Knowledge and Interpersonal Skills to Develop Exemplary Relationships (Pilot 2)
Phase: NA
Conditions: Dementia, Caregiver Burden, Relation, Family, Elder Abuse
Sponsor: Case Western Reserve University

 
 
 
 
 
 
 
Knowledge and Interpersonal Skills to Develop 
Exemplary Relationships (KINDER): Pilot Study 
 
NCT: NCT05783102 
 
Study Protocol 
 
Document Last Updated: 2/13/2024 

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[USE THIS TEMPLATE IF YOUR PROJECT INCLUDES SURVEY, INTERVIEWS, FOCUS 
GROUPS OR EDUCATIONAL RESEARCH ACTIVITIES WITH NO BIOMEDICAL/CLINICAL 
COMPONENTS]
INSTRUCTIONS:

Use this template to prepare your IRB Protocol.

Depending on the nature of what you are doing, some sections may not be applicable to 
your research. If so, please mark as N/A. 

When you write a protocol, keep an electronic copy. You will need to modify this copy 
when making changes. 

Consider using a different color font for your answers.
PROTOCOL TITLE:
Include the full protocol title.
Knowledge and Interpersonal Skills to Develop Exemplary Relationships (KINDER): A 
Pilot Study
PRINCIPAL INVESTIGATOR:
Name: Kylie Meyer, PhD
DATE:1/30/2024
Indicate the origin of this protocol (who conceived of and leads the development of the 
protocol regardless of funding):
☒     Investigator initiated (Investigator(s) developed protocol, regardless of funding)
☐     Industry (Pharmaceutical, Device, etc.) (Industry developed protocol)
☐     Federal (NIH, DOD, etc.)
☐     Cooperative Group (SWOG, GOG, etc.)
☐     Other - Please specify:  Click here to enter text. 
Has this study been disapproved by or withdrawn from any other IRB?
☐  Yes☒  No
If so, please explain: Click here to enter text.
Does this study involve cancer research or cancer-related issues?
☐  Yes☒  No
If yes, indicate the PRMC number: Click here to enter text.
Is this a student led study?
☐  Yes☒  No
If yes, is the student: ☐ Undergrad
☐ Graduate Student  ☐Other Click here to enter text.
If yes, is the project:  ☐ Capstone
☐ Master’s thesis
☐ PhD dissertation
☐Other Click here to enter text.

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Is this work part of a larger collaborative research project where more than one institution is 
participating in the research?  (In collaborative projects, data/specimens/results are often shared 
between researchers at the participating institutions, and they will publish together.)
☐ No  ☒ Yes
If yes, please explain.
This is a pilot study that involves collaboration with investigators at the University of 
Southern California, where there are two other investigators consulting on the 
intervention design, study design and grant applications related to this work. We will 
likely publish together. In some cases, researchers from USC may help deliver the 
KINDER program as facilitators. However, due to the sensitive nature of the data and 
mandatory reporting laws, only investigators at Case Western Reserve University 
will be involved in data collection. This will prevent the risk of confidentiality being 
breached by limiting who can see data.
1.0 Funding
If this study is grant funded, is the money coming directly to CWRU from the study sponsor?
☐  Yes☐  No ☒  N/A, not grant funded
2.0 Objectives
Directions: Describe the purpose, specific aims or objectives. Be sure to also include the 
hypothesis being tested. Aim 1: Test the preliminary efficacy of KINDER. The investigators 
hypothesize caregivers will report improved resourcefulness (mediator for future study) and 
relationship quality (primary outcome) following participation. Further, caregivers will report 
higher quality of care and reduced frequency of verbal mistreatment (distal outcomes). Aim 2: 
Determine acceptability among caregivers and feasibility with satisfaction surveys and fidelity 
reports.  
3.0 Background
Directions: Describe the relevant prior experience and gaps in current knowledge 
describing how this study will add to existing knowledge. Include any relevant preliminary 
data.  What is KINDER? KINDER is a psychoeducational intervention to prevent and mitigate 
the occurrence of verbal-type elder mistreatment by family caregivers to persons living with 
dementia. Content focuses on building healthy and respectful caregiving relationships (Benton 
& Meyer, 2022). KINDER focuses on verbal mistreatment among families living with dementia, 
since it is estimated that one- to two-thirds of family caregivers engage in potential 
mistreatment, of which verbal mistreatment is the most common type (Cooper et al., 2009; 
Orfila et al., 2018; Pickering et al., 2019; Wiglesworth et al., 2010). Beyond verbal mistreatment, 
KINDER also seeks to promote high-quality care by family members, including provision of care 
that is respectful (Christie et al., 2009; Dooley et al., 2007). KINDER was developed by Kylie 
Meyer, PhD, at Case Western Reserve University’s Frances Payne Bolton School of Nursing and 

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Donna Benton, PhD, at the University of Southern California’s Leonard Davis School of 
Gerontology.  How does KINDER address elder mistreatment in an in a new way? KINDER 
draws on lessons learned from child maltreatment and intimate partner violence (Meyer, 
2017). Specifically, KINDER is modeled after the ePREP online intervention to support healthy 
romantic partnerships, which was later found to reduce incidence of verbal and physical abuse 
(Braithwaite & Fincham, 2007; Braithwaite & Fincham, 2014). KINDER addresses multiple 
contextual, interpersonal, and individual risk factors for interpersonal strain and potential 
mistreatment among care partners (Meyer et al., 2022). To ensure acceptability among 
caregivers and cultural relevance of the program, KINDER structure and content were informed 
by 9 focus groups with racially and ethnically diverse caregivers across Los Angeles (Rath et al., 
2019).   What are caregivers asked to do when they participate in KINDER? KINDER was 
developed to balance best practices in psychoeducation (e.g., built-in opportunities to practice 
new skills) with ease of participation for busy caregivers. To make it easier for caregivers to 
participate, KINDER is primarily delivered over eight, self-administered lessons. Each lesson 
begins with a story-based video, based on scenarios we heard in focus group. Videos are 
followed by a reading that elaborates on topics raised in videos. To reinforce learning, 
caregivers may also complete a reading quiz, a reflection, and a practice exercise. Caregivers 
are asked to complete 1 lesson/week using a digital PDF or printed workbook. Based on 
caregiver feedback, we are now integrating small group discussion sessions by Zoom to allow 
caregivers to learn from each other and “digest” information learned during self-administered 
lessons. The figure below illustrates the schedule for participation.  
  For an example 
of one of the story-based video vignettes, click here: 
https://www.youtube.com/watch?v=1H_Id0djpkA   What do caregivers think of KINDER? We 
completed qualitative interviews with caregivers who participated in a pilot study of the initial 
version of KINDER (Meyer et al., 2023). Caregivers reported overall satisfaction with the 
program. “I just I love this program,” said one caregiver, “It resonated with me and it’s 
something that I will continue to use and talk about to others.” (Participant 5). Echoing this 
enthusiasm, another caregiver said of KINDER, “I think it’s a game changer in our lives. I really 
do.” (Participant 8). Another caregiver described how she thought KINDER affected her 
caregiving:   So just even the thought of the program made me feel as though it was going to 
help me ease into the challenge of caregiving in a more natural way and in a kinder way, and a 
more caring, authentic way, as opposed to something that is obligatory, you know? (Participant 
9)  We also found that caregivers were comfortable with videos and readings that addressed 
potential elder mistreatment, as described by the caregiver quoted below.  “It was even, well 
six and seven that you find yourself becoming so angry and so frustrated that you just feel like 

