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CompletedNCT04542317Updated Mar 24, 2025Results posted

Efficacy of a Dementia Family Caregiver Support Intervention in Vietnam

An interventional study of REACH VN and Enhanced control in Dementia, sponsored by University of California, Davis. Completed at 1 site in Vietnam. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-03-24.

Sponsored by University of California, Davis · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
350
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

This is a cluster randomized controlled trial to test the efficacy of a psychosocial intervention to support family caregivers of persons living with dementia in Vietnam.

Read the detailed description

The objective of this study is to conduct a cluster randomized controlled trial (RCT) to test the efficacy of a psychosocial intervention to support Alzheimer's family caregivers in Vietnam. The cluster RCT will test the hypothesis that family caregivers who receive the intervention will show lower psychological distress and lower caregiver burden compared with those in the control group (primary outcomes). In addition, we will conduct secondary analyses to examine whether the intervention group has lower perceived stress and somatic symptoms. Exploratory analyses will be conducted to determine if intervention effects are mediated by caregiver self-efficacy or knowledge gain.

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Conditions studied

  • Dementia

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Keywords

  • Family caregiving
03

In context

Dementia

2,172 studies on the registry are indexed under Dementia; 540 are open to participants now.

This study's enrollment of 350 is above the median of 83 across 1,629 interventional studies indexed under Dementia.

Browse Dementia studies →

Lead sponsor

University of California, Davis is the lead sponsor of 798 studies on the registry; 146 are open to participants now.

Of its 65 completed or terminated interventional studies of FDA-regulated products, 43 (66%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • To be eligible for the cluster RCT, the family member will need to be the identified adult (age 18 and above) primary caregiver (i.e. the person spending who provides the most time day-to-day providing care) to an older adult with dementia who is living in the community. In the event that the primary caregiver is not available to participate, an alternate family member who provides substantial care (i.e., at least 4 hours/day) to the older adult with dementia will be eligible.
  • Caregivers will need to score ≥ 6 on the Zarit Burden Inventory 4-item version.
  • All participants will be living in designated clusters in Hai Duong, Vietnam.
  • To be eligible, clusters will have a minimum of 5 participants and a maximum of 15 participants. Clusters will be defined as geographic areas serving local health stations.

Exclusion criteria

Exclusion Criteria:

  • Significant cognitive impairment or sensory deficit.
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Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
350 participants (actual)

Study arms

  • Experimental
    REACH VN

    A multi-component behavioral intervention to support family caregivers of persons with dementia. Participants will receive 4-6 sessions in-person or by phone over the course of 2-3 months.

    Behavioral: REACH VN

  • Placebo comparator
    Enhanced control

    A single session focused on education about the nature of dementia.

    Behavioral: Enhanced control

Interventions

  • BehavioralREACH VN

    4-6 sessions delivered over the course of 2-3 months.

  • BehavioralEnhanced control

    A single session providing education about dementia

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What researchers measure

Primary outcomes

  1. Zarit Burden Interview-12 (ZBI-12)

    The Zarit Burden Interview-12 (ZBI-12) asked caregivers to rate on a scale of 0 (never) to 4 (nearly always) how often they have experienced feelings of burden or stress related to caregiving (total score range: 0-48). A higher score indicates a higher feel of burden.

    Time frame: Baseline period at month 0, follow up period at 3 months, and follow up period at 6 months

  2. Patient Health Questionnaire-4 (PHQ-4)

    Patient Health Questionnaire-4 (PHQ-4) asked caregivers to rate on a scale of 0 (not at all) to 3 (nearly every day) how often they have been bothered by symptoms (e.g., feeling nervous, anxious, or on edge) over the past two weeks (total score range: 0-12). A higher score indicates a higher severity.

    Time frame: Baseline period at month 0, follow up period at 3 months, and follow up period at 6 months

Secondary outcomes

  1. Perceived Stress Scale (PSS-10)

    In the Perceived Stress Scale-10 (PSS-10), caregivers were asked to rate on a scale of 0 (never) to 4 (very often) how often they have felt a certain way (e.g., been upset because of something that happened unexpectedly) within the past month (total score range: 0-40). A higher sore indicates a higher perceived stress.

    Time frame: Baseline period at month 0, follow up period at 3 months, and follow up period at 6 months

  2. Patient Health Questionnaire-15 (PHQ-15)

    In the Patient Health Questionnaire-15 (PHQ-15), caregivers were asked to rate on a 3-point scale (0 = not bothered at all, 1 = bothered a little, 2 = bothered a lot) how much they have been bothered by somatic symptoms (e.g., stomach pain, headaches) during the past seven days (total score range: 0-30). A higher score indicates a greater severity.

    Time frame: Baseline period at month 0, follow up period at 3 months, and follow up period at 6 months

07

Results

Posted Mar 24, 2025

Participant flow

Participant flow — Overall Study
MilestoneREACH VNEnhanced Control
Started175175
Completed148157
Not completed2718
Withdrew: Care recipients passed away1813
Withdrew: No longer a primary caregiver51
Withdrew: Withdrawal by subject42
Withdrew: Caregivers passed away02

Outcome measures

PrimaryZarit Burden Interview-12 (ZBI-12)

The Zarit Burden Interview-12 (ZBI-12) asked caregivers to rate on a scale of 0 (never) to 4 (nearly always) how often they have experienced feelings of burden or stress related to caregiving (total score range: 0-48). A higher score indicates a higher feel of burden.

