WeCareToFeedDysphagia to Reduce Care-partner Burden Full-scale RCT

Northwell Health

Status: Not yet enrolling

Conditions: Alzheimer's Disease; Oropharyngeal Dysphagia; Caregiver Burden; Older Adults; Dementia

Treatments: Behavioral: WeCareToFeedDysphagia web tool

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT07250113

25-0388

R33AG079930 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The goal of this clinical trial is to learn if a newly-created website tool, called WeCareToFeedDysphagia, helps to reduce feelings of burden in care partners of patients with Alzheimer's disease and related dementias (AD/ADRD) who were diagnosed with trouble swallowing (oropharyngeal dysphagia). The main questions this study aims to answer are:

• How effective is the WeCareToFeedDysphagia tool in reducing feelings of burden in care partners?
• Does the WeCareToFeed Dysphagia tool help improve patient outcomes?
• Does care partner age, gender, and patient dysphagia severity impact the strength of the effect of the WeCareToFeedDysphagia tool?
• Is the strength of the effect of the WeCareToFeedDysphagia tool impacted by care partner's beliefs in being able to manage behavior and stress (self-efficacy)?

Researchers will compare a group of care partners who have access to the WeCareToFeedDysphagia tool (intervention) to a group of care partners who do not have access to the tool. Both groups will receive contact information for help from a speech language pathologist expert (enhanced usual care).

Participants will:

• be given access to the web tool and receive 3 text message reminders over 3 weeks to use the tool (intervention group only).
• be asked to complete a remote, web-based survey three times: when enrolled in the study, at 1 month following patient leaving the hospital, and at 3 months following patient leaving the hospital.

Enrollment: 802 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Self-identifies as the primary care partner of an older adult patient (patient age ≥ 65 years) with AD/ADRD and oropharyngeal dysphagia (OD) admitted to the Northwell medicine service
• Age ≥ 18 years
• Designated as the legally authorized representative (LAR) or health care proxy (HCP), or designated by the LAR or HCP to participate
• Proficient in English
• Has access to a device (e.g. smartphone, iPad, computer) capable of accessing a web browser

Exclusion criteria

• Care partner of patient with a percutaneous feeding tube (i.e. PEG, PEJ used exclusively)
• Care partner of patient who will not be discharged to the home or community setting (e.g., home, assisted living, independent living)
• Care partner will not be involved with OD management (e.g. buying or making food, feeding, supervising) after hospital discharge

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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802 participants in 2 patient groups

Enhanced Control + WeCareToFeedDysphagia

Experimental group

Description:

Participants receive usual care from their medical team and receive contact information for speech-language pathology follow-up care. Participants will also receive access to the WeCareToFeedDysphagia web tool and receive text message reminders to use the tool.

Treatment:

Behavioral: WeCareToFeedDysphagia web tool

Enhanced Control

No Intervention group

Description:

Participants receive usual care from their medical team and receive contact information for speech-language pathology follow-up care.