Rural Dementia Caregiver Project

  • STATUS
    Recruiting
  • End date
    May 11, 2023
  • participants needed
    640
  • sponsor
    University of California, San Francisco
Updated on 4 October 2022
depression
dementia
depressive symptoms
depressed mood
alzheimer's disease
Accepts healthy volunteers

Summary

These caregivers are a vulnerable group due to their physical isolation and well-documented rural disparities in health care access and quality. Many rural dementia caregivers experience serious health consequences due to caregiving responsibilities that can limit their ability to maintain their caregiving role. Thus, there is a pressing need for effective, scalable, and accessible programs to support rural dementia caregivers.

Online programs offer a convenient and readily translatable option for program delivery because they can be accessed by caregivers in the home and at the convenience of the user. Building Better Caregivers is an online 6-week, interactive, small-group self-management, social support, and skills-building workshop developed for caregivers of individuals with Alzheimer's disease or related dementia.

The investigators will conduct a hybrid effectiveness-implementation randomized controlled trial that will enroll and randomize 640 rural dementia caregivers into two groups: 320 in the intervention (workshop) group and 320 in the attention control group. Caregivers will be recruited throughout the United States. Primary outcomes will be caregiver stress and depression symptoms. The investigators hypothesize that stress scores and depression symptoms will be significantly improved at 12 months in the intervention group versus control group. The investigators will also identify key strengths (facilitators) and weaknesses (barriers) of workshop implementation. The investigators will use the RE-AIM implementation framework and a mixed methods approach to identify implementation characteristics pertinent to both caregivers and rural community organizations.

If the Building Better Caregivers workshop is proven to be effective, this research has the potential to open new research horizons, particularly on how to reach and effectively support isolated dementia caregivers in rural areas with an intervention that is scalable, even in low-resourced settings. If the workshop can achieve its goals with rural dementia caregivers, some of those most isolated, it would also be expected to be scalable in other low-resourced settings (e.g., in urban or suburban environments).

Details
Condition Depression, Stress, Psychological, Self Efficacy, Loneliness, Social Isolation, Health Care Utilization, Dementia, Dementia Alzheimers, Dementia of Alzheimer Type, Dementia, Vascular, Dementia Frontal, Dementia, Lewy Body, Dementia, Mixed, Dementia in Parkinsons Disease, Dementia, HIV, Dementia Frontotemporal, Dementia, Multi-Infarct
Treatment Attention Control, Building Better Caregivers Workshop
Clinical Study IdentifierNCT04428112
SponsorUniversity of California, San Francisco
Last Modified on4 October 2022

Eligibility

Yes No Not Sure

Inclusion Criteria

Aged 18 years or older
Caring for person with dementia
Able to read and write in English
Able to access the internet
Providing care for 10 hours per week
Reporting a minimum stress level of 4 or more on a 10-point scale
Living in rural area of United States (self-identify or zip code is a Rural Urban Commuting Area Codes (RUCA) defined rural area)

Exclusion Criteria

Have an anticipated inability to complete the 12-month follow-up (e.g., planned travel)
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Complete your scheduled study participation activities and then you are done. You may receive summary of study results if provided by the sponsor.

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