An interventional study of Fully Asynchronous Online Savvy Program in Dementia, sponsored by Emory University. Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-04-16.
Sponsored by Emory University · Not applicable, Interventional, and Supportive care
This is a pilot/feasibility study to develop and test a fully online, self-administered psychoeducation program to enhance the caregiving mastery of family and friends who provide unpaid care for persons living with Alzheimer's and similar dementia disorders (PLWD).
This study seeks to develop and test a fully online, self-administered psychoeducation program to enhance the caregiving mastery of family and friends who provide unpaid care for persons living with Alzheimer's and similar dementia disorders (PLWD). As the number of PLWD rises in the United States from the perhaps 7 million today to possibly 15 million in 2050, the healthcare system will rely on those caregivers even more. It is well established that family caregiving is taxing and stressful and that managing the day-to-day life of PLWD and handling the behavioral and psychological symptoms in dementia (BPSD) that they may exhibit are the main sources of stress. Group-based psychoeducational programs such as the Savvy Caregiver program (SCP) have demonstrated that the acquisition of skills, knowledge, and caregiving mastery can ameliorate caregiving stress - and enhance PLWD quality of life. Many factors, however, preclude caregivers' attendance in group-based programs and limit programs' scalability. To address the issue of access, the researchers have developed the Tele-Savvy program, an online version of SCP that brings groups of caregivers together in facilitator-led synchronous groups and provides substantive educational augmentation through asynchronous e-mail-delivered video lessons.
The first aim of this study is to develop a fully asynchronous online Savvy program that incorporates learning activities that promote both knowledge and skill acquisition and develop and enhance caregivers' felt-sense of caregiving mastery. Developing this education program will utilize input from clinicians, educators, Tele-Savvy facilitators, and caregiver advisors. The second study aim is to determine the feasibility, acceptability and preliminary efficacy of the created online program. This study will recruit 60 family caregivers to take part in a no-control trial of the program. Data will be gathered at baseline, immediately upon course completion and at 3 months post-baseline to assess caregiver distress measures (depression, strain, burden, anxiety), caregiver competence/ mastery, and care recipient quality of life.
2,231 studies on the registry are indexed under Dementia; 549 are open to participants now.
This study's enrollment of 60 is below the median of 83 across 1,669 interventional studies indexed under Dementia.
Browse Dementia studies →Emory University is the lead sponsor of 1,405 studies on the registry; 233 are open to participants now.
Of its 233 completed or terminated interventional studies of FDA-regulated products, 176 (76%) have results posted.
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Exclusion Criteria:
Family caregivers of PLWD taking part in a fully asynchronous online caregiver education program.
Behavioral: Fully Asynchronous Online Savvy Program
The intervention is a fully online, self-administered psychoeducational program designed to enhance caregiver mastery for family and friends providing unpaid care for living with Alzheimer's and similar dementia disorders. Participants will be asked to engage with a fully online version of Tele-Savvy for 42 days. Participants will receive a series of daily video lessons related to caregiving. These lessons are generally 8-15 minutes in length and are emailed to participants. Participants can watch the lessons whenever and as often as they wish over the course of the study. There will also be self-guided learning strategies and exercises to accomplish skill and mastery related to the caregiving role. The lessons cover a variety of topics including: * Facts about dementing Illnesses * Caregiving Strategies - guiding the person through days that are as safe, calm, and pleasant as possible * Self-Care for the Caregiver
Also known as: Tele-Savvy
Center for Epidemiologic Studies - Depression (CES-D) Score
The CES-D is a 20-item self-report instrument asking respondents if they have experienced symptoms of depression during the past week. Responses are given on a scale of 0 to 3 where "rarely" = 0 and "most of the time" = 3. Total scores range from 0 to 60 and higher scores indicate greater symptoms of depression.
Time frame: Baseline, Month 2, Month 3
Zarit Burden Interview Score
The Zarit Burden Interview is a 22-item scale of objective and subjective caregiver burden. Responses are given on a 5-point scale where 0 = never and 4 = nearly always. Total scores range from 0 to 88 where higher scores indicate greater feelings of being burdened with providing care.
Time frame: Baseline, Month 2, Month 3
State-Trait Anxiety Inventory (STAI) Score
The STAI is a 20-item self-report scale of positive and negative anxiety experiences. Responses are given on a 4-point scale where 1 = not at all and 4 = very much so. Total scores range from 20 to 80 and higher scores indicate greater anxiety.
Time frame: Baseline, Month 2, Month 3
Caregiver Mastery Scale - Caregiving Competence Score
The Caregiving Mastery instrument assesses caregiver mastery of 3 different realms of caregiving situations: Relational Deprivation, Caregiving Competence, and Management of Situation. The Caregiving Competence subscale asks caregivers about their thoughts about the caregiving they provide with 4 items where responses are given on a 4-point scale where "not at all" = 1 and "completely" or "very" = 4. Total scores range from 4 to 16 where higher scores indicate greater feelings of competence with caregiving.
Time frame: Baseline, Month 2, Month 3
Revised Memory and Behavior Problem Checklist (RMBPC) Frequency Score
The RMBPC is a 24-item scale reporting on frequency of disturbing care recipient behaviors and severity or caregiver reactions to these behaviors. Respondents indicate how frequently problems have occurred on a 5-point scale where 0 = never occurred and 4 = daily or more often. Total frequency scores range from 0 to 96 with higher scores indicating greater frequency of memory and behavior problems exhibited by the PLWD.
Time frame: Baseline, Month 2, Month 3
Revised Memory and Behavior Problem Checklist (RMBPC) Reaction Score
The RMBPC is a 24-item scale reporting on frequency of disturbing care recipient behaviors and severity or caregiver reactions to these behaviors. Respondents indicate the degree to which problems have bothered or upset them on a 5-point scale where 0 = not at all and 4 = extremely. Total reaction scores range from 0 to 96 with higher scores indicating more bothered or upset by memory and behavior problems exhibited by the PLWD.
Time frame: Baseline, Month 2, Month 3
Participants were recruited in Atlanta, USA. Participant enrollment began September 15, 2021 and all follow-up assessments were completed by September 2, 2022.
| Milestone | Fully Asynchronous Online Savvy Program |
|---|---|
| Started | 60 |
| Completed month 2 assessment | 46 |
| Completed month 3 assessment | 39 |
| Completed | 29 |
| Not completed | 31 |
| Withdrew: Lost to follow-up | 16 |
| Withdrew: Withdrawal by subject | 5 |
| Withdrew: Completed study assessments but did not complete the intervention | 10 |
The CES-D is a 20-item self-report instrument asking respondents if they have experienced symptoms of depression during the past week. Responses are given on a scale of 0 to 3 where "rarely" = 0 and "most of the time" = 3. Total scores range from 0 to 60 and higher scores indicate greater symptoms of depression.
| score on a scale | Fully Asynchronous Online Savvy Program |
|---|---|
| Baseline among those who completed the Online Savvy Program | 11.483 ± 11.009 |
| Month 2 among those who completed the Online Savvy Program | 9.345 ± 6.360 |
| Month 3 among those who completed the Online Savvy Program | 8.964 ± 8.149 |
| Baseline among those who completed the survey | 14.317 ± 11.058 |
| Month 2 among those who completed the survey | 10.848 ± 8.200 |
| Month 3 among those who completed the survey | 10.132 ± 8.612 |
The Zarit Burden Interview is a 22-item scale of objective and subjective caregiver burden. Responses are given on a 5-point scale where 0 = never and 4 = nearly always. Total scores range from 0 to 88 where higher scores indicate greater feelings of being burdened with providing care.
| score on a scale | Fully Asynchronous Online Savvy Program |
|---|---|
| Baseline among those who completed the Online Savvy Program | 31.207 ± 12.957 |
| Month 2 among those who completed the Online Savvy Program | 29.138 ± 10.395 |
| Month 3 among those who completed the Online Savvy Program | 26.296 ± 9.474 |
| Baseline among those who completed the survey | 35.050 ± 14.274 |
| Month 2 among those who completed the survey | 31.239 ± 10.754 |
| Month 3 among those who completed the survey | 28.730 ± 10.235 |
The STAI is a 20-item self-report scale of positive and negative anxiety experiences. Responses are given on a 4-point scale where 1 = not at all and 4 = very much so. Total scores range from 20 to 80 and higher scores indicate greater anxiety.
| score on a scale | Fully Asynchronous Online Savvy Program |
|---|---|
| Baseline among those who completed the Online Savvy Program | 31.793 ± 9.777 |
| Month 2 among those who completed the Online Savvy Program | 31.793 ± 8.104 |
| Month 3 among those who completed the Online Savvy Program | 29.893 ± 8.230 |
| Baseline among those who completed the survey | 34.862 ± 11.190 |
| Month 2 among those who completed the survey | 31.761 ± 9.053 |
| Month 3 among those who completed the survey | 31.103 ± 9.167 |
The Caregiving Mastery instrument assesses caregiver mastery of 3 different realms of caregiving situations: Relational Deprivation, Caregiving Competence, and Management of Situation. The Caregiving Competence subscale asks caregivers about their thoughts about the caregiving they provide with 4 items where responses are given on a 4-point scale where "not at all" = 1 and "completely" or "very" = 4. Total scores range from 4 to 16 where higher scores indicate greater feelings of competence with caregiving.