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you’re at your wits end. That’s stressful. It’s hard to, if you haven’t been there to think that you 
might even go there because of what you’re dealing with.” (Participant 7)  Findings from 
qualitative interviews also revealed likely theoretical mechanisms underlying KINDER, include 
relationship turbulence theory and resourcefulness theory (Meyer, In Review). KINDER is being 
revised to better integrate theory-based components, including development of personal and 
resourcefulness skills known to reduce caregiver strain and support mental health 
(Zauszniewski, 2016; Zauszniewski et al., 2016).  The purpose of this study is to test the revised 
version of KINDER, including resourcefulness as a middle-range theory. Findings will inform 
future efficacy-testing that can provide insight into how to prevent the occurrence of verbal-
type elder mistreatment and low-quality care of family caregivers to persons living with 
dementia. 
Please add relevant references at the end of the protocol, not at the end of this section.
4.0 Inclusion and Exclusion Criteria
Directions: Describe how individuals will be screened for eligibility. 
Participants may complete eligibility screening by phone or begin the screening online. 
Participants who complete screening online will receive a telephone follow up to complete any 
questions they may have missed and answer questions they may have. 
Using the tables below, describe the inclusion and exclusion criteria that will define who 
will be included and excluded in your final study sample.
 
Inclusion
1.
Is age 18+ 
2.
Provides care to a family member or friend living with Alzheimer’s Disease or a 
related dementia. This does not have to be diagnosed.
3.
Participant helps with at least 1 activity of daily living (e.g., bathing) or 2 instrumental 
activities of daily living (e.g., shopping) 
4.
Participant provides at least 8 hours of assistance to the care recipient per week
5. 
Participant does not intend to place the care recipient in a skilled nursing facility 
within 3 months of consenting into the study
Exclusion
1.
Does not read and speak English
2.
Does not have reliable access a computer and internet
5.0 Number of Research Participants
Directions: Indicate the target number of research participants to be accrued locally, and, 
if this is a multi-site study, indicate the total number of research participants to be accrued 
across all sites. 
Example language that can be used: We will enroll 25 subjects at CWRU and plan to enroll 
150 subjects study wide. We will aim to enroll N=46 participants in order to achieve a sample 

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size of N=34, which will enable us to detect a medium effect size using a single-sided paired t-
test using an alpha of 0.05 at 0.80 power. 
6.0 Special/Vulnerable Populations
Indicate specifically if you will include each of the following special populations by checking 
the appropriate box: 
☐  
Adults unable to consent
☐  
Minors (infants, children, teenagers) 
☐  
Wards of the state (e.g. Foster Children)
☐  
Pregnant Women (only if targeted)
☐  
Neonates
☐  
Neonates of Uncertain Viability
☒  
Employees
☐  
Prisoners
☐  
Illiterate Individuals
☐  
Non-English Speaking
☐  
Students
☐  
None
1. If the research involves students or employees, describe how you will recruit so that: 
a) Employers or educators do not know if someone participated (until after grades have 
been assigned in the case of educators) 
b) Employers or educators do not directly recruit their own students or employees, and 
anything else to prevent feelings of coercion to those subordinate to their employer or 
educator. 
The study team would like to acknowledge that we are requesting employees at the USC 
FCSC to complete fidelity reports when completing the intervention, such that these 
individuals are providing study data. In order to ensure employees do not feel forced to 
complete these forms, we have added the following language at the top of the fidelity 
data collection form and facilitator workbook. This section reads: “Voluntary nature of 
fidelity reports for facilitators. Facilitators who deliver KINDER at community sites are NOT 
required to complete fidelity self-reports (i.e., completion is voluntary), but are encouraged to do so to 
support the current research study. If you choose to complete the fidelity report, the information you 
provide will not be anonymous. This is because it is possible to determine who facilitated a particular 
session on a given date. However, your individual responses will not be shared with your supervisor. 
Researchers may share aggregate results to support quality improvement.  If you have any questions, 
please contact the study's principle investigator, Kylie Meyer, PhD, at knm77@case.edu.” 
2. If the research involves individuals that are included in a special/vulnerable population, 
describe the additional safeguards included to protect the rights and welfare of the 
individuals for each population indicated. Click here to enter text.
3. If excluding pregnant women, illiterate or non-English speaking individuals, provide a 
scientific rationale for the exclusion.  Inconvenience or cost is not an acceptable 

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rationale. Non-English speakers are excluded at this research stage as the intervention is 
not yet known to be efficacious. Once indications of efficacy are found, we will consider 
testing a translated version of the intervention. Those who are not literate are also 
excluded, given these individuals would not be able to participate in the intervention 
being tested.
7.0 International information
☒  This is not an international study – please leave rest of this section blank.
☐  We will be conducting this research at the following international sites:
Click here to enter text.
☐  We are recruiting participants outside of the US from the following locations:
Click here to enter text.
☐  We are sending data outside of the US to the following locations:
Click here to enter text.
☐  We are receiving data from outside of the US from the following locations:
Click here to enter text.
8.0 Recruitment Methods
Note: Attach all applicable recruitment materials to the last section of the Smart form under 
“Recruitment Materials.”
1. Which of the following methods will be used to recruit research participants? – Select all 
that apply
☐  Email
☐  Phone call
☐  Letter
☒  Advertisement (e.g., poster, flyer, etc.)
☒  I attest that advertisements will only be placed with permission 
☒  Social media

Indicate the platform(s): Facebook
☒  I attest that recruitment information will only be posted with permission 
☐  Other. Please specify: Click here to enter text.
2. Describe when, where, how and by whom potential research participants will be 
recruited. Individuals involved in recruitment should be identified by role and not by 
name (e.g. study coordinator, co-investigator, research assistant).
Information about the KINDER study will be shared with community partners who work 
directly with family caregivers so they may share information in newsletters and “e-
blasts” as well as social media sites. Caregivers may also learn about the program on 
Eventbrite and may indicate whether they wish to be contacted about the study. 
Individuals who are not study participants but who register to attend will also be 
contacted by email to complete the satisfaction survey and/or non-participation survey. 

