Clinical trial NCT02667951: A Home-based Training Program for Elderly Patients With Dementia
Official title: Establishment and Effectiveness of a Community-based Long-term Care Model for Elderly Persons With Dementia
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Dementia
Keywords: Elderly
Dementia
Intervention program
Lead sponsor: Chang Gung Memorial Hospital
Sponsor class: OTHER
Collaborators: name: National Science and Technology Council, Taiwan
First posted: 2016-01-29
Enrollment: 129
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: The illness course and symptoms of dementia is usually very long and characterized with behavioral, psychological and physical changes. Family caregivers' stresses change during the illness trajectory as well. The purpose of this study is to compare the costs and effectiveness of two care models- home-based caregiver-training program model and routine care model for dementia elders in Taiwan.

Detailed description: The illness course and symptoms of dementia is usually very long and characterized with behavioral, psychological and physical changes. Family caregivers' stresses change during the illness trajectory as well. Thus, the needs of the elderly persons with dementia and their family caregivers differ in different stage of dementia, and the services they require are multidimensional. According to the researchers' previous 2-year study, behavioral problem management and service utilization were found to be the most difficult and least prepared caregiving activities and the family caregiver's needs for assistance of these two caregiving activities differed in different stage of dementia.The purpose of this study is to compare the costs and effectiveness of two care models- home-based caregiver-training program model and routine care model for dementia elders in Taiwan.

Eligibility criteria: Inclusion Criteria:(patients)

* diagnosed with dementia by a psychiatrist or neurologist
* Age 65 years or older
* living in a community of northern Taiwan
* living in a home setting
* scored \>50 on the Chinese version Cohen-Mansfield Agitation Inventory (CMAI).

Exclusion Criteria:(patients)

* diagnosed with critical illness.

Inclusion Criteria:(caregivers)

* Primary caregiving responsibility and be at least 20 years old.

Exclusion Criteria:(caregivers)

* diagnosed with critical illness.

Primary outcomes:
measure: Caregivers' Self-efficacy
timeFrame: 18 months
measure: Caregivers' Preparedness
timeFrame: 18 months
measure: Caregivers' Competence
timeFrame: 18 months
measure: Dementia Patients' Behavioral Problems
timeFrame: 18 months
Secondary outcomes:
measure: Caregivers' Quality of Life
timeFrame: 18 months
measure: Caregivers' Depressive Symptoms
timeFrame: 18 months
Other outcomes:
Locations:
Study officials:
affiliation: Chang Gung University
name: Yea-Ing L Shyu, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Kuo LM, Huang HL, Liang J, Kwok YT, Hsu WC, Liu CY, Shyu YL. Trajectories of health-related quality of life among family caregivers of individuals with dementia: A home-based caregiver-training program matters. Geriatr Nurs. 2017 Mar-Apr;38(2):124-132. doi: 10.1016/j.gerinurse.2016.08.017. Epub 2016 Oct 6.
citation: Kuo LM, Huang HL, Liang J, Kwok YT, Hsu WC, Su PL, Shyu YL. A randomized controlled trial of a home-based training programme to decrease depression in family caregivers of persons with dementia. J Adv Nurs. 2017 Mar;73(3):585-598. doi: 10.1111/jan.13157. Epub 2016 Oct 17.