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

  • STATUS
    Recruiting
  • End date
    Mar 31, 2023
Updated on 7 July 2021
depression
dementia

Summary

Five percent of community‐dwelling older Americans experience depression. The rate is higher among persons with dementia (30%). One in 10 older adults (5.6 million) had Alzheimer’s dementia in 2019 and 70% are cared for by their families. This public health issue will worsen as the aging baby boomers grow from 55 million in 2019 to 88 million in 2050. To address these challenges, we developed a novel depression intervention, Caregiver‐Provided Life Review (C‐PLR) based on Life Review Therapy. The Caregiver-Provided Life Review (C-PLR) Study is a depression intervention study for persons living with dementia who are the residents of long-term care facilities as well as community-dwelling individuals conducted by their informal (family) caregivers who are their daughters/sons/spouses/close friends. 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 our 2018 pilot study, we propose to examine the feasibility of C‐PLR in long‐term care facilities. We will train family caregivers Life Review therapy skills in order to deliver the intervention. Using a one‐group pre/post-test design, we will measure depression and life satisfaction in care recipients, caregiver burden and rewards of caregiving in their caregivers, and the quality of caregiver‐care recipient relationship at pre/post-tests. The purpose of the study is to examine the feasibility and pre-/post-test outcomes of Caregiver-Provided Life Review (C-PLR) therapy and compare the results of depression intervention between care facility residents (22 dyads) and community-dwelling individuals (22 dyads). 

Christina Miyawaki

cemiyawaki@uh.edu

713-743-0320

Description

Caregivers will participate in one-time caregiver training via zoom (3 hours). Caregivers and care recipients will take pre-tests (5-10 minutes each person), conduct up to one-hour life review session/per week for six weeks at home, and after the 6th week, will take the post-test (same as the pre-test). Caregivers will receive fidelity check-in calls (15-20 minutes) with the Research Assistant once a week for 5 weeks after each life review session. Caregivers will have a phone interview with the Research Assistant together with the post-test.  

Care Recipient: 65 years and older, long-term care facility resident or community-dweller, has symptoms of early stage dementia and mild depressive symptoms.
Caregiver: adult 18 years and older, assist the care recipient with Activities of Daily Living (ADL: bathing, feeding, dressing, grooming, toileting, walking, transferring from bed to chair) or Instrumental Activities of Daily Living (IADL: making phone calls, housekeeping, shopping, meal preparation, driving or taking taxi or uber, managing medications, paying bills) for 6 months or more.

There will be monetary incentives of $110 [at the completion of caregiver training ($50) and pre- ($20) and post-test ($20)] for caregivers and $40 [pre- ($20) and post-test ($20)] for care recipients.  

Details
Condition Dementia, Alzheimer's Disease, *Healthy Volunteers
Clinical Study IdentifierTX254696
Last Modified on7 July 2021

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