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3. Describe the feasibility of recruiting the required number of suitable research participants 
within the agreed recruitment period. For example, how many potential research 
participants do you have access to? 
We plan to recruit participants for up to 1 year to reach 46 participants. The PI has 
successfully recruited this number of caregivers using a similar study design in the past. 
The likelihood of a recruitment success is enhanced by working with community partners 
who already provide services to family caregivers, such as the USC Family Caregiver 
Support Center. Further, the study team will use a dynamic recruitment plan, wherein we 
will regularly assess recruitment patterns at twice monthly team meetings to evaluate the 
need to make modifications depending on the pace of recruitment.  
9.0 Setting
Directions: Describe the sites and locations where your research team will conduct the 
research.
 This research will be conducted at Case Western Reserve University. Because this is a digital 
intervention intended to reach caregivers’ nationally, we do plan to work with community 
organizations across the US to reach caregivers. Researchers at other universities (i.e., University 
of Southern California) may also consult on this study but will not be involved in data collection. 
In some cases, these researchers may share study flyers and information, but will not otherwise 
be involved in the enrollment process. No identifying study participant information will be 
shared with community partners or research consultants.
10.0 Consent Process
Indicate whether you will be obtaining consent:
☒  Yes
☐  No
If yes, answer the following questions:
1. Describe who will consent the subjects and where the consent process will take 
place: The principal investigator will review the consent document with 
participants by telephone after confirming participant eligibility either online or 
by phone. The participant will then receive an email with a link to the 
downloadable consent document. The participant will be able to open a PDF 
version of the consent document and will be asked to provide their electronic 
signature their consent to participate in REDCap. They will receive an email 
confirmation of consent with a copy of the consent form attached. 
  
2. The time that will be devoted to the consent discussion: Based on experience with 
prior protocols using a similar approach, it is estimated that the consent discussion 
will take approximately 15 minutes to complete by phone. Participants may also 
take as long as they wish while the study is ongoing to review and sign the 
consent form. If it has been more than 2 months since a caregiver completed 
eligibility screening when the consent form is returned, they will be rescreened to 
ensure ongoing eligibility. 
3. Any waiting period available between informing the prospective subject and 
obtaining the consent: Participants are allowed to request time to think about 

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enrolling in the study after learning they are eligible. We will share that this 
option while completing the consent process. 
4. Steps that will be taken to ensure the research participants’ understanding: The PI 
will check with the participant to ask if they have any questions about the 
information provided while describing each section of the consent form. 
Important information, such as that participation in the study is voluntary and 
researchers’ obligation to report suspected mistreatment, will be emphasized to 
ensure participants understand these important points. The PI will also listen for 
signs that the participant does not understand the information shared correctly. 
Further, participants are asked to answer questions about the study consent form 
before signing. Caregivers will not be able to sign the consent form until 
questions are correctly answered. 
5. Any process to ensure ongoing consent: Ongoing consent will be assumed so long 
as the participant completes surveys. We also include a note at the beginning of 
the survey to remind participants that the surveys are voluntary, and they may 
pause, stop, or skip questions if they wish
6. Steps that will be taken to minimize the possibility of coercion or undue influence 
to the subjects: Participants will be reminded during recruitment and enrollment 
that they may still participate in the KINDER program, regardless of whether they 
participate in the study. 
For Adult Participants
Indicate if you will be asking for a waiver or alteration of consent process or 
documentation (consent will not be obtained, or written consent will not be documented)
☒  Yes
☐  No
If yes, explain how the research involves no more than minimal risk. We will send a 
satisfaction survey and/or survey asking about reasons for non-participation to non-study 
participants, and may invite these individuals to participate in a qualitative interview about 
the experiences participating in KINDER. In all cases, data collected pertains to caregivers’ 
individual experiences with the program, and is not related to their own private health 
information. Further, survey data will be anonymous while interviews will be kept 
confidential.. 
Indicate which part of the consent process you are requesting be waived or altered and 
the rationale for requesting the waiver or alteration:
☒  
I will obtain consent, but not participant’s signature.
1. Give the rationale for the request of a waiver of signed consent. 
Individuals who are enrolled into the main study but who may be able to 
provide feedback about the program’s acceptability may be less likely than 

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study participants to  complete a full consent process in order to 
participate in low risk data collection activities, like the satisfaction survey
2. Please describe how you will be documenting that a participant has 
consented. Completion of surveys and/or the qualitative interview will be 
understood to mean they have consented.  
3. Indicate if the subjects will be provided with written information about the 
study, and provide justification if you will not be providing a written 
explanation of the research. Yes. Survey forms include written 
information about the study in the introduction. Those participating in the 
qualitative interview will receive a copy of the interview information 
sheet..
☐  
 I will obtain consent, but request a waiver of some of the elements of consent 
                      (e.g. use of deception).
☐  
 I will not obtain any consent, and I am requesting a full waiver of consent.
If you are requesting an alteration of consent, or a waiver of consent, please answer 
the following:
1. Give the rationale for the request of a waiver or alteration of the consent 
process. See above regarding rationale for waiver of signed consent.
2. Explain why the waiver or alteration of consent will not adversely affect 
the rights and welfare of the participants. All relevant study information, 
including voluntary nature of participation, will be provided before data is 
collected.
3. Explain why the research could not practicably be carried out without the 
waiver or alteration of consent. Those individuals who do not volunteer to 
participate in the main study may be even less likely to participate in other 
data collection activities regarding intervention acceptability, but may 
provide insight that differs from that of study participants.
4. Indicate if the subjects will be provided with additional information about 
the study after participation. No, because data collected from surveys will 
be anonymous. 
*Be sure to upload a consent script or information sheet with your study protocol
Additional Considerations for Consent Process with Adults
Non English Speakers (Please select one)

