Literature DB >> 29399825

Testing Tele-Savvy: Protocol for a randomized controlled trial.

Mariya A Kovaleva1, Elizabeth Bilsborough1, Patricia C Griffiths2,3,4, Joe Nocera3,5, Melinda Higgins1, Fayron Epps6, Katie Kilgore1, Allison Lindauer7, Darby Morhardt8, Raj C Shah9, Kenneth Hepburn1,2.   

Abstract

Many informal caregivers of persons with dementia suffer adverse health consequences. Although established psychoeducation programs are known to benefit caregivers, attending in-person programs is challenging for them. To address this challenge, the Savvy Caregiver Program, an evidence-based psychoeducation program with demonstrated effectiveness for caregiving and disease-related outcomes, was transformed into an on-line program, Tele-Savvy. This article describes the rationale for and design of a prospective longitudinal randomized controlled trial (targeted N = 215), currently underway. The trial aims to establish Tele-Savvy's efficacy in (i) reducing the negative effects of caregiving on caregivers; (ii) promoting care recipients' quality of life; (iii) improving caregiver mastery; and to explore (iv) Tele-Savvy's efficacy among caregivers of different races/ethnicities. The mediating role of mastery will be assessed. Participants are randomized to the active condition (immediate Tele-Savvy participation), attention control, or usual care. Participants in the two latter conditions will complete Tele-Savvy 6 months post-baseline. Multilevel mixed effects models will be used to examine changes in outcomes and to model group by time (months since baseline) interactions. The exploratory aim will be addressed using analysis of covariance and qualitative analysis. This trial's results may be used by healthcare and community organizations to implement Tele-Savvy in dementia care, increasing caregivers' access to this evidence-based intervention.
© 2018 Wiley Periodicals, Inc.

Entities:  

Keywords:  Alzheimer's disease; caregivers; dementia; randomized controlled trials

Mesh:

Year:  2018        PMID: 29399825      PMCID: PMC5945279          DOI: 10.1002/nur.21859

Source DB:  PubMed          Journal:  Res Nurs Health        ISSN: 0160-6891            Impact factor:   2.228


  87 in total

Review 1.  Family caregiving of persons with dementia: prevalence, health effects, and support strategies.

Authors:  Richard Schulz; Lynn M Martire
Journal:  Am J Geriatr Psychiatry       Date:  2004 May-Jun       Impact factor: 4.105

Review 2.  Enhancing rigor in qualitative description: a case study.

Authors:  Jill Milne; Kathleen Oberle
Journal:  J Wound Ostomy Continence Nurs       Date:  2005 Nov-Dec       Impact factor: 1.741

3.  Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support.

Authors:  Paul A Harris; Robert Taylor; Robert Thielke; Jonathon Payne; Nathaniel Gonzalez; Jose G Conde
Journal:  J Biomed Inform       Date:  2008-09-30       Impact factor: 6.317

4.  Effectiveness of Cognitive/Behavioral Small Group Intervention for Reduction of Depression and Stress in Non-Hispanic White and Hispanic/Latino Women Dementia Family Caregivers: Outcomes and Mediators of Change.

Authors:  Dolores Gallagher-Thompson; Heather L Gray; Tamarra Dupart; Daniel Jimenez; Larry W Thompson
Journal:  J Ration Emot Cogn Behav Ther       Date:  2008-12-01

5.  Self-efficacy: toward a unifying theory of behavioral change.

Authors:  A Bandura
Journal:  Psychol Rev       Date:  1977-03       Impact factor: 8.934

6.  The Resources for Enhancing Alzheimer's Caregiver Health (REACH): project design and baseline characteristics.

Authors:  Stephen R Wisniewski; Steven H Belle; David W Coon; Susan M Marcus; Marcia G Ory; Louis D Burgio; Robert Burns; Richard Schulz
Journal:  Psychol Aging       Date:  2003-09

7.  Effects of the home environmental skill-building program on the caregiver-care recipient dyad: 6-month outcomes from the Philadelphia REACH Initiative.

Authors:  Laura N Gitlin; Laraine Winter; Mary Corcoran; Marie P Dennis; Sandy Schinfeld; Walter W Hauck
Journal:  Gerontologist       Date:  2003-08

8.  Perceived health status and mortality among older men and women.

Authors:  F D Wolinsky; R J Johnson
Journal:  J Gerontol       Date:  1992-11

9.  Exploring the effectiveness of an internet-based program for reducing caregiver distress using the iCare Stress Management e-Training Program.

Authors:  Bruno Kajiyama; Larry W Thompson; Tamiko Eto-Iwase; Mio Yamashita; John Di Mario; Yuan Marian Tzuang; Dolores Gallagher-Thompson
Journal:  Aging Ment Health       Date:  2013-03-06       Impact factor: 3.658

10.  Adaptive leadership framework for chronic illness: framing a research agenda for transforming care delivery.

Authors:  Ruth A Anderson; Donald E Bailey; Bei Wu; Kirsten Corazzini; Eleanor S McConnell; N Marcus Thygeson; Sharron L Docherty
Journal:  ANS Adv Nurs Sci       Date:  2015 Apr-Jun       Impact factor: 1.824

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  5 in total

1.  Attention control in a trial of an online psychoeducational intervention for caregivers.

Authors:  Mariya Kovaleva; Joe R Nocera; Kenneth Hepburn; Melinda Higgins; Rachel Nash; Fayron Epps; Glenna Brewster; Elizabeth Bilsborough; Amy A Blumling; Patricia C Griffiths
Journal:  Res Nurs Health       Date:  2022-01-25       Impact factor: 2.238

2.  In-Home Video Telehealth for Dementia Management: Implications for Rehabilitation.

Authors:  Megan E Gately; Scott A Trudeau; Lauren R Moo
Journal:  Curr Geriatr Rep       Date:  2019-09-01

3.  Remotely delivered information, training and support for informal caregivers of people with dementia.

Authors:  Eduardo González-Fraile; Javier Ballesteros; José-Ramón Rueda; Borja Santos-Zorrozúa; Ivan Solà; Jenny McCleery
Journal:  Cochrane Database Syst Rev       Date:  2021-01-04

4.  Results of a Randomized Trial Testing the Efficacy of Tele-Savvy, an Online Synchronous/Asynchronous Psychoeducation Program for Family Caregivers of Persons Living with Dementia.

Authors:  Kenneth Hepburn; Joe Nocera; Melinda Higgins; Fayron Epps; Glenna S Brewster; Allison Lindauer; Darby Morhardt; Raj Shah; Kalisha Bonds; Rachel Nash; Patricia C Griffiths
Journal:  Gerontologist       Date:  2022-04-20

5.  Using a Warm Hand-Off Approach to Enroll African American Caregivers in a Multi-Site Clinical Trial: The Handshake Protocol.

Authors:  Fayron Epps; Glenna Brewster; Judy S Phillips; Rachel Nash; Raj C Shah; Kenneth Hepburn
Journal:  J Appl Gerontol       Date:  2021-02-10
  5 in total

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