REACH Hope Intervention for Dementia and TBI Caregivers

  • End date
    Aug 14, 2023
  • participants needed
  • sponsor
    Memphis VA Medical Center
Updated on 29 July 2021
traumatic brain injury


This three-year randomized clinical trial will evaluate a behavioral intervention for caregivers of Veterans with traumatic brain injury (TBI) and Alzheimer's dementia or mixed Dementia (AD/MD) to reduce caregiver depression, anxiety and burden, and improve veterans' health management. The study will combine and deliver two award-winning behavioral interventions - REACH VA (Resources for Enhancing All Caregivers Health in Department of Veterans Affairs) and the DoD's Virtual Hope Box, which we call REACH Hope. Both REACH and Hope Box have evidence of effectiveness individually but have not been delivered together for caregivers supporting veterans with complex neurodegenerative diagnoses and health conditions. Our primary hypothesis is that REACH Hope will improve caregivers' quality of life as measured by reduced burden.

Condition Brain Injury, Total Body Irradiation, Dementia of Alzheimer Type, Traumatic Brain Injury, Mixed Dementia, traumatic brain injury (tbi), total-body irradiation
Treatment REACH Hope
Clinical Study IdentifierNCT04969796
SponsorMemphis VA Medical Center
Last Modified on29 July 2021


Yes No Not Sure

Inclusion Criteria

primary caregiver for person with diagnosis of TBI and subsequent dementia
at least one activity of daily living limitation or 2 or more instrumental activity of daily living limitation
provide 4 or more hours of care per day for at least 6 months
endorse a score of at least high burden (>8) on the Zarit Burden Inventory-4

Exclusion Criteria

no mobile telephone or electronic device that can accept the Hope Box application
current diagnosis of schizophrenia or other major mental illness
auditory impairment that would make telephone use difficult
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