Clinical trial NCT06177990: Caregiver as Navigator: Develop Skills Online (CAN-DO)
Official title: Caregiver as Navigator: Develop Skills Online (CAN-DO) Developing Dementia Family Caregiver Mastery for Navigating Complex Health, Social Service, Legal, Financial, and Family Systems
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Dementia
Keywords: Caregiver
Dementia
Lead sponsor: Emory University
Sponsor class: OTHER
Collaborators: name: National Institute on Aging (NIA)
First posted: 2023-12-20
Enrollment: 270
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: This study is designed to learn more about ways to promote caregiver mastery online. 270 dementia family caregivers will be enrolled and randomized to take the CAN-DO online course immediately or after a waiting period. They will participate in interviews before and after the course; total time of study participation is 6 months.

Detailed description: Family members and friends are the core of the uncoordinated system of care that tenuously maintains persons living with dementia in their community settings and delays their placement into more costly settings of institutional care, providing more contributed and out of pocket care support than Medicare and Medicaid combined.

The CAN-DO program fills a significant gap in caregiver psychoeducation programming by focusing not principally on day-to-day care management but on the many substantial system navigation tasks that caregivers assume. Supported by preliminary efficacy data, CAN-DO will employ state-of-the art asynchronous interactive learning methods to enhance caregivers' mastery of skills and confidence to navigate healthcare and other (legal, financial, social service, and family) systems that are crucial to the continued community living of persons affected with dementia illnesses.

This study will enroll 270 dementia family caregivers who will be randomized to take the CAN-DO course immediately or after a waiting period. They will participate in interviews before and after the course; total time of study participation is 6 months.

Eligibility criteria: Inclusion Criteria:

* Family member or friend providing at least 4 hours per week of informal care for a community-dwelling person living with ADRD
* 18 years or older
* Has internet access
* Does not have to co-reside with the individual
* Understands, speaks, and reads English

Exclusion Criteria:

* Family caregiver plans to move care recipient to an institutional setting within the next six months
* Care recipient currently enrolled in hospice

Primary outcomes:
measure: Change in Pearlin Caregiver Stress Scales score
timeFrame: Baseline, 2, 4, 6, and 8 months post-intervention
measure: Change in Caregiver Assessment of Behavioral Skill scale score
timeFrame: Baseline, 2, 4, 6, and 8 months post-intervention
measure: Change in State-Trait Anxiety Scale score
timeFrame: Baseline, 2, 4, 6, and 8 months post-intervention
measure: Change in Perceived Stress Scale score
timeFrame: Baseline, 2, 4, 6, and 8 months post-intervention
measure: Change in Caregiver Burden Index
timeFrame: Baseline, 2, 4, 6, and 8 months post-intervention
measure: Change in Dyadic Relationship Scale score
timeFrame: Baseline, 2, 4, 6, and 8 months post-intervention
Secondary outcomes:
measure: Change in Revised Memory and Behavior Problem Checklist score
timeFrame: Baseline, 2, 4, 6, and 8 months post-intervention
measure: Change in Quality of Life in Alzheimer's score
timeFrame: Baseline, 2, 4, 6, and 8 months post-intervention
Other outcomes:
Locations:
city: Atlanta
country: United States
facility: Emory Roybal Center for Dementia Caregiving Mastery
state: Georgia
Study officials:
affiliation: Emory University
name: Carolyn Clevenger, RN, DNP
role: PRINCIPAL_INVESTIGATOR
References: