Caregiver-Provided Life Review for Persons with Dementia in Care Facilities

  • STATUS
    Recruiting
  • End date
    Mar 31, 2023
Updated on 21 October 2020
Investigator
Christina Miyawaki
Primary Contact
Online27 (3.6 mi away) Contact
+252 other location
depression
dementia

Summary

Five percent of community‐dwelling older Americans experience depression. The rate is higher among persons with dementia (PWD)(30%). One in 10 older adults (5.6 million) has Alzheimer’s dementia (2019) and 70% are cared for by their families. This public health issue will worsen as the aging baby boomers grow from 55 million (2019) to 88 million (2050). To address these challenges, we developed a novel depression intervention, Caregiver‐Provided Life Review (C‐PLR) for PWD based on life review (LR) therapy. The C-PLR is a depression intervention study for persons living with dementia (PWD) who reside in long-term care facilities as well as community-dwelling individuals conducted by their informal (family) caregivers who live separately from their care recipients. We successfully completed a pilot study with 19 caregiver-care recipient dyads in a community setting in 2018 and saw promising results in alleviating the depression. Building on a pilot study with promising results in a community setting, we propose to examine the feasibility of C‐PLR in long‐term care facilities (LTCF). We will train family caregivers in LR skills in order to deliver the intervention. Using a one‐group pre/post-test design, we will measure depression and life satisfaction in PWD, caregiver burden and rewards of caregiving in their caregivers, and the quality of caregiver‐care recipient relationship at pre/post-tests. There are two phases to this study. The purposes of the study are to: Aim 1. Adapt C-PLR for the long-term care setting based on the input from caregivers and study team members and feasibility measures. We will pilot with 5 caregiver-care recipient dyads from long-term care facilities and closely monitor fidelity, feasibility and acceptability of the zoom C-PLR caregiver training and telephone intervention. We will use qualitative data from caregivers and their perceptions of the experience of their care recipients with the intervention. In addition, we will use feasibility measures (i.e., recruitment/participant flow, fidelity scores, retention, reasons for attrition) to refine and adapt C-PLR for the long-term care setting. Aim 2. Aim 2. Examine the feasibility and preliminary pre-/post-test outcomes of adapted C-PLR and compare care facility residents and community-dwelling individuals with a larger sample. We will then examine the feasibility of adapted C-PLR with a larger sample of 22 dyads of long-term care facility residents and 22 dyads of community-dwelling individuals (44 dyads) as comparison groups and measure the preliminary pre-/post-test outcomes.  

Christina Miyawaki

cemiyawaki@uh.edu

713-743-0320

Description

Caregivers will participate in a 2-day caregiver training via zoom (3 hours each day). Caregivers and care recipients will take pre-tests (5-10 minutes each person), conduct one-hour life review session/per week for six weeks, and after the 6th week, will take the post-test (same as the pre-test). Caregivers will receive fidelity check-in calls (up to 30 minutes) with the research assistant every week for 5 weeks after each life review session. Caregivers will have a phone interview with the research assistant at the time of the post-test.  

Details
Clinical Study IdentifierTX254696
Last Modified on21 October 2020

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