Clinical trial NCT06134180: CONFIDENCE-AI Financial Education for Caregivers (CONFIDENCE-AI)
Official title: An AI-Embedded Intervention to Promote Financial Wellbeing Among Latino Family Caregivers
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Alzheimer Disease
Dementia
Caregiver Burden
Financial Stress
Lead sponsor: Case Western Reserve University
Sponsor class: OTHER
First posted: 2023-11-18
Enrollment: 42
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: OTHER

Brief summary: The intervention being tested, CONFIDENCE-AI is a refined version of the original CONFIDENCE intervention made to reduce psychological financial strain and improve management of out-of-pocket care costs while increasing caregiver resourcefulness skills. Participants will be asked to participate in a 4-week intervention that includes participation in four, synchronous group-based Zoom sessions as well as between-session activities to apply learning. Participants will also receive tailored text message notifications from the NeuViCare AI-powered app via text and will be able to submit questions to the app to receive financial well-being information related to caregiving.


Eligibility criteria: Inclusion Criteria:

* Self-identified caregiver to a person living with probable Alzheimer's disease or related dementia
* Person living with dementia meets stage 4 to 6 criteria on Global Deterioration Scale according to the family caregiver
* Has been at least 6 months since the care recipient began to experience dementia symptoms
* Latino/Hispanic ethnicity.

Exclusion Criteria:

* Individuals who plan to place their family member in a nursing home in the next 3 months
* Unreliable access to internet, tablet or smart phone, and email
* Does not agree to participate in at least 3 of the 4 group sessions and/or register for the NeuViCare app
* Unable to read and speak in English or Spanish

Primary outcomes:
measure: Financial Strain
timeFrame: The outcome measure will use the average change score from baseline scores until post-intervention (1 month post-baseline) and 2 months post-intervention (3-months after the baseline).
measure: Resourcefulness
timeFrame: The outcome measure will use the average change score from baseline scores until post-intervention (1 month post-baseline) and 2 months post-intervention (3-months after the baseline).
Secondary outcomes:
measure: Self-Efficacy
timeFrame: The outcome measure will use the average change score from baseline scores until post-intervention (1 month post-baseline) and 2 months post-intervention (3-months after the baseline).
Other outcomes:
Locations:
city: Cleveland
country: United States
facility: Case Western Reserve University
state: Ohio
Study officials:
affiliation: Case Western Reserve University
name: Kylie Meyer, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Zauszniewski JA, Lai CY, Tithiphontumrong S. Development and testing of the Resourcefulness Scale for Older Adults. J Nurs Meas. 2006 Spring-Summer;14(1):57-68. doi: 10.1891/jnum.14.1.57.
citation: Ritter PL, Sheth K, Stewart AL, Gallagher-Thompson D, Lorig K. Development and Evaluation of the Eight-Item Caregiver Self-Efficacy Scale (CSES-8). Gerontologist. 2022 Mar 28;62(3):e140-e149. doi: 10.1093/geront/gnaa174.
citation: Sadigh G, Switchenko J, Weaver KE, Elchoufi D, Meisel J, Bilen MA, Lawson D, Cella D, El-Rayes B, Carlos R. Correlates of financial toxicity in adult cancer patients and their informal caregivers. Support Care Cancer. 2022 Jan;30(1):217-225. doi: 10.1007/s00520-021-06424-1. Epub 2021 Jul 13.