Negotiation Training for Caregiver Communication in AD

Northwestern University

Status: Completed

Conditions: Alzheimer Disease; Cognitive Impairment

Treatments: Behavioral: Caregiver vs. Patient [Beginner]; Behavioral: Caregiver vs. Physician; Behavioral: Caregiver vs. Patient [Advanced]; Behavioral: Caregiver vs. Caregiver

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT04837937

1R01AG068421-01 (U.S. NIH Grant/Contract)

R01AG068421-01

Details and patient eligibility

About

The purpose of this study is to design a Negotiation and Dispute Resolution (NDR) training intervention to improve communication and address resolution of conflicts that family caregivers of patients with cognitive impairment and/or Alzheimer's Disease (AD) frequently experience.

Full description

The goal of this study is to design a Negotiation and Dispute Resolution (NDR) training intervention to improve communication and address resolution of conflicts that family caregivers of patients with cognitive impairment and/or Alzheimer's Disease (AD) frequently experience. Specifically this study will:

Aim 1: Employ a caregiver (user)-centered design approach to modify and tailor a negotiations and dispute resolution (NDR) training intervention to support communication skills of family caregivers of adults with AD.

Aim 2: Utilizing Multiphase Optimization Strategy (MOST), conduct a randomized controlled trial of the NDR intervention that targets better communication between caregivers and health teams to determine the feasibility of delivering the intervention, and derive estimates of the effect of 3 intervention components on changes in patient-centered outcomes at post-intervention and follow-up.

Exploratory Aim 3: Explore if intervention components (lectures/exercises) interact to change communication between caregivers and health care teams at post-intervention and follow-up.

Enrollment: 132 patients

Sex: All

Ages: 21+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Speak/read English;
• Currently provide care-giving support (e.g. emotional, social, physical, task-related) to an adult over the age of 65;
• Currently provide care-giving support at least 1 hour per week (e.g. may include grocery shopping, scheduling appointments, and transportation);
• Currently involved in any decision-making related to the healthcare and support of this adult over the age of 65;
• Score >2 on the 8-item Informant Interview to Differentiate Aging and Dementia (AD8);
• Access to and the ability to use the internet to complete a series of online activities; and
• Have a valid email address or the willingness to create one to access during the study

Exclusion criteria

• Less than 21 years old
• Unable to speak and read English

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Factorial Assignment

Masking: None (Open label)

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132 participants in 8 patient groups

Condition 1

Experimental group

Description:

(1) 'Caregiver vs. Patient \[Beginner\]' conflict negotiation/dispute resolution exercise. All participants will complete this exercise; it will serve as the constant.

Treatment:

Behavioral: Caregiver vs. Patient [Beginner]

Condition 2

Experimental group

Description:

(1) 'Caregiver vs. Patient \[Beginner\]' conflict negotiation/dispute resolution exercise; (2) 'Caregiver vs. Patient \[Advanced\]' ' conflict negotiation/dispute resolution exercise

Treatment:

Behavioral: Caregiver vs. Patient [Advanced]

Behavioral: Caregiver vs. Patient [Beginner]

Condition 3

Experimental group

Description:

(1) 'Caregiver vs. Patient \[Beginner\]' conflict negotiation/dispute resolution exercise; (2) 'Caregiver vs. Physician' conflict negotiation/dispute resolution exercise

Treatment:

Behavioral: Caregiver vs. Physician

Behavioral: Caregiver vs. Patient [Beginner]

Condition 4

Experimental group

Description:

(1) 'Caregiver vs. Patient \[Beginner\]' conflict negotiation/dispute resolution exercise; (2) 'Caregiver vs. Physician' conflict negotiation/dispute resolution exercise; (3) 'Caregiver vs. Patient \[Advanced\]' conflict negotiation/dispute resolution exercise

Treatment:

Behavioral: Caregiver vs. Patient [Advanced]

Behavioral: Caregiver vs. Physician

Behavioral: Caregiver vs. Patient [Beginner]

Condition 5

Experimental group

Description:

(1) 'Caregiver vs. Patient \[Beginner\]' conflict negotiation/dispute resolution exercise; (2) 'Caregiver vs. Caregiver' conflict negotiation/dispute resolution exercise

Treatment:

Behavioral: Caregiver vs. Caregiver

Behavioral: Caregiver vs. Patient [Beginner]

Condition 6

Experimental group

Description:

(1) 'Caregiver vs. Patient \[Beginner\]' conflict negotiation/dispute resolution exercise; (2) 'Caregiver vs. Caregiver' conflict negotiation/dispute resolution exercise; (3) 'Caregiver vs. Patient \[Advanced\]' conflict negotiation/dispute resolution exercise

Treatment:

Behavioral: Caregiver vs. Caregiver

Behavioral: Caregiver vs. Patient [Advanced]

Behavioral: Caregiver vs. Patient [Beginner]

Condition 7

Experimental group

Description:

(1) 'Caregiver vs. Patient \[Beginner\]' negotiation/dispute resolution exercise; (2) 'Caregiver vs. Caregiver' conflict negotiation/dispute resolution exercise; (3) 'Caregiver vs. Physician' conflict negotiation/dispute resolution exercise

Treatment:

Behavioral: Caregiver vs. Caregiver

Behavioral: Caregiver vs. Physician

Behavioral: Caregiver vs. Patient [Beginner]

Condition 8

Experimental group

Description:

(1) 'Caregiver vs. Patient \[Beginner\]' conflict negotiation/dispute resolution exercise; (2) 'Caregiver vs. Caregiver' conflict negotiation/dispute resolution exercise; (3) 'Caregiver vs. Physician' conflict negotiation/dispute resolution exercise; (4) 'Caregiver vs. Patient \[Advanced\]' conflict negotiation/dispute resolution exercise

Treatment:

Behavioral: Caregiver vs. Caregiver

Behavioral: Caregiver vs. Patient [Advanced]

Behavioral: Caregiver vs. Physician

Behavioral: Caregiver vs. Patient [Beginner]