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☒  I am not enrolling non-English speaking individuals in this research study. The following is 
justification for why non-English speaking individuals cannot be enrolled: We are testing the 
KINDER intervention to determine its feasibility and acceptability of the intervention. 
KINDER is not yet an evidence-based program. Once we determine its value as an evidence-
based program, we will begin to consider cultural and language translation. 
☐  I will be targeting non-English speaking adults
1. Describe the process to ensure that the oral and written information provided to those 
research participants will be in that language during initial consent as well as throughout 
the study. Click here to enter text.
2. List the language(s) other than English that will be targeted: Click here to enter text.  
☐  I am not targeting non-English speaking individuals. If a non-English speaking individual is 
eligible for the study, we will use the following procedures to enroll: 
1. Describe the process to ensure that the oral and written information provided to those 
research participants will be in that language during initial consent as well as throughout 
the study. Click here to enter text.
2. List the language(s) other than English that will be targeted: Click here to enter text.
Adults Unable to Consent
☒  I am not enrolling adults unable to consent in this research study – please leave the rest of 
this section blank.
☐  There is an anticipated direct benefit to the subject. Explain: Click here to enter text.
☐  There is NOT an anticipated direct benefit to the subject. Explain: Click here to enter 
text.
1. Describe the process to determine whether an individual is capable of consent. Click here 
to enter text.
2. List the individuals from whom permission will be obtained in order of priority (e.g. 
durable power of attorney for health care, court appointed guardian for health care 
decisions, spouse, and adult child). Click here to enter text.
3. For research conducted outside of the state, provide information that describes which 
individuals are authorized under applicable law to consent on behalf of a prospective 
subject to their participation in the procedure(s) involved in the research. Click here to 
enter text.
☐ N/A  
4. Describe the process for assent of the research participants. Indicate:

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
Which subjects that are unable to consent will be required to give assent? If not all, 
explain why. Click here to enter text.

Describe whether assent of the research participants will be documented and the 
process to document assent. Click here to enter text.
☐  The subject will be informed about the research to the extent compatible with the 
subject’s understanding.
☐   Subjects will be closely monitored.
☐  The subject will be withdrawn if they appear unduly distressed.
Research Participants Who Are Not Yet Adults (infants, children, teenagers)
☒  I am not enrolling participants who are not yet adults in this research study. – please leave the 
rest of this section blank
1. Will parental permission be obtained from:
☐  One parent even if the other parent is alive, known, competent, reasonably 
available, and shares legal responsibility for the care and custody of the child
☐  Both parents unless one parent is deceased, unknown, incompetent, or not 
reasonably available, or when only one parent has legal responsibility for the 
care and custody of the child
☐  Requesting a waiver of parental permission
If you are getting parental/guardian permission:
a.
Indicate how you will be documenting the permission:
☐  Signed consent form
☐  Requesting a waiver of documentation of parental permission
b. Describe whether permission will be obtained from individuals other than 
parents, and if so, who will be allowed to provide permission. Describe the 
process used to determine these individuals’ authority to consent to each child’s 
participation in research. Click here to enter text.
If a waiver of parental permission is being requested:
a.
Describe how the study is designed for a subject population for which 
parental/guardian permission is not a reasonable requirement to protect the 
subjects, if applicable. Click here to enter text.
b. Describe how the research could not practicably be carried out without the 
waiver of parental permission. Click here to enter text.
c.
Indicate if the subjects will be provided with additional information about the 
study after participation. Click here to enter text.

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2.   Will assent be obtained from:
☐  all of the children
☐  some of the children
☐  none of the children
If assent will be obtained from some children, indicate which children will be 
required to assent. Click here to enter text.
If assent will be obtained from none of the children, indicate the rationale. Click here 
to enter text.
When assent of children is obtained, describe how it will be documented. Click here 
to enter text.
3. For children who are pregnant, describe how assent and permission are obtained. Click 
here to enter text.
☐ N/A 
11.0 Sharing of Results with Research Participants
Individual test or research results will be shared with research participants (this is not referring to 
sharing through standard academic channels, e.g., publishing, presentation, etc.):
☐ Yes
☒ No
If yes, describe how the results will be shared. Click here to enter text.
Individual test results will be shared with others (e.g., lab results given to a primary care 
physician):
☒ Yes
☐ No
If yes, describe with whom and how the results will be shared. In cases where the 
investigators suspect risk of harm to self or others, we may share information collected from 
research data with appropriate parties. For example, if we observe suspected elder mistreatment 
that rises to a level where we need to report (e.g., Endorsement of 4 or more items on the 
Modified Conflict Tactics Scale as “6 to 10” or “More than 10 times.” See “Call Script for 
Perceived Risk of Harm”), the study team may share survey items responses about self-reported 
mistreatment with Adult Protective Services in a report. 
12.0 Study Design/Procedures
Directions: 
1) Describe the overall study design (e.g.: single visit, single-blind, double-blind, 
non-randomized, randomized, blood draw, investigational drug, device etc.).
2) Provide a description of all study-related research procedures being performed, 
including the length of time involved. 
3) Include procedures being performed to monitor research participants for safety 
or minimize risks. 

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4) Describe the source records including medical or educational records, which will 
be used to collect data about subjects.
5) Include a description of any device being used to collect data (e.g., eye tracker, 
step counter).  If the device itself is being studied, include additional information in 
Section 29.
 Overall Study Design. We propose to conduct a single-arm pre- and post-test 
intervention study to evaluate the preliminary efficacy, as well as the acceptability and 
feasibility of the KINDER program. Participation includes completion of a 9-week 
intervention, as well as completion of two surveys (baseline and follow up). Total study 
participation is estimated to take 20 hours depending how long it takes caregivers to 
complete lessons and will be spread over 3 months.  Intervention. KINDER is a 9 week 
digitally delivered psychoeducational intervention to promote healthy caregiving 
relationships by building caregiver resourcefulness, for the purpose of improving quality 
of care and preventing verbal elder mistreatment. Content includes a mix of 
synchronous and asynchronous activities, including three 1.5-hour group facilitated 
Discussion Sessions by Zoom, 3 check in calls with a facilitator of approximately 20 
minutes each, and 8 independent lessons consisting of a story-based video, reading, 
reading quiz, reflection, and self-care goal. Lesson topics include understanding a 
dementia diagnosis, communicating with person you care for about challenging topics, 
finding a balance between safety concerns and independence, and more. Each lesson 
takes an estimated 1 hour to complete. Independent KINDER lessons can be completed 
using a printed or digital copy of the KINDER Workbook.  Interventionist Training. 
Interventionists will undergo at least 2 hours of didactic training, in addition to self-
study and shadowing or co-facilitating Discussion Sessions. Didactic training will include 
a review of the KINDER program and its underlying theory, review of the workbook and 
discussion sessions, and review of the facilitator guide. Didactic sessions will include 
active learning components, such as role-play of facilitator calls to participants. Before 
delivering sessions independently, facilitators will either shadow or co-facilitate KINDER 
sessions with another trained facilitator or the PI.  Screening and Enrollment. 
Participants may complete eligibility online or by phone. If a participant completes the 
eligibility screening online and is eligible, they will receive a telephone follow up call 
from the study team member notifying them. (If the participant is not eligible following 
screening, they will receive an email notification.) During this call, the study team 
member will review the consent form with the participant and answer any questions 
they may have. If the caregiver would like to participate, they will be sent an email with 
a link to the consent form to complete. Interested caregivers who complete the 
eligibility screening by phone will undergo the same process, except the screening call 
will also include review of information in the consent form if the participant is eligible.  
Recruitment. Participants will primarily be recruited by contacting those caregivers who 
register to participate in KINDER on Eventbrite. Caregivers will be asked to indicate 
whether they would like to be contacted by researchers about a study on the KINDER 
program. The research team will then follow up to provide more information, altering 
between phone and email.  (See Participant Communications.) Other methods of 

