burden
Prazo: Baseline and Week 6
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Caregiver burden will be assessed using the 22-item Zarit Burden Interview (ZBI-22). The secondary outcome is the change in caregiver burden from baseline to Week 6 between the intervention and control groups. |
Baseline and Week 6
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Colaboradores e Investigadores
Patrocinador
Investigadores
- Investigador principal: Shan-Hua Chen, Lotung Poh-Ai Hospital
Publicações e links úteis
Publicações Gerais
- Kales HC, Gitlin LN, Lyketsos CG. Assessment and management of behavioral and psychological symptoms of dementia. BMJ. 2015 Mar 2;350:h369. doi: 10.1136/bmj.h369.
- Steffen AM, McKibbin C, Zeiss AM, Gallagher-Thompson D, Bandura A. The revised scale for caregiving self-efficacy: reliability and validity studies. J Gerontol B Psychol Sci Soc Sci. 2002 Jan;57(1):P74-86. doi: 10.1093/geronb/57.1.p74.
- Yu Y, Xiao L, Ullah S, Meyer C, Wang J, Pot AM, He JJ. The effectiveness of internet-based psychoeducation programs for caregivers of people living with dementia: a systematic review and meta-analysis. Aging Ment Health. 2023 Sep-Oct;27(10):1895-1911. doi: 10.1080/13607863.2023.2190082. Epub 2023 Mar 23.
Datas de registro do estudo
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Início do estudo (Real)
Conclusão Primária (Estimado)
Conclusão do estudo (Estimado)
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Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
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Mais Informações
Termos relacionados a este estudo
Palavras-chave
Termos MeSH relevantes adicionais
Outros números de identificação do estudo
- LOPAH-BPSD-2026-01
Plano para dados de participantes individuais (IPD)
Planeja compartilhar dados de participantes individuais (IPD)?
Descrição do plano IPD
No individual participant data will be shared because informed consent does not include permission for data sharing outside this study.
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