Juntos/Together Program to Build Confidence for Complex Care Tasks Among Latino Family Caregivers

The University of Texas System (UT)

Status: Completed

Conditions: Dementia Caregivers

Treatments: Behavioral: LST-LC Education

Study type: Interventional

Funder types: Other

Identifiers

NCT05582473

HSC20220579H

Details and patient eligibility

About

The overall goal of this study is to culturally adapt and test the effectiveness of Learning Skills Together (LST) in improving self-efficacy among Latino family caregivers. To address this overall goal, the study team propose the following aims: i) culturally adapt the LST intervention for Latino caregivers using a community-engaged approach; and ii) examine the effect of the LST intervention on Latino caregiver self-efficacy, depression, and well-being using a randomized wait-list control group.

Full description

The study team will use a randomized wait-list control group design with blinded outcomes assessment to examine the effectiveness of LST-LC on caregiver confidence and self-efficacy in performing complex care tasks. This design has the advantage of making enrollment more feasible as participants may find the intervention highly desirable and will eventually receive it. Yet, the design provides a randomized comparison with a non-intervention control group. Participants will be individually randomized 1:1 to an immediate intervention group (IG) and a wait-list (delayed) control group (WLC).

Enrollment: 50 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. a family member to an individual living with AD/ADRD (Alzheimers Disease/Alzheimers Disease and related dementias) who has received a diagnosis from a physician,
2. aged 18 years or older,
3. providing assistance with at least two instrumental activities of daily living or one activity of daily living,
4. providing care to a person with dementia in mid-stage as defined by a score between 4 and 6 on the Global Deterioration Scale (GDS), and
5. not paid to provide care

Exclusion criteria

1. are unable to read and speak English or Spanish,
2. previously participated in LST, and/or
3. have plans to place the care recipient in a skilled nursing facility within the next 6 months (i.e., study duration).
4. Participants must have a Patient Health Questionnaire (PHQ-9) score of less than 15, the threshold for moderately severe depression
5. Participants with severe depression

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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50 participants in 2 patient groups

Wait-List Control Group

No Intervention group

Description:

Randomized subjects will wait for a 3 month period before being assigned to the LST-LC education. This group of subjects will act as the control group.

Learning Skills Together-Latino Caregivers (LST-LC)

Other group

Description:

The study team convened a team of health care professionals, including nursing, occupational therapy, speech-language pathology, gerontology, nutrition, and dental hygiene, to develop a community-based education program for family caregivers.

Treatment:

Behavioral: LST-LC Education