Clinical trial NCT05592366: Dementia Care Partner Hospital Assessment Tool
Official title: Adapting and Testing the Care Partner Hospital Assessment Tool for Use in Dementia Care
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Alzheimer Disease
Dementia
Lead sponsor: University of Wisconsin, Madison
Sponsor class: OTHER
Collaborators: name: National Institute on Aging (NIA)
First posted: 2022-10-24
Enrollment: 128
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: The purpose of this study is to see whether an adapted questionnaire called the Care Partner Hospital Assessment Tool (CHAT) for care partners of hospitalized patients living with Alzheimer's disease and related dementias (ADRD) (CHAT-AD) can help people with dementia receive better care after they go home from the hospital. Participants will be a care partner ('family member or friend') who provides unpaid care to a hospitalized adult relative or partner to help them take care of themselves because of dementia. Participants can expect to be in this study for 14 days.

Detailed description: The purpose of this study is to adapt CHAT for care partners of hospitalized patients living with ADRD (CHAT-AD) and evaluate its feasibility and potential efficacy in a pilot randomized clinical trial. Findings from this study will enable the lead researcher to launch an independent program of research that aims to (1) improve hospital-based care processes and outcomes for patients living with ADRD and their care partners, and (2) make clear the essential caregiving role that so many care partners of patients living with ADRD assume.

In order to adapt CHAT, there will be two design teams with key stakeholders from local aging networks and a large academic medical system: one team comprised of previously hospitalized patients living with ADRD and their care partners (N=7 dyads) and the second comprised of healthcare system administrators and clinicians (N=7). The team will use a validated participatory human-centered design process in which each team completes 5 co-design videoconference sessions that occur in parallel across 4 months, with 2-3 weeks between each session.

Upon adaptation of the CHAT-AD, the study team will partner with a medical and surgical units that are part of a large academic medical system to recruit 128 eligible care partners of hospitalized patients living with ADRD, randomized into either the CHAT-AD plus usual care or usual care-only groups. The team will assess feasibility by examining overall recruitment, attrition, safety, adherence, and implementation satisfaction. To examine efficacy, a validated measure of caregiving preparedness will be obtained pre- and post-intervention.

Eligibility criteria: Inclusion Criteria:

* Provide unpaid care to a hospitalized adult relative or partner to help them take care of themselves because of ADRD
* 18 years or older

Exclusion Criteria:

* Non-English speaking

Primary outcomes:
measure: Change in Preparedness for Caregiving
timeFrame: Baseline to 72 hours post-discharge
measure: Care partner satisfaction of care
timeFrame: 72 hours post-discharge
Secondary outcomes:
measure: Feasibility measure: Time to complete assessments and CHAT-AD
timeFrame: Baseline
measure: Qualitative Feasibility measure: Adherence
timeFrame: 72 hours post-discharge
measure: Change in care partner burden
timeFrame: Baseline to 72 hours post-discharge
measure: Change in care partner depression
timeFrame: Baseline to 72 hours post-discharge
measure: Feasibility measure: Implementation satisfaction
timeFrame: 72 hours post-discharge
measure: Post-treatment Qualitative Interviews: Attrition
timeFrame: 72 hours post-discharge
Other outcomes:
Locations:
city: Madison
country: United States
facility: University of Wisconsin
state: Wisconsin
Study officials:
affiliation: University of Wisconsin, Madison
name: Beth Fields, PhD
role: PRINCIPAL_INVESTIGATOR
References: