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SilverBills: A Financial and Legal Tech Tool for Caregivers

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ClinicalTrials.gov Identifier: NCT05382949
Recruitment Status : Recruiting
First Posted : May 19, 2022
Last Update Posted : May 19, 2022
Information provided by (Responsible Party):
Marci Lobel-Esrig, Silverbills, Inc.

Brief Summary:
Financial and legal management for persons with dementia (PwD) is a crucial responsibility of caregivers. This responsibility adds to the stress and strain of caregiving. Current technology tools that help with bill management and budgeting often require a high degree of technical expertise and provide an insufficient degree of personal support to address the caregivers' needs. Current approaches to financial management are typically aimed at technologically savvy millennials rather than caregivers. Additionally, these approaches do not address the need for safe and accessible storage of legal documents. Thus, the current solutions available for these tasks are a mismatch for caregivers. The investigators will address the lack of effective financial management and legal support for caregivers of PwD. Using proprietary technology, SilverBills receives, scrutinizes, stores, and pays bills on behalf of clients. The goal of this project is to decrease the stress and strain on caregivers of PwD, by providing a simple, safe, and effective financial and legal management tool. The investigators aim to build an easy to use, customizable, client facing application for caregivers to direct the financial activities of PwD. In addition, The investigators will enhance the capabilities of the application to reconcile banking information, detect fraud, secure data, provide enhanced reporting capabilities and provide further budgeting and planning functionality. Finally, in collaboration with researchers from the University of Denver, The investigators will assess caregiver burden and physical, financial, and emotional distress. The team supporting Silverbills V2 includes expertise in elder law, business development, Ruby on Rails software engineering, financial security and cognitive health, caregiving, research design and statistics. The work proposed should demonstrate that the SilverBills V2 product will: 1) Provide a financial management tool which includes a messaging system and vault of critical documents for caregivers of PwD and/or older adults, and 2) Evaluate the effectiveness of our product to decrease caregiver stress and increase caregiver quality of life. This team will support the rigorous scientific validation which will potentially provide evidence of our innovation and support this critical work to provide technological tools for financial and legal management to caregivers of PwD.

Condition or disease Intervention/treatment
Caregiver Burden Other: SilverBills Financial and Legal Tech Tool for Caregivers

Detailed Description:

Research has demonstrated that education, information and support improve caregiver wellbeing, improve their mental health, and delay the need to move the persons with dementia (PwD) to along-term care setting. Caregivers are often responsible for managing the legal and financial affairs for PwD. This responsibility adds to the stress and strain of caregiving. The SilverBills client-facing application provides an easy to use, efficient financial and legal management tool to caregivers, decreasing caregiver burden. In order to assess the effectiveness of the SilverBills tool, the investigators will measure caregiver burden as well as mental, physical and financial health (baseline and post-intervention).

Research Questions:

  1. What are the effects of a client-facing application on the primary outcome (caregiver burden) between baseline (T1) and end (T2) of the study?
  2. What are the effects of a client-facing application on the secondary outcomes (mental, physical, and financial health) between T1 and T2?
  3. What are the moderators of the effects of client-facing application on the primary outcome and secondary outcomes between T1 and T2?

To achieve the aims of this proposal, recruited participants will remotely and electronically (via Qualtrics data collection software) provide informed consent for research. Participants will be recruited as detailed in the recruitment and retention plan. Participants will meet the following screening criteria: a) Participants must be caregivers aged 18 or above; b) participants must be caregivers of people with dementia; and c) participants are able to provide consent without the aid of another individual.

Participants will complete two surveys at two different time intervals. The first survey will take place at the outset of the research study when the participants are enrolled (T1). The second and final survey will be administered 6 months after the start of the study (T2). The entirety of the data collected throughout this project will be converted into password-protected files (e.g. xlsx), which will be stored in secured electronic platforms (i.e. password-protected OneDrive) that only select team members will have access to. Survey items will be multiple choice and should take respondents no more than 15-20 minutes to complete.

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Study Type : Observational
Estimated Enrollment : 150 participants
Observational Model: Other
Time Perspective: Other
Official Title: SilverBills: A Financial and Legal Tech Tool for Caregivers
Estimated Study Start Date : June 1, 2022
Estimated Primary Completion Date : May 31, 2023
Estimated Study Completion Date : May 31, 2023

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Caregivers

Intervention Details:
  • Other: SilverBills Financial and Legal Tech Tool for Caregivers
    All subjects will be receiving the Silverbills financial and legal tech tool and a pre-post analysis will be conducted.

Primary Outcome Measures :
  1. Caregiver Burden [ Time Frame: 1 year ]
    Zarit Burden Interview

Secondary Outcome Measures :
  1. Mental Health [ Time Frame: 1 year ]
    Anxiety and Depression using PHQ-9 and GAD-7

  2. Physical Health [ Time Frame: 1 year ]
    Physical health component of SF-12

  3. Financial Distress [ Time Frame: 1 year ]
    InCharge Financial Distress/Financial Well-Being Scale. Items are measured on a scale of 1 to 10, wherein 1 signifies significant financial concern and 10 signifies little or no financial concern.

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
The investigators will recruit approximately 150 caregivers who provide care for an individual with dementia that meet inclusion/exclusion criteria.

Inclusion Criteria:

  • 18 years or older
  • Provide care for an individual with Dementia

Exclusion Criteria:

  • Age <18
  • Lack of cognitive capacity to independently consent and complete participation (i.e., one who would require an informant)

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05382949

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Contact: Lisa Rosenblum 855-553-7330 NIHStudy@SilverBills.com
Contact: Jodi Catlow 303-871-6203 Jodi.Catlow@du.edu

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United States, New York
Silverbills, Inc. Recruiting
New Rochelle, New York, United States, 10804
Contact: Lisa Rosenblum    855-553-7330    NIHStudy@Silverbills.com   
Contact: Jodi Catlow    303-871-6203    Jodi.Catlow@du.edu   
Sponsors and Collaborators
Marci Lobel-Esrig
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Principal Investigator: Eric Chess, MD/JD University of Denver
Additional Information:
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Responsible Party: Marci Lobel-Esrig, CEO and Founder, Silverbills, Inc.
ClinicalTrials.gov Identifier: NCT05382949    
Other Study ID Numbers: 074126
First Posted: May 19, 2022    Key Record Dates
Last Update Posted: May 19, 2022
Last Verified: May 2022
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Marci Lobel-Esrig, Silverbills, Inc.:
Financial Management
Legal Management
Additional relevant MeSH terms:
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Caregiver Burden
Stress, Psychological
Behavioral Symptoms