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recruitment include sharing flyers at community organizations and Facebook social 
media posts.  Data Collection. Data collection will be primarily conducted in REDCap 
using self-administered surveys. A baseline survey will be sent within 2 weeks of the 
caregiver attending Discussion Session 1. The follow up survey will be sent immediately 
following completion of the intervention. Participants will receive up to 3 reminders to 
complete surveys. Caregivers who attend KINDER who do not participate in the study 
will also be invited to complete an anonymous satisfaction survey via REDCap. In 
addition to participant surveys, we will also ask facilitators, who are not members of the 
study team, to complete a facilitator monitoring report, call logs, and participant 
attendance forms to monitor adherence to protocols and intervention exposure. An 
observer from the study team will also complete a fidelity monitoring report using 
recorded discussion sessions. Some participants will also be asked to participate in a 
one-on-one semi-structured qualitative interview by phone or Zoom so we can learn 
more about experiences participating in KINDER. Participants will be purposefully 
selected, so as to ensure the representation of caregivers from various demographic 
backgrounds and caregiving situations.  Further, we will send a satisfaction survey to all 
KINDER participants to learn more about their experiences participating in the program 
to support its ongoing improvement. For those who do not attend any or <2 discussion 
sessions, we will also send a survey asking about reasons for non-participation. Safety 
Monitoring. The PI will complete a safety monitoring report once every 3 months of this 
study. Information will include the number of individuals recruited, enrolled, dropped 
out, demographic information on participants, and descriptive information on study 
variables including the proportion of missing data for each variable. 
13.0 Study Timeline (optional)
14.0 ClinicalTrials.gov Information
Directions: If this study has been registered on ClinicalTrials.gov, provide the 
ClinicalTrials.gov identifier and the investigator/sponsor responsible for registering. If this 
study has not been registered on ClinicalTrials.gov, provide the rationale as to why and 
Pre-
Screening
Visit 
1
Visit 
2
Visit 
3
Six week Follow 
up
Estimated time requirement of 
visit
Data Collection
Study Procedure 1
Study Procedure 2
Study Procedure 3
Phone Call Questionnaire

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if/when it will be. If it does not meet the requirement for being registered on 
ClinicalTrials.gov, please state that.
 This study is registered on ClinicalTrials.gov at NCT05783102. 
15.0 List of Data to be Collected
1. Indicate what identifiers you will collect
☒
Name
☒
Address (e.g., Zip code, other geographical designation, etc.)
☐
Dates related to an individual (e.g., Date of admission, birth, surgery, etc.)
☒
Telephone number
☐
Fax number
☒
Email address
☐
Social security number
☐
Medical record number
☐
Health plan beneficiary number
☐
Account number
☐
Certificate/license number
☐
Any vehicle or other device serial
☐
Device identifiers or serial numbers
☐
Web URL
☐
Internet protocol (IP) address
☐
Finger or voice prints (includes audio recordings)
☐
Photographic images (includes video recordings)
☐
Other: Any characteristic that would uniquely identify the individual
If other, please explain: Click here to enter text.
2. List all other data to be collected for the research study. Attach all data collection tools on 
the Local Site Documents page of the SpartaIRB smart form (Other Attachments). 
Eventbrite Registration: Name, email, phone number, mailing address, year born, 
gender, race, ethnicity, education, financial strain. (Participants are notified that 
demographic information is optional to provide and will be used by the study team.)  
Screening: Year born, caregiving status, hours of caregiving, access to technology, care 
recipient functional ability, plans for nursing home placement, name, email, phone 
number. Interested participants are notified that they may also provide demographic 
information to help the study team understand differences between those eligible and 
ineligible for participation. These items are consistent with those required by the NIA 
CROMS data collection items: biological sex, gender identity, sexual orientation, race, 
ethnicity, highest level of education, marital status, financial strain, kin relationship to 
care recipient, primary language.  Off-Study Reason. Reason for withdrawing from 
study; reason for ending intervention participation  Baseline Demographic Information: 
Year born, gender identify, race, ethnicity, marital status, education, current employment, 
financial strain, kin relationship to care recipient, primary care status, living situation 

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with care recipient, length of care, weekly hours of care.   Baseline and Follow Up 
Survey Measures: Revised Memory and Behavior Checklist, Dyadic Relationship Scale, 
Depressive Cognitions Scale, Relational Certainty, Resourcefulness, Caregiver Self-
Efficacy Scale-8, Modified Conflict Tactics Scale, Task Management Scale Index, 
Exemplary Care Scale.  Satisfaction: Satisfaction with the KINDER program and 
components  Reason for non-participation. Reason the registered individual did not 
attend KINDER or attended <2 sessions. Facilitator Call Log: Completion of facilitator 
calls with participants  Facilitator Fidelity Form: Name of facilitator and session date, 
perception of sessions (e.g., participant engagement, adherence to session agenda), 
participant attendance 
16.0 Online Data Collection
☐
We will not collect data through an online platform.
1.  List the online platform to be used.  The preferred platforms are REDCap and Qualtrics, 
as these provide good data security and have options for collecting data without 
individually identifiable information.
All data will be collected using REDCap
2. If your intent is to collect the data without identifiers linked to an individual (including IP 
addresses), describe how you will ensure that no identifiable information will be 
associated with the data.  
☐ Qualtrics:  enable Anonymize Responses setting (removes IP addresses and 
location data) 
☐ REDCap:  use of the Public Survey Link
☐ REDCap:  use of a Participant List without a Participant Identifier field 
(Note: this does maintain a connection between the data and the individual, but it is only 
accessible to REDCap support personnel and not the researchers.  Data collected in this manner 
should not be referred to as anonymous, but rather as data that is deidentified to the researchers).
☐ Other: Click here to enter text.
17.0 Data Analysis Plan
Directions: Describe the data analysis plan, including any statistical procedures. If 
applicable, provide a power analysis, and study/safety endpoints. Participant 
Demographic Characteristics Participant characteristics, including demographic and 
caregiving information (e.g., kin relationship) will be reported using frequencies, percentages, 
means, and standards of deviation. Comparison of Study and non-study participants. 
Demographic characteristics of study and non-study participants collected from Eventbrite will be 
compared using t-test and chi-squared bivariate analyses, as well as frequencies and percentages. This 
will help the study team determine differences between caregivers who register for KINDER as a 
community program, and those who enroll in the study. Reasons for ineligibility and/or study or 
intervention withdrawal. The study team will also report the most frequent reasons for study or 
intervention withdrawal, as well as reasons participants were screened as ineligible, using 
frequencies and percentages. Outcomes. We will evaluate study outcomes using paired-t-tests 
comparing mean scores on all psychosocial outcomes collected before and after the intervention.  

