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VA Cultivating Access to Resources, Education, and Skills for Dementia Caregivers (VACARES)

VA Office of Research and Development logo

VA Office of Research and Development

Status

Completed

Conditions

Neurodegenerative Diseases
Dementia
Brain Diseases
Caregivers

Treatments

Other: Supplemental Education Materials
Behavioral: Education and Skill-Building Rehabilitation (ESBR)

Study type

Interventional

Funder types

Other U.S. Federal agency

Identifiers

NCT02106065
5IK2RX001240-02 (U.S. NIH Grant/Contract)
E1240-W

Details and patient eligibility

About

The purpose of this study is to study the effects of an education and skill-building intervention on family caregivers of Veterans with dementia.

Full description

According to VA estimates, nearly 500,000 Veterans suffer from dementia. There is currently no cure for dementia. Ultimately, dementia will have a large impact on quality of life in Veterans and families, lead to expensive nursing home placement, and decrease life expectancy for patients and family caregivers. The experience of high burden in a caregiver for a Veteran with dementia increases the likelihood of permanent nursing home placement and can separate Veterans from their families. To address the high burden of caring for a Veteran with dementia, the investigators aim to study the effect of a rehabilitative intervention for family caregivers of Veterans with dementia. This novel approach will use video technology that can reach caregivers in rural areas who do not have easy access to major VA medical centers.

Enrollment

32 patients

Sex

All

Ages

18+ years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Inclusion criteria -- Participants must:

  • be adults (age 18)
  • report distress associated with being the primary caregiver for a Veteran family member with all-cause dementia
  • reporting at least 2 of the following 6 items at baseline assessment: felt overwhelmed, felt like they often needed to cry, were angry or frustrated, felt they were cut off from family or friends, reported moderate to high levels of general stress, or felt their health had declined
  • provide at least one hour of care (supervision or direct assistance) per week over the past 3 months (other sources of caregiving for the Veteran with dementia can also be utilized; e.g., respite, home health aide, other family members, etc.)
  • be proficient in spoken and written English
  • be capable of providing informed consent

Exclusion criteria

Exclusion criteria -- Potential participants will be screened and excluded for:

  • current or lifetime history of any psychiatric disorder with psychotic features
  • prominent suicidal or homicidal ideation
  • having met DSM-IV criteria for drug or alcohol abuse or dependence (except nicotine) within the past six months
  • presence of alcohol intoxication (by breathalyzer) or alcohol withdrawal (by exam) during study recruitment or participation
  • diagnosis of probable or possible dementia
  • a Telephone Cognitive Screen score of < 20
  • participation in another caregiver intervention within the past year
  • lack of regular access to a telephone
  • illness that would prevent 24 months of study participation
  • planned transfer of care receiver to another caregiver or nursing home within 12 months

Trial design

Primary purpose

Supportive Care

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

32 participants in 3 patient groups

In-person Education and Skill-Building Rehabilitation (ESBR-i) Condition
Experimental group
Description:
Education and Skill-Building Rehabilitation delivered in clinic
Treatment:
Behavioral: Education and Skill-Building Rehabilitation (ESBR)
Education and Skill-Building Rehabilitation over Video (ESBR-V) Condition
Experimental group
Description:
Education and Skill-Building Rehabilitation delivered via video telehealth.
Treatment:
Behavioral: Education and Skill-Building Rehabilitation (ESBR)
Usual Care Condition
Active Comparator group
Description:
Usual Care plus supplemental paper education materials
Treatment:
Other: Supplemental Education Materials

Trial documents
1

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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