Daily Study of Caregiving Relationships and Health

Study Overview
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Brief Summary
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The purpose of the Daily Study of Caregiving Relationships and Health is to learn how caregiving relationships and social connectedness are associated with dementia caregivers' health, health behaviors, and diurnal patterns of salivary cortisol. This is a pilot study wherein the purpose is to test the feasibility and acceptability of study protocols.

Detailed Description
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The purpose of the Daily Study of Caregiving Relationships and Health is to learn how caregiving relationships and social connectedness are associated with dementia caregivers' health, health behaviors, and diurnal patterns of salivary cortisol. Investigators are asking caregivers to complete 14-days of surveys which ask about their relationships and health behaviors, in addition to 2 longer surveys (baseline and 3-month follow up). Investigators hypothesize that on days when caregivers receive more emotional support, they will report better health behaviors (e.g., improved sleep quality). On days when caregivers experience greater 1) strain and 2) loneliness, they will report poorer health behaviors. Information about which aspects of social relationships and social connectedness most affect health will be used to inform interventions programs.

Official Title
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Daily Study of Caregiving Relationships and Health

Conditions
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Caregiver Burnout, Dementia, Dementia of Alzheimer Type, Relations, Family, Social Stress, Relation, Interpersonal, Loneliness

Intervention / Treatment
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* Other: Social relationships


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Spouse or partner to an individual living with ADRD who has received a diagnosis from a physician Aged 18 years or older Provides assistance with at least one instrumental activities of daily living or activities of daily living Not paid to provide care Cares for someone with a global deterioration score of 1 to 5 (early to mid-stage dementia) Has reliable access to email and text messaging, and smart phone device Live within 40 miles of UT Health San Antonio (if completing saliva collection protocol) Exclusion Criteria: Inability to read and speak English or Spanish Vision or hearing impairment affecting ability to complete study protocols (e.g., blindness) Additional exclusion Criteria if completing saliva collection protocol: Experiencing a major health event within the previous 6 months (e.g., stroke, myocardial infarction, in-patient surgery, cancer besides skin cancer) Symptoms of infectious disease within the previous 14-days (e.g., COVID-19, oral infection) Diagnosis of major depressive disorder HPA axis endocrine disorder (e.g., Cushings or Addison's disease) Use of corticosteroid medication Pregnancy Participation in overnight shift work

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Cohort 1<br>Spousal/partner family caregivers to persons living with dementia. Participants will complete 14-days of surveys about their relationships, social interactions, as well as health and health behaviors. A subsample of n=15 may volunteer to provide diurnal saliva samples. | Other: Social relationships<br>* Exposure to social interactions with spouse, friends, and family. Perceived loneliness, emotional strain, and emotional support.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Frequency of daily health symptoms | Frequency of adverse health symptoms experienced by participant (e.g., fatigue; 0 to 21) | 2 weeks | 
| Perceived sleep quality | Perceived sleep quality the night prior (1 to 5) | 2 weeks | 
| Physical activity | Participation in at least 30 minutes of moderate to vigorous physical activity (binary) | 2 weeks | 
| Consumption of alcoholic beverages | Consumption of 1 or more alcoholic beverages (binary) | 2 weeks | 
| Potential binge eating behaviors | Frequency of binge eating behaviors, including consuming unusually large amount of food, feeling out of control, and unplanned and repetitive eating (0 to 33) | 2 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Total salivary cortisol | Area under the curve score to approximate total cortisol output during the day (μg/dL) | 2 weeks |