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Satisfaction Surveys. To analyze items included in the satisfaction surveys, we will provide a 
percentage of each response for each item collected (e.g., 80% of caregivers “Agreed” or 
“Strongly Agreed” with this statement). A similar approach will be taken to evaluate reasons for 
non-participation. Fidelity Reports Fidelity reports will be evaluated using total scores 
averaged across all KINDER Discussion Sessions observed. We will be report these in 
aggregate and separated by facilitator and observer reports. We will divide reports by scores for 
adherence and quality. Scores will be reported using a percentage, as prior reports indicate 
80% or more on fidelity scores indicates acceptable levels of fidelity. In addition—to examine 
variability in scores—we will also report this information using means and standards of 
deviation.  Qualitative Interviews Qualitative interviews will be transcribed verbatim and 
identifying information removed. To conduct our thematic analysis, at least two members of the 
research team will read at least 2 transcripts and will decide on a preliminary codebook. The 
codebook will be applied to an interview and refined further prior to applying codes to the 
remaining interviews. At least two coders will analyze each transcript independently and will 
meet to compare codes and discuss differences in coding until agreements met. A second 
round of coding will be conducted to integrate new codes added during coding.  Statistical 
Power and Same Size Our goal is to recruit at least N=46 of these caregivers into a research 
study to test preliminary efficacy. This N supports our ability to detect a small to moderate effect 
size.
18.0 Confidentiality of Data
1. To maintain the confidentiality of the data:
☒
I will use a unique study identifier to code individuals’ identifiable data and will 
store the master list separate from the study data.
☐
 I will use a unique study identifier to code individuals’ data, but it will never be 
linked to a master list.
☐
Other- please explain: Click here to enter text.
Provide a plan to maintain or destroy identifiers once analysis of identifiable information 
is complete.    Once all data collection is complete and results are posted to 
ClinicalTrials.gov, we will delete all identifying information collected. This will include 
downloading all de-identified data from REDCap and storing in an encrypted Box folder. 
☒  I attest that any recordings (audio or video) saved to a portable device will be 
deleted by formatting the device’s storage memory.
How are you storing your electronic data?
☒CWRU Redcap 
☐CWRU Secure Research Environment (SRE)
☒CWRU Box
☐OnCore
☐CWRU Secure Network Drive
☐Zoom Cloud
☐  Portable device (must be encrypted, not just password protected)

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☒Other - List storage method and provide justification: Click here to enter text.
Please note: if you’re storing or entering your electronic data in any system other than an 
approved system listed above, please contact the CWRU IRB (cwru-irb@case.edu).
2.
☐ I acknowledge that paper research data and documents will be stored in a double-
locked secure environment in the following location: Click here to enter text. 
 ☒ We will not have paper research documents.
3. Will data be shared?
☒ Yes 

List the exact data elements that will be shared: Data will be shared for the 
purpose of transcription, where we will send audio files to a third party. We will 
also share the names of participants enrolled in the research study with KINDER 
facilitators, who are not study team members. This is because facilitators will be 
asked to complete a call log and share attendance data for caregivers who are 
enrolled in the research study, and so will need to be able to distinguish between 
study participants and those caregivers who are attending KINDER without 
participating in the study.. 

Describe how data will be sent: Audiofiles will be uploaded to GMR 
Transcription services using their secure portal. Transcribed text documents will 
be emailed to the PI. Facilitators will receive an email with the names of study 
participants in a password protected Excel file. 
☐ No
☐ N/A  
 If sharing data, please complete a request to ensure the proper contracts/agreements are in 
place:  https://case.edu/research/faculty-staff/technology-transfer/material-transfer-data-use-
agreements
18.0 HIPAA Authorization 
Does this study collect, access, use, or distribute any Protected Health Information (PHI)?  
Protected Health Information (PHI) is (1) any individually identifiable health information transmitted or maintained 
in a medical record, paper or electronic, or (2) designated data set that was created, disclosed, or used in the 
course of providing a health care service such as diagnosis, payment or treatment.
☐  Yes
☒ No
If yes, indicate how HIPAA authorization will be obtained (check all that apply):
☐  HIPAA authorization is in the consent form
☐  I am receiving a Limited Data Set under a Data Use Agreement (DUA)
☐  Requesting a full or partial waiver of HIPAA for prescreening
☐  I will complete the Request for Waiver of HIPAA Authorization form.  See 
SpartaIRB Library
☐  Requesting a full or partial waiver of HIPAA