Time frame:
Baseline period at month 0, follow up period at 3 months, and follow up period at 6 months
Reported as:
Mean · score on a scale
Zarit Burden Interview-12 (ZBI-12)
score on a scaleREACH VNEnhanced Control
Baseline21.4 ± 8.422.0 ± 6.8
3 months20.1 ± 8.822.3 ± 8.8
6 months19.2 ± 9.122.4 ± 8.6
PrimaryPatient Health Questionnaire-4 (PHQ-4)

Patient Health Questionnaire-4 (PHQ-4) asked caregivers to rate on a scale of 0 (not at all) to 3 (nearly every day) how often they have been bothered by symptoms (e.g., feeling nervous, anxious, or on edge) over the past two weeks (total score range: 0-12). A higher score indicates a higher severity.

Time frame:
Baseline period at month 0, follow up period at 3 months, and follow up period at 6 months
Reported as:
Mean · score on a scale
Patient Health Questionnaire-4 (PHQ-4)
score on a scaleREACH VNEnhanced Control
Baseline3.7 ± 3.43.8 ± 3.6
3 months2.9 ± 3.04.4 ± 3.7
6 months3.4 ± 3.33.8 ± 3.2
SecondaryPerceived Stress Scale (PSS-10)

In the Perceived Stress Scale-10 (PSS-10), caregivers were asked to rate on a scale of 0 (never) to 4 (very often) how often they have felt a certain way (e.g., been upset because of something that happened unexpectedly) within the past month (total score range: 0-40). A higher sore indicates a higher perceived stress.

Time frame:
Baseline period at month 0, follow up period at 3 months, and follow up period at 6 months
Reported as:
Mean · score on a scale
Perceived Stress Scale (PSS-10)
score on a scaleREACH VNEnhanced Control
Baseline13.7 ± 6.814.1 ± 6.7
3 months11.9 ± 6.914.1 ± 6.7
6 months12.7 ± 7.213.7 ± 6.8
SecondaryPatient Health Questionnaire-15 (PHQ-15)

In the Patient Health Questionnaire-15 (PHQ-15), caregivers were asked to rate on a 3-point scale (0 = not bothered at all, 1 = bothered a little, 2 = bothered a lot) how much they have been bothered by somatic symptoms (e.g., stomach pain, headaches) during the past seven days (total score range: 0-30). A higher score indicates a greater severity.

Time frame:
Baseline period at month 0, follow up period at 3 months, and follow up period at 6 months
Reported as:
Mean · score on a scale
Patient Health Questionnaire-15 (PHQ-15)
score on a scaleREACH VNEnhanced Control
Baseline9.0 ± 5.49.0 ± 5.2
3 months7.6 ± 4.59.5 ± 5.7
6 months8.2 ± 5.18.8 ± 5.1

Adverse events

Collected over For each participant, adverse events were collected for the duration of participation in the study (up to 6 months). Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
REACH VN0/175 (0%)0/175 (0%)0/175 (0%)
Enhanced Control2/175 (1.1%)0/175 (0%)0/175 (0%)

Baseline characteristics

Baseline characteristics are reported only for participants who completed the 3-month follow-up. Participants who dropped out before the 3-month follow-up are not included in the baseline analysis.

Age, Continuous
Age, Continuous(years)REACH VNEnhanced ControlTotal
Mean61.9 ± 10.961.4 ± 11.361.7 ± 11.1
Sex: Female, Male
Sex: Female, Male(Participants)REACH VNEnhanced ControlTotal
Female116117233
Male445397
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)REACH VNEnhanced ControlTotal
Hispanic or Latino000
Not Hispanic or Latino160170330
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)REACH VNEnhanced ControlTotal
American Indian or Alaska Native000
Asian160170330
Native Hawaiian or Other Pacific Islander000
Black or African American000
White000
More than one race000
Unknown or Not Reported000
Zarit Burden Interview-12 (ZBI-12)
Zarit Burden Interview-12 (ZBI-12)(score on a scale)REACH VNEnhanced ControlTotal
Mean21.4 ± 8.422.0 ± 8.621.7 ± 8.5
Patient Health Questionnaire-4 (PHQ-4)
Patient Health Questionnaire-4 (PHQ-4)(score on a scale)REACH VNEnhanced ControlTotal
Mean3.7 ± 3.43.8 ± 3.63.7 ± 3.5
Perceived Stress Scale (PSS-10)
Perceived Stress Scale (PSS-10)(score on a scale)REACH VNEnhanced ControlTotal
Mean13.7 ± 6.814.1 ± 6.713.9 ± 6.75
Patient Health Questionnaire-15 (PHQ-15)
Patient Health Questionnaire-15 (PHQ-15)(score on a scale)REACH VNEnhanced ControlTotal
Mean9.0 ± 5.49.0 ± 5.29.0 ± 5.3
08

Study locations

1 site
  • Vietnam National Geriatric Hospital
    Hanoi, Vietnam
09

References and documents

Publications

  • Tran D, Nguyen H, Pham T, Nguyen AT, Nguyen HT, Nguyen NB, Nguyen BH, Harvey D, Gitlin L, Hinton L. Resources for Enhancing Alzheimer's Caregiver Health in Vietnam (REACH VN): study protocol for a cluster randomized controlled trial to test the efficacy of a family dementia caregiver intervention in Vietnam. Trials. 2022 May 9;23(1):377. doi: 10.1186/s13063-022-06228-6. PubMed 35534904 ↗

Study documents

  • Study protocol · May 23, 2023
  • Statistical analysis plan · Oct 15, 2020
  • Informed consent form · Jul 26, 2020

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 24, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04542317
Lead sponsor
University of California, Davis
Collaborators
National Geriatric Hospital, University of Minnesota, National Institute on Aging (NIA)
Responsible party
Sponsor
First posted
Sep 9, 2020
Start date
Oct 15, 2020
Primary completion
Feb 27, 2024
Completion
Feb 27, 2024
Results posted
Mar 24, 2025
Last update
Mar 24, 2025

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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