Pain With Dementia
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: Caregiver-Assisted Pain Coping Skills Training (CG-PCST).
- Кому может быть актуально
- Состояния в реестре: Pain, Dementia, Mild, Dementia, Moderate. Базовые параметры: от 50 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
Caregiver-assisted Pain Coping Skills Training for Dementia Pilot Study
Обзор
The purpose of the study is to develop a caregiver-assisted pain coping skills training program for older adults who have pain and mild to moderate dementia and are living at home with a family caregiver. The investigators are planning to recruit 30 patient-caregiver dyads (60 individuals).
Подробное описание
Involving caregivers in a pain coping skills protocol is likely to optimize treatment outcomes in several ways.
First, people with dementia (PWD) are likely to have difficulty learning and remembering pain coping skills; training the caregiver to coach the patient in the use of the skills is likely to improve the patients' acquisition and ongoing use of learned skills.
Second, caregiver involvement in pain coping skills training may increase their understanding of how to gauge how much pain the PWD is experiencing and the impact of pain management strategies. This understanding is increasingly important as the patient's disease progresses, and s/he is less able to report pain verbally.
Third, caregiver-assisted pain management training may enhance caregivers' self-confidence for managing the patient's pain.
Finally, by participating in the pain coping skills training protocol, caregivers may learn coping skills (such as relaxation) that can help them manage the stress associated with caring for a PWD and pain which can be significant.
Вмешательства
- Поведенческое Caregiver-Assisted Pain Coping Skills Training (CG-PCST)
Patient-caregiver dyads will receive five, forty-to-sixty-minute sessions over a six-to-eight-week period with a therapist to learn pain coping skills. These include training caregivers in strategies for assessing patient pain, including nonverbal pain behaviors (e.g., grimacing, bodily tension, labored breathing), which will become increasingly important as the patient's ability to express pain verbally decreases. The therapist will also train the caregiver to coach the patient in the use of th
Первичные конечные точки
- Client Satisfaction Questionnaire [Срок оценки: Post-intervention (approximately 8 weeks)]
Вторичные конечные точки (8)
- Quality of life in Alzheimer's Disease Caregiver version and Patient version [Срок оценки: Baseline and post-intervention (approximately 8 weeks)]
- Brief Pain Inventory-Interference Items [Срок оценки: Baseline and post-intervention (approximately 8 weeks)]
- Caregiver Self-Efficacy in Pain Management [Срок оценки: Baseline and post-intervention (approximately 8 weeks)]
- Numeric pain scale & verbal descriptor [Срок оценки: Baseline and post-intervention (approximately 8 weeks)]
- Checklist of nonverbal pain indicators [Срок оценки: Baseline and post-intervention (approximately 8 weeks)]
- Zarit burden interview [Срок оценки: Baseline and post-intervention (approximately 8 weeks)]
- Caregiver appraisal-satisfaction scale [Срок оценки: Baseline and post-intervention (approximately 8 weeks)]
- Neuropsychiatric inventory [Срок оценки: Baseline and post-intervention (approximately 8 weeks)]
Критерии участия
Критерии включения
Patients:
- Mild or moderate dementia
- Pain on most days for at least 3 months that interferes with function
- Living at home (non-institutional)
- Age ≥ 50
- English Speaking
Caregivers:
- Provides on average at least 4 hours/day of care/assistance to the patient
- Age ≥ 18
- English Speaking
Критерии исключения
Patient and caregivers
- Lacking capacity for interview or unable to provide informed consent/assent.
- Visual or hearing impairments or severe behavioral problems that preclude participation.
- Too sick to participate.
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Да
Дизайн исследования
- Распределение
- Не применимо
- Модель
- Одна группа
- Маскирование
- Открытое
- Основная цель
- Поддерживающая терапия
Центры проведения
США · 1 центр
- Duke University Medical Center — Durham
Идентификаторы
NCT: NCT06854718 · Pro00116129 · 1R61AG088938-01