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☐  I will complete the Request for Waiver of HIPAA Authorization form.  See 
SpartaIRB Library
19.0 FERPA Authorization 
Does this study collect, access, use, or distribute any personally identifiable information from 
student records or personal education information from an education program (defined as: any 
program principally engaged in the provision of education, including, but not limited to, early 
childhood education, elementary and secondary education, postsecondary education, special 
education, job training, career and technical education, and adult education)? This includes, but 
is not limited to, classroom assignments and course evaluations.
☐  Yes
☒ No
If yes, how do you plan to get written authorization from the student (or parent if the student is a 
minor)?
☐  I will incorporate FERPA language* into the consent and obtain written and dated 
signature or authorized electronic signature using REDCap
☐  I will incorporate FERPA language* into a separate form and obtain written and dated 
signature or authorized electronic signature using REDCap
20.0 Risks to Research Participants
1. List the reasonably foreseeable risks such as breach of confidentiality, discomforts, 
hazards, or inconveniences to the research participants related to their participation in the 
research. Include a description of the probability, magnitude, duration, and reversibility 
of the risks. Include the physical psychological, social, legal, and economic risks.
 Breach of confidentiality. There is small probability that data confidentiality could be 
breached, such that others outside the study team could connect participant identifying 
information with study data. Given the sensitive nature of the data collected, which could 
be potentially embarrassing, we consider this a moderate risk which would be 
irreversible. It is also possible that other caregivers could share information from group 
discussion sessions with others. This scenario is slightly more likely than study data 
being breached, however may be less harmful as caregivers can choose what they share 
with others during sessions.  Report to Adult Protective Services. In rare cases, we may 
be required to contact Adult Protective Services if we perceive there to be a risk of harm 
to the participant or the person for whom they provide care. In some cases, we may 
contact the caregiver encourage them to submit a report to Adult Protective Services if 
we believe their or their loved one’s safety is at risk. This process could be quite stressful 
for family caregivers, who may also experience adverse effects of stigma from this 
process. In very rare cases, legal consequences may occur if APS finds evidence of 
mistreatment. The study team’s intention with reporting cases of mistreatment is to 
protect vulnerable older adults and help care partners connect to critical services if 
needed.  Negative emotions. Some participants may experience discomfort, such as 
embarrassment or guilt, when answering questions their caregiving relationship or 
* FERPA language: 1. Specify the educational records that may be both accessed and used in the research. 2. State 
the purpose of the access and use of records. 3. Identify to whom the records disclosure may be made. 

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participant in KINDER program activities. The likelihood and severity of this risk will 
vary from person-to-person. We provide resources to family caregivers who experience 
negative emotions throughout the intervention program and in the consent form.  
2. If applicable, indicate which experimental procedures may have risks to the research 
participants that are currently unforeseeable. Click here to enter text.
☒ N/A  
3. If applicable, describe the risks to others who are not research participants. There is a 
very small chance that, should Adult Protective Services be contacted by the study team, 
the older adult living with dementia (care recipient) may lose their family caregiver if 
APS finds indications of mistreatment. This would be a severe outcome, but also a 
potential benefit if care being provided placed the care recipient at risk of harm.
☐ N/A  
4. Describe the availability of medical or psychological resources that research participants 
might need.  Click here to enter text.
☐ N/A  
21.0 Provisions to Protect the Privacy Interests of Research Participants
Directions: Indicate the measures that will be taken to protect research participants’ 
privacy interests.  Select all that apply:
☐  In person interactions will be conducted in a private space where conversations would not be 
overheard by others -- this could be at a specific location determined by the research team 
or at a location that the participant chooses.
☒  For online/remote data collection, participants will be advised to choose a location that would 
be private.
☐  Researchers will only contact participants if permission has been given to do so.
☒ Other: When participants join the KINDER discussion sessions by Zoom, they will be 
reminded to keep information they learn about other caregivers private. Access to survey data 
will be limited to qualified study team members. The study key will only be accessible to the 
PI. (The PI will therefore be responsible to sending participant online surveys, since these are 
connected using participant email addresses in REDCap.)
22.0 Potential Benefit to Research Participants
☐ There is potential benefit to research participants.
Describe the potential benefits that individual research participants may experience from 
taking part in the research. Include the probability, magnitude, and duration of the 
potential benefits. Do not list compensation. Click here to enter text.
☒ There is no direct benefit to research participants.
If no direct benefit, state the potential benefit to society or others. Do not list 
compensation. We cannot know whether participation in KINDER will benefit 
participants directly, as we are still determining the evidence-base. However, it is 
possible caregivers will learn new information such as about local community resources.

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23.0 Withdrawal of Research Participants
Directions: Describe the anticipated circumstances under which research participants will 
be withdrawn from the research without their consent. Also include the procedures that 
will be followed when a research participant withdraws or are withdrawn from the 
research, including partial withdrawal from procedures with continued data collection. 
Participants may be withdrawn from the study if they 1) do not complete the baseline survey or 
2) miss 2 or more group-based sessions. Participants may continue to participate in the KINDER 
program if this occurs but will be removed from the study. If this does occur, the PI will send an 
email to the participant to notify them. We will keep all data collected until withdrawal unless 
asked not to by a participant. We will attempt to contact participants to learn about their reason 
for withdrawal. See “Call Scripts for Caregivers Who Go Off Protocol”
☐ N/A
24.0 Alternatives to Participation
Directions: List other options to participation.  If subjects will be compensated with extra 
course credit, the course instructor offering extra course credit must provide alternatives 
to earn extra course credit.  The alternative assignment must require equal or less time and 
effort for the same amount of earned extra credit that you can earn through participation 
in research.  If there are other available clinical treatments, what would be included if a 
subject continued on standard of care therapy. If there is a viable alternative you must list 
it in the consent.
 Click here to enter text.
☒   The alternative is for research subjects not to participate.
25.0 Costs to Research Participants
☒  There are no costs to research participants or their insurance companies (there are no clinical 
visits or billable procedures.) – please leave rest of this section blank 
1. Describe what costs research participants will be responsible for as a result of their 
participation in the research, including but not limited to: clinical services required by the 
protocol deemed billable to insurance, transportation to study visits, parking, costs of drugs, 
cost of therapy, lost broken or stolen devices, etc. Click here to enter text.
2. Explain who will be responsible for payment of provided services in the event of insurance 
denials. Click here to enter text.
3. List what procedures, drugs, devices, supplies will be paid by the study sponsor or covered by 
other funding. List the other funding source. Click here to enter text.
26.0 Research Participant Compensation
☐  There is no compensation or reimbursement for research participants – please leave rest of 
this section blank
☒  There is compensation for research participants. 

