Care4U: Self Management Intervention for Older Adult Caregivers

Study Overview
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Brief Summary
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Older adults caring for others often neglect their own health. This research is being done to see if helping caregivers focus on their own needs can improve their health and ability to care for others

Detailed Description
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The specific aims are to evaluate the Care4U intervention in order to refine the intervention for a larger clinical trial, which includes 1) subject acceptability of the intervention, 2) evaluation of intervention delivery, fidelity, and data collection, and 3) evaluation of the components of the intervention (patient activation, knowledge, self-efficacy, and CV self-management strategies). Recruitment was conducted in 2 acute care hospitals from April 2013 through Dec 2013. Six caregivers were enrolled during this time, with one dropping out after baseline. The participants completing the study (n=5) provided data related to the aim. Four participants were able to use Adobe Connect via the provided laptops with written instructions and phone coaching. Delivery of the intervention via Adobe connect was enjoyed by the participants, with minimal connectivity problems. Participants were interested in websites and videos related to their health, but did not relate exploring these links on the laptop desktop without suggestion from the PI.

Official Title
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Care4U: Self Management Intervention for Older Adult Caregivers

Conditions
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Cardiovascular Risk Factor

Intervention / Treatment
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* Behavioral: Care4U


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Describes self as an informal Caregiver of patient who has undergone cardiac surgery (revascularization, valve, or combination)and performs ≥1 activity of daily living or instrumental activity of daily living for the patient ≥ 65 years Self-reports ≥1 modifiable cardiovascular risk (hypertension, hyperlipidemia, physical inactivity, obesity) Lives in the same residence with patient Oriented to person, place, and time (asking the subject to state their name, where he/she is (for example what building, town and state) and what time it is (time, day, date) Able to hear, and speak and read English Exclusion Criteria: Permanent residence in skilled or assisted care facility Participation in 3 times per week exercise during the past 6 months. -

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Care4U intervention<br>Care4U intervention with 6 weekly sessions focusing on physical activity, healthy eating, self-management, emotional responses. | Behavioral: Care4U<br> <br> |
| No Intervention: Information group<br>The information group receives 6 weekly socialization sessions. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Physical Activity | Physical activity will be measured via self-report and with Actigraphy. | Baseline, 6 weeks, and 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in healthy diet intake | Change in self-reported diet intake | Baseline, 6 weeks, 3 months | 
| Change in emotional functioning (stress, anxiety, depression) | Change in self-reported stress, anxiety and depression scores | Baseline, 6 weeks, 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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cardiovascular risk factors