Demonstrating the Efficacy of a Spanish-Language Program for Latino Dementia Caregivers
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Skill-building classes, Wait list control group.
- Кому может быть актуально
- Состояния в реестре: Caregiver Burden of People With Dementia. Базовые параметры: 18 лет — 100 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- США
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Demonstrating the Efficacy of "Unidos en el Cuidado" (United in Caring): A Spanish-Language Program for Latino Caregivers of Persons Living With Dementia
Обзор
The investigators will test the efficacy of Unidos en el Cuidado® (United in Caring, herein Unidos), a 3-session, culturally-adapted, group psychoeducational and skill-building intervention for 226 Spanish-speaking family caregivers in California.
Подробное описание
The investigators will test the efficacy of Unidos en el Cuidado® (United in Caring, herein Unidos), a 3-session, culturally-adapted, group psychoeducational and skill-building intervention for 226 Spanish-speaking family caregivers in California.
Based on a wait list trial design, and 4 observation points (baseline, post-intervention, 3-month and 6-month follow-ups), the investigators propose to demonstrate the efficacy of this new intervention (Aim 1), and evaluate for potential moderating conditions across subgroups (Aim 2; age, gender, educational level, etc.). Based on this quantitative component, the investigators will answer the following two aims:
Aim #1. (Efficacy) Compared to a waitlist control group, is Unidos efficacious with regards to primary outcomes-PHQ-9 depression symptoms, RMBPC reactivity to memory and behavior problems, anxiety symptoms, and secondary outcomes-caregiver mastery, competence, and meaning over time?
Aim #2: (Moderators). Do moderating conditions exist such that the intervention is more or less efficacious for subgroups based on age, gender, PLWD functioning?
Qualitative component: After class completion, the investigators will draw from 40-50 focus group participants to elucidate the satisfaction and acceptability of the program. Both Unidos and wait list control participants will be randomly selected for focus group interviews which will be guided by open-ended inquiries around the nuanced, in-depth perspectives of program participation, acceptability, and recommendations (Aim 3).
Aim #3: (Experience/Satisfaction). Will qualitative reports from focus groups signal satisfaction, nuanced differences with respect to the nature, structure, cultural/ language considerations of Unidos, and recommendations?
Based on the scientific team and community partner's established expertise in dementia care, caregiving services, and underrepresented groups, the project is well positioned to address the linguistic and cultural preferences and needs of diverse Californians and the providers that serve them.
Вмешательства
- Другое Skill-building classes
Unidos en el Cuidado is a manualized, multi-family group intervention provided at no cost vis-à-vis videoconferencing or on-site by trained facilitators Sessions are held weekly for 1.5 hours. Class components include caregiver role identity; skills-building; knowledge attainment; attitudinal changes; resource-sharing; practice/role-plays; homework; videos, handouts. Classes will be provided online with some classes offered in the community, if available - Другое Wait list control group
The intervention is the same; the wait period is longer to receive the intervention described in Group A.
Первичные конечные точки
- Depressive symptoms [Срок оценки: baseline; post-intervention (within 1 week of completing intervention); 3-months; 6-months from baseline]
- Presence and reaction to memory and behavior problems shown by person with dementia [Срок оценки: baseline; post-intervention (within 1 week of completing intervention); 3-months; 6-months from baseline]
- Anxiety symptoms [Срок оценки: baseline; post-intervention (within 1 week of completing intervention); 3-months; 6-months from baseline]
Вторичные конечные точки (3)
- Caregiver Mastery [Срок оценки: baseline; post-intervention (within 1 week of completing intervention); 3-months; 6-months from baseline]
- Caregiver Competence [Срок оценки: baseline; post-intervention (within 1 week of completing intervention); 3-months; 6-months from baseline]
- Caregiver Meaning [Срок оценки: baseline; post-intervention (within 1 week of completing intervention); 3-months; 6-months from baseline]
Критерии участия
Критерии включения
- identifies with being Hispanic or Latino descent
- speaks and reads Spanish
- dementia family caregivers living (or recently lived) in California or whose care recipient lives (or recently lived) in California
- who identify as women, men, or non-binary,
- age 18 years or older
Критерии исключения
- Severe sensory or physical conditions that interfere with ongoing participation.
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Да
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Параллельные группы
- Маскирование
- Открытое
- Основная цель
- Поддерживающая терапия
Центры проведения
США · 1 центр
- University of Southern California — Los Angeles
Публикации
- Griffiths PC, Kovaleva M, Higgins M, Langston AH, Hepburn K. Tele-Savvy: An Online Program for Dementia Caregivers. Am J Alzheimers Dis Other Demen. 2018 Aug;33(5):269-276. doi: 10.1177/1533317518755331. Epub 2018 Mar 16. PMID 29544342
Идентификаторы
NCT: NCT06747637 · AWD-00008709