ClinicalTrials.gg
CompletedNCT04951037Updated Apr 16, 2024Results posted

Producing a Fully Asynchronous Online Savvy Program

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

Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

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).

Read the detailed description

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.

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Conditions studied

  • Dementia

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Keywords

  • Dementia caregiver
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In context

Dementia

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 →

Lead sponsor

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.

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
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • primary unpaid caregiver for a community-dwelling PLWD
  • provide at least 10 hours of direct care per week
  • able to read and understand English
  • be able to access the course online
  • naïve to Savvy or Tele-Savvy

Exclusion criteria

Exclusion Criteria:

  • cannot provide consent
  • prisoners
  • cognitively impaired adult
  • not able to clearly understand English
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Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
60 participants (actual)

Study arms

  • Experimental
    Fully Asynchronous Online Savvy Program

    Family caregivers of PLWD taking part in a fully asynchronous online caregiver education program.

    Behavioral: Fully Asynchronous Online Savvy Program

Interventions

  • BehavioralFully 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

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What researchers measure

Primary outcomes

  1. 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

  2. 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

  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

  4. 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

  5. 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

  6. 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

07

Results

Posted Apr 16, 2024

Participant flow

Participants were recruited in Atlanta, USA. Participant enrollment began September 15, 2021 and all follow-up assessments were completed by September 2, 2022.

Participant flow — Overall Study
MilestoneFully Asynchronous Online Savvy Program
Started60
Completed month 2 assessment46
Completed month 3 assessment39
Completed29
Not completed31
Withdrew: Lost to follow-up16
Withdrew: Withdrawal by subject5
Withdrew: Completed study assessments but did not complete the intervention10

Outcome measures

PrimaryCenter 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
Reported as:
Mean · score on a scale
Center for Epidemiologic Studies - Depression (CES-D) Score
score on a scaleFully Asynchronous Online Savvy Program
Baseline among those who completed the Online Savvy Program11.483 ± 11.009
Month 2 among those who completed the Online Savvy Program9.345 ± 6.360
Month 3 among those who completed the Online Savvy Program8.964 ± 8.149
Baseline among those who completed the survey14.317 ± 11.058
Month 2 among those who completed the survey10.848 ± 8.200
Month 3 among those who completed the survey10.132 ± 8.612
PrimaryZarit 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
Reported as:
Mean · score on a scale
Zarit Burden Interview Score
score on a scaleFully Asynchronous Online Savvy Program
Baseline among those who completed the Online Savvy Program31.207 ± 12.957
Month 2 among those who completed the Online Savvy Program29.138 ± 10.395
Month 3 among those who completed the Online Savvy Program26.296 ± 9.474
Baseline among those who completed the survey35.050 ± 14.274
Month 2 among those who completed the survey31.239 ± 10.754
Month 3 among those who completed the survey28.730 ± 10.235
PrimaryState-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
Reported as:
Mean · score on a scale
State-Trait Anxiety Inventory (STAI) Score
score on a scaleFully Asynchronous Online Savvy Program
Baseline among those who completed the Online Savvy Program31.793 ± 9.777
Month 2 among those who completed the Online Savvy Program31.793 ± 8.104
Month 3 among those who completed the Online Savvy Program29.893 ± 8.230
Baseline among those who completed the survey34.862 ± 11.190
Month 2 among those who completed the survey31.761 ± 9.053
Month 3 among those who completed the survey31.103 ± 9.167
PrimaryCaregiver 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
Reported as:
Mean · score on a scale
Caregiver Mastery Scale - Caregiving Competence Score
score on a scaleFully Asynchronous Online Savvy Program
Baseline among those who completed the Online Savvy Program12.160 ± 1.700
Month 2 among those who completed the Online Savvy Program12.821 ± 1.945
Month 3 among those who completed the Online Savvy Program13.143 ± 2.085
Baseline among those who completed the survey11.481 ± 2.330
Month 2 among those who completed the survey12.689 ± 1.998
Month 3 among those who completed the survey13.026 ± 2.146
PrimaryRevised 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
Reported as:
Mean · score on a scale
Revised Memory and Behavior Problem Checklist (RMBPC) Frequency Score
score on a scaleFully Asynchronous Online Savvy Program
Baseline among those who completed the Online Savvy Program40.276 ± 12.015
Month 2 among those who completed the Online Savvy Program36.345 ± 9.529
Month 3 among those who completed the Online Savvy Program34.786 ± 9.796
Baseline among those who completed the survey40.407 ± 13.849
Month 2 among those who completed the survey35.739 ± 10.784
Month 3 among those who completed the survey34.897 ± 9.784
PrimaryRevised 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
Reported as:
Mean · score on a scale
Revised Memory and Behavior Problem Checklist (RMBPC) Reaction Score
score on a scaleFully Asynchronous Online Savvy Program
Baseline among those who completed the Online Savvy Program18.483 ± 10.534
Month 2 among those who completed the Online Savvy Program12.828 ± 7.016
Month 3 among those who completed the Online Savvy Program12.893 ± 7.420
Baseline among those who completed the survey20.167 ± 12.238
Month 2 among those who completed the survey12.522 ± 7.453
Month 3 among those who completed the survey13.132 ± 7.977

Adverse events

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.

Adverse event summary by group
GroupDeathsSeriousOther
Fully Asynchronous Online Savvy Program0/60 (0%)0/60 (0%)0/60 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Fully Asynchronous Online Savvy Program
Mean58.217 ± 14.438
Sex/Gender, Customized
Sex/Gender, Customized(Participants)Fully Asynchronous Online Savvy Program
Female50
Male9
Non-binary1
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Fully Asynchronous Online Savvy Program
Hispanic or Latino4
Not Hispanic or Latino55
Unknown or Not Reported1
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Fully Asynchronous Online Savvy Program
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American7
White48
More than one race0
Unknown or Not Reported5
Region of Enrollment
Region of Enrollment(Participants)Fully Asynchronous Online Savvy Program
United States60
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Study locations

1 site
  • Emory University
    Atlanta, Georgia 30322, United States
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References and documents

Study documents

  • Protocol and statistical analysis plan · May 14, 2020
  • Informed consent form · Aug 19, 2020

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

Individual participant data

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.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 16, 2024, 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
NCT04951037
Lead sponsor
Emory University
Responsible party
Fayron Epps (Associate Professor, Emory University) — Principal investigator
First posted
Jul 6, 2021
Start date
Sep 15, 2021
Primary completion
Sep 2, 2022
Completion
Sep 2, 2022
Results posted
Apr 16, 2024
Last update
Apr 16, 2024

Study contacts

Fayron Epps, PhD, RN
principal investigator · Emory University
Carolyn Clevenger, DNP, RN
principal investigator · Emory University

Oversight

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

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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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