Reducing Caregiver Stress and Sleep Disturbances in Patients With Progressive Dementia
Recruitment status was Active, not recruiting
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Purpose
People under stress, such as those caring for an ill family member, often have trouble with their sleep. The aim of this study is to see if reducing stress and changing a caregiver's sleep and wake patterns will improve his/her sleep. The investigators also will see whether improvements in sleep result in improved mood, health, and general functioning.
| Condition | Intervention | Phase |
|---|---|---|
|
Sleep Disorders |
Behavioral: Stress Management and Healthy Sleep Practices |
Phase 1 |
| Study Type: | Observational |
| Study Design: | Observational Model: Case Control Time Perspective: Cross-Sectional |
| Official Title: | AgeWise Project 2: Reducing Stress and Sleep Disturbances in Caregivers of Patients With Progressive Dementia |
Saliva collected on cotton rolls and frozen by participant. Kept frozen until shipped for assay.
| Estimated Enrollment: | 60 |
| Study Start Date: | February 2003 |
| Estimated Study Completion Date: | November 2008 |
| Estimated Primary Completion Date: | November 2008 (Final data collection date for primary outcome measure) |
-
Behavioral: Stress Management and Healthy Sleep Practices
The general aim of this study is to characterize stress-related sleep disturbances in spousal caregivers of patients with progressive dementia and to test the efficacy of an intervention designed to reduce stress and sleep disturbances. We will compare the efficacy of a Stress Management Plus Health Sleep Practices (SM+HSP) intervention to an attention-only control condition in spousal caregivers of patients with progressive dementia.
Specific Aims for this study are:
Aim 1: To characterize stress-related sleep disruptions in spousal caregivers of patients with progressive dementia.
Aim 2: To test the short-term efficacy of a Stress Management Plus Healthy Sleep Practices (SM+HSP) intervention versus an attention-only control for improving sleep and health outcomes in caregivers of patients with progressive dementia.
Aim 3: To test the durability of the SM+HSP intervention among spousal caregivers of patients with progressive dementia.
Aim 4: To characterize:
- the impact of stress-related sleep disruptions on health in older adults, and
- the effects of sleep interventions on health and functioning.
Eligibility| Ages Eligible for Study: | 60 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
| Sampling Method: | Non-Probability Sample |
Males and females over the age of 60 who are primary caregiver for spouse/partner diagnosed with progressive dementia.
Inclusion Criteria:
- Ages 60 or older
- Spousal caregivers of patients with progressive dementia
- Patients have a diagnosis of possible or probable Alzheimer's disease or other progressive dementia
- Affirm that it is a physical and emotional strain to care for spouse
- Pittsburgh Sleep Quality Index score of 5 or above or a polysomnographically determined sleep efficiency of 90% or worse.
Exclusion Criteria:
- Psychotic disorder or substance abuse disorder
- Apnea-hypopnea index of greater than 30
- Score of less than 24 on Mini-Mental State Exam
Contacts and Locations| United States, Pennsylvania | |
| University of Pittsburgh Medical Center, Western Psychiatric Institute and Clinic | |
| Pittsburgh, Pennsylvania, United States, 15213 | |
| Principal Investigator: | Martica Hall, Ph.D. | University of Pittsburgh |
| Study Director: | Lynn Martire, Ph.D. | University of Pittsburgh |
| Study Director: | Greg Seigel, Ph.D. | University of Pittsburgh |
| Study Director: | Richard Schulz, Ph.D. | University of Pittsburgh |
| Study Director: | Charles F. Reynolds, III, M.D. | University of Pittsburgh |
More Information
Additional Information:
Publications:
| Responsible Party: | Dr. Martica Hall, University of Pittsburgh Medical Center - WPIC |
| ClinicalTrials.gov Identifier: | NCT00178568 History of Changes |
| Other Study ID Numbers: | 021117, 1 P01 AG20677-01 |
| Study First Received: | September 13, 2005 |
| Last Updated: | June 9, 2008 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by University of Pittsburgh:
|
Sleep disturbances Sleep disorder C10.886.425.800.800 Caregiving Spousal Progressive dementia Stress Health outcomes |
Intervention Affective self-management Caregivers M01.526.485.200 Spouses F01.829.263.500.660 Alzheimer's disease C10.574.945.249 Parkinson's disease C10.574.812 |
Additional relevant MeSH terms:
|
Sleep Disorders Parasomnias Dementia Dyssomnias Brain Diseases Central Nervous System Diseases |
Nervous System Diseases Delirium, Dementia, Amnestic, Cognitive Disorders Mental Disorders Neurologic Manifestations Signs and Symptoms |
ClinicalTrials.gov processed this record on May 16, 2013