| score on a scale | Fully Asynchronous Online Savvy Program |
|---|---|
| Baseline among those who completed the Online Savvy Program | 12.160 ± 1.700 |
| Month 2 among those who completed the Online Savvy Program | 12.821 ± 1.945 |
| Month 3 among those who completed the Online Savvy Program | 13.143 ± 2.085 |
| Baseline among those who completed the survey | 11.481 ± 2.330 |
| Month 2 among those who completed the survey | 12.689 ± 1.998 |
| Month 3 among those who completed the survey | 13.026 ± 2.146 |
The RMBPC is a 24-item scale reporting on frequency of disturbing care recipient behaviors and severity or caregiver reactions to these behaviors. Respondents indicate how frequently problems have occurred on a 5-point scale where 0 = never occurred and 4 = daily or more often. Total frequency scores range from 0 to 96 with higher scores indicating greater frequency of memory and behavior problems exhibited by the PLWD.
| score on a scale | Fully Asynchronous Online Savvy Program |
|---|---|
| Baseline among those who completed the Online Savvy Program | 40.276 ± 12.015 |
| Month 2 among those who completed the Online Savvy Program | 36.345 ± 9.529 |
| Month 3 among those who completed the Online Savvy Program | 34.786 ± 9.796 |
| Baseline among those who completed the survey | 40.407 ± 13.849 |
| Month 2 among those who completed the survey | 35.739 ± 10.784 |
| Month 3 among those who completed the survey | 34.897 ± 9.784 |
The RMBPC is a 24-item scale reporting on frequency of disturbing care recipient behaviors and severity or caregiver reactions to these behaviors. Respondents indicate the degree to which problems have bothered or upset them on a 5-point scale where 0 = not at all and 4 = extremely. Total reaction scores range from 0 to 96 with higher scores indicating more bothered or upset by memory and behavior problems exhibited by the PLWD.
| score on a scale | Fully Asynchronous Online Savvy Program |
|---|---|
| Baseline among those who completed the Online Savvy Program | 18.483 ± 10.534 |
| Month 2 among those who completed the Online Savvy Program | 12.828 ± 7.016 |
| Month 3 among those who completed the Online Savvy Program | 12.893 ± 7.420 |
| Baseline among those who completed the survey | 20.167 ± 12.238 |
| Month 2 among those who completed the survey | 12.522 ± 7.453 |
| Month 3 among those who completed the survey | 13.132 ± 7.977 |
Collected over Information on adverse events was collected beginning when consent was given to participant in the study and continued through the final assessment at Month 3.. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Fully Asynchronous Online Savvy Program | 0/60 (0%) | 0/60 (0%) | 0/60 (0%) |
| Age, Continuous(years) | Fully Asynchronous Online Savvy Program |
|---|---|
| Mean | 58.217 ± 14.438 |
| Sex/Gender, Customized(Participants) | Fully Asynchronous Online Savvy Program |
|---|---|
| Female | 50 |
| Male | 9 |
| Non-binary | 1 |
| Ethnicity (NIH/OMB)(Participants) | Fully Asynchronous Online Savvy Program |
|---|---|
| Hispanic or Latino | 4 |
| Not Hispanic or Latino | 55 |
| Unknown or Not Reported | 1 |
| Race (NIH/OMB)(Participants) | Fully Asynchronous Online Savvy Program |
|---|---|
| American Indian or Alaska Native | 0 |
| Asian | 0 |
| Native Hawaiian or Other Pacific Islander | 0 |
| Black or African American | 7 |
| White | 48 |
| More than one race | 0 |
| Unknown or Not Reported | 5 |
| Region of Enrollment(Participants) | Fully Asynchronous Online Savvy Program |
|---|---|
| United States | 60 |
Documents are hosted by the registry — open the source record to download them.
Plan to share: Yes — All of the individual participant data collected during the trial will be made available for sharing with other researchers, after deidentification.
Supporting information: Study protocol
Time frame: Sharing will begin 3 months and end 5 years following article publication.
Access criteria: Individual participant data will be made available to researchers who provide a methodologically sound proposal in order to achieve aims in the approved proposal. Proposals should be directed to Dr. Epps at fepps@emory.edu. To gain access, data requestors will need to sign a data access agreement. Data are available for 5 years at a third party website.
This study is completed, as verified in Mar 2024. You cannot join it, but the record below documents what was studied.
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