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Describe the schedule, payment method, and payment total of any incentives or 
compensation that research participants will receive for participation in the research (e.g., gift 
cards or cash with amount, t-shirts, devices, bags, swag, etc.) Participants will be eligible to 
receive up to $150 for participating in this study, or $75 per survey completed. We will 
distribute payment by email using an Amazon gift card URLs. This will be sent within 2 
business of the participant completing teach survey. While this amount is high for survey 
completion activities, it is comparable to other studies which require intervention 
participation. Some caregivers may also be invited to complete a qualitative interview, and 
will received $25 as a thank you.
☐  There will be reimbursement for research participants. 
Describe the schedule, payment method, and payment total of any reimbursement that 
research participants will receive for participation in the research (e.g., gift cards or cash with 
amount, etc.) Click here to enter text.
27.0 Compensation for Research Related Injury
Describe who will pay for the costs of medical treatment and/or compensation in the event of a 
research related injury:
☐  
Funding agency is providing some/all payment for injury
☐  
Funding agency is providing no payment for injury
☒  
N/A 
28.0 Provisions to Monitor the Data to Ensure the Safety of Research 
Participants
1. Describe how often the data will be monitored for completeness, accuracy and adherence 
to the protocol. The PI will complete a safety monitoring report once every 3 months of 
this study. Information will include the number of individuals recruited, enrolled, 
dropped out, demographic information on participants, and descriptive information on 
study variables including the proportion of missing data for each variable. We will also 
report on the number of reports made to Adult Protective Services for each time period. 
2. Indicate if there will be a Data and Safety Monitoring Board or Committee:
☒
There will not be a formal Data and Safety Monitoring Board/Committee.
☐
There will be a formal Data and Safety Monitoring Board/Committee. 
Provide information about the DSMB/C including the contact information of the committee 
member(s) (as applicable); whether it is independent from the study sponsor; how often it 
meets; the type of data that will be used; written reports, etc. Click here to enter text.
29.0 Additional Information
If you have any additional information regarding your study not covered in the template, please 
include it here. 
30.0 Devices
Does the study include the use of a device that is integral to the study question?

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☐  Yes – Answer the questions below.
☒  No – Leave the rest of this section blank.
☐  There is an active IDE (Investigational Device Exemption) for the proposed study.
Attach an official letter of support or proof of approval which identifies the IDE holder and 
IDE number to the SpartaIRB smartform.
List devices:  Click here to enter text.
☐  The device has obtained a 501k clearance.
Attach 501k documentation to the SpartaIRB smartform.
List devices:  Click here to enter text.
☐  The device meets the criteria for an IDE Exemption.
Download the IDE Exemption Form from the SpartaIRB library (HRP-580) and attach to 
the SpartaIRB smartform.
List devices:  Click here to enter text.
☐  The device (and its use) is a non-significant risk device for the proposed study design.
List devices here and provide the PI’s rationale for the non-significant risk device 
determination. Click here to enter text.
If the research involves device(s), describe your plans to use, store, handle, administer and 
track those device(s) to ensure that they will be used only on research participants and be used 
only by authorized investigators. Click here to enter text.
31.0 Community-Based Participatory Research
☒  
This is not a community-based participatory research project – please leave the rest of 
this section blank
☐
This is a community-based participatory research project
Describe the involvement of the community in the design and conduct of the research. 
Click here to enter text.
 
Note: Community based research is research that is conducted as an equal partnership between 
academic investigators and members of a community. In Community Based Participatory 
Research (CBPR) projects, the community participates fully in all aspects of the research 
process.  
32.0 MULTI-SITE RESEARCH (when CWRU is the IRB of Record)
Does this project have multiple sites?

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☐  
Yes
☒  
No – please leave the rest of this section blank
Non-Local Site Information for Multi-Site Studies
If this is a multi-site study where you are the lead investigator, list the following information for 
each relying site:
1. Name of site: Click here to enter text.
2. PI of relying site: Click here to enter text.
3. Name of IRB contact: Click here to enter text.
4. Phone number of IRB contact: Click here to enter text.
5. Email address of IRB contact: Click here to enter text.
Non-Local Recruitment Methods for Multi-Site Studies
If this is a multi-site study and research participants will be recruited by methods not under the 
control of the local site (e.g. call centers, national advertisements) describe those methods. 
Local recruitment methods are described above. 
1. Describe when, where, and how potential research participants will be recruited. Click 
here to enter text.
2. Describe the methods that will be used to identify potential research participants. Click 
here to enter text.
3. Describe the materials that will be used to recruit research participants. Click here to 
enter text.
Multi-Site Research Communication Plan (when you are the lead investigator)
If this is a multi-site study where you are the lead investigator, describe the processes to ensure 
communication among sites including:
☐  
All sites will have the most current version of the protocol, consent document, and 
HIPAA authorization     
☐
All required approvals (initial, continuing review and modifications) have been obtained 
at each site (including approval by the site’s IRB of record)    
☐
All modifications have been communicated to sites, and approved (including approval of 
the site’s IRB of record) before the modification is implemented    
☐
All engaged participating sites will safeguard data, including secure transmission of 
data, as required by local information security policies
☐
All engaged participating sites will safeguard data, including secure transmission of 
data, as required by local information security policies     
☐
All local site investigators conduct the study in accordance with applicable federal 
regulations and local laws     
☐
All non-compliance with the study protocol or applicable requirements will be reported 
in accordance with local policy     
If this is a multi-site study where you are the lead investigator, describe the method for 
communicating to engaged participant sites the following: 
1.   Problems: Click here to enter text.     

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2.   Interim results: Click here to enter text.     
3.   The closure of the study: Click here to enter text.    
33.0 References
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https://doi.org/10.1037/a0015705  Cooper, C., Selwood, A., Blanchard, M., Walker, Z., Blizard, 
R., & Livingston, G. (2009). Abuse of people with dementia by family carers: representative 
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Dooley, W. K., Shaffer, D. R., Lance, C. E., & Williamson, G. M. (2007). Informal care can be 
better than adequate: Development and evaluation of the Exemplary Care Scale. Rehabilitation 
Psychology, 52(4), 359-369. https://doi.org/10.1037/0090-5550.52.4.359  Meyer, K., Gonzalez, 
A., & Benton, D. (In Review). Caregivers’ Experiences Participating in KINDER: A Web-Based 
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researchers learn about primary prevention from family violence intervention models? The 
Gerontologist.  Meyer, K. N., Glassner, A., Lee, K., Pickering, C. E. Z., & White, C. L. (2022). 
Conceptualizing How Caregiving Relationships Connect to Quality of Family Caregiving within 
the Stress Process Model. J Gerontol Soc Work, 65(6), 635-648. 
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Based Intervention to Improve Relationship Quality. JMIR Formative Research, 7(1), e42561.
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Screening for abuse and neglect of people with dementia. Journal of the American Geriatrics 
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Zauszniewski, J. A. (2016). Resourcefulness. West J Nurs Res, 38(12), 1551-1553. 
https://doi.org/10.1177/0193945916665079  Zauszniewski, J. A., Lekahk, N., Burant, C. J., 
Variarth, M., & Morris, D. L. (2016). Preliminary Evidence for Effectiveness of Resourcefulness 
Training in Women Dementia Caregivers. J Fam Med., 3(5).  

HRP-
503SBER
TEMPLATE: CWRU SBER Protocol
Approved:
09/2021
Prior Version: 
05/2021
Additional information can be provided in section 29, or added as a comment.
Page 26 of 26