Clinical trial NCT05165186: Care Planning for a Loved One With Dementia: Knowledge, Preparing for Decisions, and Emotions
Official title: Care Planning for a Loved One With Dementia: Knowledge, Preparing for Decisions, and Emotions
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Dementia
Dementia Frontotemporal
Dementia Alzheimers
Dementia, Mild
Dementia Moderate
Dementia Severe
Caregiver Burnout
Caregiver Stress Syndrome
Keywords: Caregiving
Dementia
Frontotemporal Dementia (FTD)
Caregiver Burden
Lead sponsor: Massachusetts General Hospital
Sponsor class: OTHER
Collaborators: name: National Institutes of Health (NIH)
name: National Institute on Aging (NIA)
First posted: 2021-12-21
Enrollment: 150
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 overall objective of this study is to compare knowledge, decisional conflict, preferences, and caregiver burden over time caregivers of Alzheimer's Disease and Related Dementias (ADRD) patients by comparing the effectiveness of a video decision aid intervention and enhanced usual care.

Detailed description: The investigators will conduct a randomized controlled trial in 150 caregivers of patients with ADRD, who will be randomized to either the video (intervention) or enhanced usual care (informational sheet, control). The intervention group will use the suite of video decision aids. Caregivers in the control group will review the informational sheet, which covers the same information.

Data collection is estimated to take no longer than an hour and will be conducted after the scheduled visit at the Massachusetts General Hospital Memory Disorders Unit (MGH MDU) clinic. The relatively brief interviewing time (30 minutes) in which the survey is conducted should assure completion of the interview without burdening participants. The investigators do not foresee the additional time to complete the survey to be a barrier to successful recruitment and completion of the protocol. Participants will be provided written copies of the questions in order to follow along during the face-to-face interviews.

The research assistant (RA) will collect baseline data, randomize caregivers to either the video or control arm via concealed envelopes, and administer the intervention. After this baseline interview and randomization, the RA will collect the remaining outcomes data regarding knowledge, preferences, decisional uncertainty, and caregiver burden from the caregiver. For those participants randomized to the video intervention, they will also be asked questions regarding the usefulness of the video and their comfort with the video. All caregivers will be given a website link to access the videos shown from their home. As the investigators have done in prior studies, the investigators will contact by telephone caregivers at 3 and 6 months to assess their caregiver burden at that time. Fidelity of the video intervention during the in-person survey and remotely at home will be tracked via a video website link that documents show-rates (date and time video accessed) as well as play-through rates (was the video watched to completion).

Eligibility criteria: Inclusion Criteria:

* All participants must be age 18 or older.
* Participants must be able to speak and understand English.
* Participants must be a caregiver of someone with Alzheimer's Disease, frontotemporal dementia, or a related dementia
* Participants should be able to understand the purpose and risks of the study and provide signed and dated informed consent and authorization to use protected health information (PHI) in accordance with national and local participant privacy regulations.

Exclusion Criteria:

\* Participants who are not able to tolerate or perform the procedures or assessments.

Primary outcomes:
measure: Change from Baseline in percent correct and in response confidence on Knowledge of Advanced Dementia Questionnaire.
timeFrame: Baseline and immediately post-intervention
measure: Change from Baseline in percent correct and in response confidence on Knowledge of Goals of Care Questionnaire.
timeFrame: Baseline and immediately post-intervention
measure: Change and Retention of Change in Advanced Care Planning (ACP) Engagement Survey
timeFrame: Baseline and immediately post-intervention Post-intervention and 3 Month Follow Up Post Intervention and 6 Month Follow Up
Secondary outcomes:
measure: Change and Retention of Change in Decisional Conflict Scale
timeFrame: Baseline and immediately post-intervention Post-intervention and 3 Month Follow Up Post Intervention and 6 Month Follow Up
measure: Response Rate and Retention of Response Rate for Limited Medical Care and Comfort Care
timeFrame: Baseline and immediately post-intervention Post-intervention and 3 Month Follow Up Post Intervention and 6 Month Follow Up
measure: Response Rate for Advanced Care Planning (ACP) Documents Survey
timeFrame: Baseline and Month 3 Follow Up Baseline and Month 6 Follow Up
measure: Response Rate of Satisfaction Survey on Video Rating Survey post-intervention
timeFrame: Immediately post-intervention
Other outcomes:
measure: Change from Baseline self-report measure of affect to post intervention self-report measure of affect
timeFrame: Baseline and immediately post-intervention
Locations:
city: Boston
country: United States
facility: Massachusetts General Hospital
state: Massachusetts
Study officials:
affiliation: Massachusetts General Hospital
name: Brad C Dickerson, MD
role: PRINCIPAL_INVESTIGATOR
References: