Clinical trial NCT04316104: CuidaTXT: a Text Message Dementia-caregiver Intervention for Latinos
Official title: CuidaTXT: a Text Message Dementia-caregiver Intervention for Latinos
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE1
Conditions: Caregiver Burnout
Keywords: Dementia
Caregiver
mHealth
Stress
Latino
Disparities
Lead sponsor: University of Kansas Medical Center
Sponsor class: OTHER
Collaborators: name: National Institute on Aging (NIA)
First posted: 2020-03-20
Enrollment: 24
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: This intervention, CuidaTXT \[Spanish for self-care and texting\], will be available in English and Spanish, incorporate two-way messaging and will tailor text messages to the preferences of Latino caregivers. CuidaTXT will be multicomponent and based on the Stress Process Framework as supported by evidence. The intervention will incorporate social support and coping components including dementia education, problem-solving skills training, social network support, care management and referral to community resources.
Primary purpose: SUPPORTIVE_CARE

Brief summary: Latino families with dementia experience substantial disparities in access to caregiver support compared to their non-Latino white peers, putting them at an increased risk for negative emotional, physical and financial outcomes. This R21 will address this research gap by 1) Developing a culturally and linguistically appropriate text message intervention for caregiver support among Latino family caregivers of individuals with dementia and 2) Testing the feasibility and acceptability of CuidaTXT, a multicomponent text message caregiver support intervention culturally and linguistically tailored for the Latino community.

Detailed description: Latino relatives of individuals with dementia are less likely than non-Latino whites to have access to caregiver support. Text messaging can dramatically enhance the reach of effective culturally and linguistically tailored caregiver support interventions. However, to our knowledge, no text message interventions exist to provide caregiver support among caregivers of individuals with dementia. Text message interventions can capitalize on the fact that Latinos own cellphones and use them to text at a higher rate than non-Latino whites. The overall aim of this proposal is to develop and test the first text message intervention for caregiver support of individuals with dementia among Latinos. This intervention, CuidaTXT \[Spanish for self-care and texting\], will be available in English and Spanish, incorporate two-way messaging and will tailor text messages to the preferences of Latino caregivers. CuidaTXT will be multicomponent and based on the Stress Process Framework as supported by evidence. The intervention will incorporate social support and coping components including dementia education, problem-solving skills training, social network support, care management and referral to community resources. This research corresponds with Stage 1 of the NIH Stage Model for Behavioral Intervention Development. In Aim 1, researchers will develop a culturally and linguistically appropriate text message intervention for caregiver support among Latino family caregivers of individuals with dementia using user-centered design methods. In Aim 2, researchers will test the feasibility and acceptability of CuidaTXT during six months.

Eligibility criteria: Inclusion Criteria:

* Spanish and English-speaking individuals
* Over the age of 18
* Identify as Latino
* Report providing hands-on care for a relative who has been given a clinical or research dementia diagnosis
* Care recipient has an AD-8 screening score greater than or equal to 2, indicating cognitive impairment
* Self-report being able to read and write
* Self-report owning a cell phone with a flat fee and use it at least weekly for texting

Exclusion Criteria:

-

Primary outcomes:
measure: Percentage of Participants Able to Opt Into CuidaTXT (Enrollment Feasibility)
timeFrame: During the 6 months of the intervention period
measure: Percentage of Participants Who Texted the STOP Keyword to Opt Out/Quit the Intervention
timeFrame: During the 6 months of the intervention period
measure: Number of Participants Who Reported Experiencing Technical Problems With the Intervention
timeFrame: 6 months from baseline
measure: Percentage of Participants Who Interacted With the Intervention by Sending at Least One Text Message (Engagement Feasibility)
timeFrame: During the 6 months of the intervention period
measure: Thoroughness With Which Participants Read Intervention Text Messages (Engagement Feasibility)
timeFrame: 6 months from baseline
measure: Average of the Percentage of Messages Sent by Each Participant to Interact With the Intervention That Were Keywords
timeFrame: During the 6 months of the intervention period
measure: Satisfaction With Intervention
timeFrame: 6 months from baseline
Secondary outcomes:
measure: Change From Baseline to 6 Months in Alzheimer's Disease Knowledge
timeFrame: Baseline and 6 months from baseline
measure: Change From Baseline to 6 Months in Caregiver Social Support
timeFrame: Baseline and 6 months from baseline
measure: Change From Baseline to 6 Months in Caregiving Self-efficacy
timeFrame: Baseline and 6 months from baseline
measure: Change From Baseline to 6 Months in Caregiver Depression
timeFrame: Baseline and 6 months from baseline
Other outcomes:
Locations:
city: Kansas City
country: United States
facility: University of Kansas Medical Center
state: Kansas
Study officials:
References: