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Connecting Through Caregiving: Reappraising Intergeneration Relationships (CTC)

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ClinicalTrials.gov Identifier: NCT03030027
Recruitment Status : Recruiting
First Posted : January 24, 2017
Last Update Posted : April 16, 2019
Sponsor:
Information provided by (Responsible Party):
The Hong Kong Polytechnic University

Brief Summary:
The purpose of the present study is to examine the effects of perspective-taking reappraisals on the well-being of adult-child dementia caregivers.

Condition or disease Intervention/treatment Phase
Dementia Behavioral: Connecting Through Caregiving Other: Basic Skills Building Not Applicable

Detailed Description:
Dementia caregiving presents a particular challenge wherein the adult child is parenting his or her parents. Facilitating relational insights, the key components of the Connecting Through Caregiving (CTC) intervention involves the following: 1) enhancing self-awareness of the caregiver, 2) developing interpersonal empathy of the care-recipient, 3) help-seeking, 4) balancing self-care and caring for others and 5) negotiating action plans. The CTC intervention is be evaluated against a basic skill training intervention consisting of scheduling pleasant events, communicating with the care recipient and other family members. Dementia caregivers providing at least 14 hours of care per week to a parent living with dementia are recruited and randomized into one the two conditions. The intervention lasts for six weeks for both conditions. Intervention in the first week consists of a home visit and a telephone follow-up. From the second to fifth week, there are weekly four telephone phone sessions. In the sixth week, there were two more telephone calls to consolidate the intervention and to review implementation plans.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 80 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple (Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Connecting Through Caregiving: Reappraising Intergeneration Relationships for Dementia Caregivers
Actual Study Start Date : January 9, 2017
Estimated Primary Completion Date : December 31, 2020
Estimated Study Completion Date : December 31, 2020

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Caregivers Dementia

Arm Intervention/treatment
Experimental: Connecting Through Caregiving
This arm focuses on perspective-taking reappraisal procedures.
Behavioral: Connecting Through Caregiving
The Connecting Through Caregiving intervention focuses on reappraisal exercises on intergeneration relationships in caregiving, involving the following: 1) enhancing self-awareness of the caregiver, 2) developing interpersonal empathy for the care-recipient, 3) help-seeking in caregiving, 4) balancing self-care and caring and 5) negotiating action plans.

Basic Skills Building
This arm focuses on skill building.
Other: Basic Skills Building
Skill building involves: 1) monitoring activities, 2) pleasant event scheduling, 3) communicating with the care recipient, 4) communicating with family members and 5) review implementation




Primary Outcome Measures :
  1. Change in Life Satisfaction (LS): scale [ Time Frame: Change from Baseline LS through study completion, an average of 2 months ]
    Each response was rated from to 7 on each of the 5 items of the scale with higher score indicating higher level of life satisfaction

  2. Change in Center for Epidemiologic Studies Depressive Scale (CESD) [ Time Frame: Change from Baseline CESD through study completion, an average of 2 months ]
    Each response was rated from 0 to 3 on a scale of the frequency of the occurrence of the symptom in the past week. Higher scores would suggest a higher


Secondary Outcome Measures :
  1. Change in Zarit Burden Interview (ZBI) [ Time Frame: Change from Baseline ZBI through study completion, an average of 2 months ]
    Each of the 22 items required the caregiver to rate on a 5-point scale ranging from 0 (never) to 4 (nearly always).



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 65 Years   (Adult, Older Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • The study participants will be primary caregivers aged 18 or older and who have been caring for persons (aged 60 or above) with a physician diagnosis of Alzheimer's disease in the mild to moderate range as determined by the Clinical Dementia Rating Scale.
  • Primary caregivers are those who have been providing unpaid care for more than 14 hours a week for at least the past three months.
  • The care should involve day-to-day decision-making as well as any of the following: feeding, dressing, bathing, toileting, housework, preparing meals, medication and handling finances.
  • They can be daughter/son or daughter-/son-in-law of the care recipients.

Exclusion Criteria:

  • Exclusion criteria are as follows: signs of severe intellectual deficits, demonstrated suicidal ideation, exhibited evidence of psychotic disorders, hearing/ visual impairment or inability to read or speak Chinese/Cantonese fluently and severe.

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): NCT03030027


Contacts
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Contact: Joey Chan, Master 852-2766-5504 joey.cyc.chan@polyu.edu.hk

Locations
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Hong Kong
Institute of Active Ageing Recruiting
Kowloon, Hong Kong
Contact: Alma Au, PhD    852-2766-7746 ext 7746    alma.au@polyu.edu.hk   
Sponsors and Collaborators
The Hong Kong Polytechnic University
Investigators
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Principal Investigator: Alma Au, {PhD Hong Kong Polytechnic University
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Responsible Party: The Hong Kong Polytechnic University
ClinicalTrials.gov Identifier: NCT03030027    
Other Study ID Numbers: AFC2016
First Posted: January 24, 2017    Key Record Dates
Last Update Posted: April 16, 2019
Last Verified: January 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No
Keywords provided by The Hong Kong Polytechnic University:
Intergeneration
Reappraisal
Caregiving
Additional relevant MeSH terms:
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Dementia
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Neurocognitive Disorders
Mental Disorders