Literature DB >> 34288013

The Tele-STELLA protocol: Telehealth-based support for families living with later-stage Alzheimer's disease.

Allison Lindauer1,2, Deborah Messecar2, Glenise McKenzie2, Allison Gibson3, Whitney Wharton4, Allison Bianchi5, Robin Tarter1,2, Ruth Tadesse2, Charles Boardman2, Ona Golonka1, Sarah Gothard1, Hiroko H Dodge1.   

Abstract

AIMS: We aim to establish the feasibility and acceptability of the Tele-STELLA (Support via Telehealth: Living and Learning with Advancing Alzheimer's Disease and Related Dementias) intervention. We will also assess the efficacy of the intervention in reducing the frequency of behavioural symptoms of dementia as well as family Care Partner reactivity to the symptoms.
DESIGN: This is a multi-component, quasi-experimental study that focuses on facilitating effective management of behavioural symptoms that occur in the later stages of dementia.
METHODS: Family Care Partners (n = 124) for persons with Alzheimer's disease will participate in two 8-week videoconferencing components that address behavioural symptoms-in both the persons with Alzheimer's disease and their Care Partners. In the first component ('Nova'), Care Partners work with one nurse for an hour/week for 4 weeks, then they join a small group for another 4 weeks. In the second component ('Constellation'), Care Partners work in a larger group to hone skills and knit supportive relationships. Behavioural symptom frequency and Care Partner reactivity to the behaviours will be measured prior to, during and after the intervention. The study is funded by the United States National Institute on Aging (R01AG067546); funding was initiated as on February, 2021. DISCUSSION: Tele-STELLA fills a gap in current videoconference-based psychoeducational interventions in that it offers real-time interaction with nurses and peers. The intervention was designed with feedback by pilot participants. This study will assess Tele-STELLA in its current, novel format; thus, preparing it for a larger, future randomized controlled trial. IMPACT: Tele-STELLA addresses symptoms that occur in the later stages of dementia, providing families with tools to facilitate effective behavioural management. Because Tele-STELLA is implemented via videoconferencing, it targets Care Partners who face barriers to support, such as cost and transportation. TRIAL REGISTRATION: This trial is registered with ClinicalTrials.gov (#NCT04627662).
© 2021 John Wiley & Sons Ltd.

Entities:  

Keywords:  caregiving; dementia; family care; technology

Mesh:

Year:  2021        PMID: 34288013      PMCID: PMC8449811          DOI: 10.1111/jan.14980

Source DB:  PubMed          Journal:  J Adv Nurs        ISSN: 0309-2402            Impact factor:   3.057


  38 in total

Review 1.  The problem with "problem behaviors": a systematic review of the association between individual patient behavioral and psychological symptoms and caregiver depression and burden within the dementia patient-caregiver dyad.

Authors:  Katherine Ornstein; Joseph E Gaugler
Journal:  Int Psychogeriatr       Date:  2012-05-22       Impact factor: 3.878

2.  The meanings caregivers ascribe to dementia-related changes in care recipients: a meta-ethnography.

Authors:  Allison Lindauer; Theresa A Harvath
Journal:  Res Gerontol Nurs       Date:  2014-12-15       Impact factor: 1.571

Review 3.  Bidirectional relationship between caregiver burden and neuropsychiatric symptoms in patients with Alzheimer's disease: A narrative review.

Authors:  Ahmet Turan Isik; Pinar Soysal; Marco Solmi; Nicola Veronese
Journal:  Int J Geriatr Psychiatry       Date:  2018-09-10       Impact factor: 3.485

4.  Results and lessons learned from a nurse practitioner-guided dementia care intervention for primary care patients and their family caregivers.

Authors:  Richard H Fortinsky; Colleen Delaney; Ofer Harel; Karen Pasquale; Elena Schjavland; John Lynch; Alison Kleppinger; Suzanne Crumb
Journal:  Res Gerontol Nurs       Date:  2014-01-21       Impact factor: 1.571

5.  Baseline Results: The Association Between Cardiovascular Risk and Preclinical Alzheimer's Disease Pathology (ASCEND) Study.

Authors:  Veena V Kumar; Hanfeng Huang; Liping Zhao; Danielle D Verble; Alexandra Nutaitis; Sonum D Tharwani; Alexandra L Brown; Henrik Zetterberg; William Hu; Ryan Shin; Patrick G Kehoe; Arshed Quyyumi; Joe Nocera; Andrea Kippels; Whitney Wharton
Journal:  J Alzheimers Dis       Date:  2020       Impact factor: 4.472

Review 6.  Determinants of behavioral and psychological symptoms of dementia: A scoping review of the evidence.

Authors:  Ann Kolanowski; Marie Boltz; Elizabeth Galik; Laura N Gitlin; Helen C Kales; Barbara Resnick; Kimberly S Van Haitsma; Amy Knehans; Jane E Sutterlin; Justine S Sefcik; Wen Liu; Darina V Petrovsky; Lauren Massimo; Andrea Gilmore-Bykovskyi; Margaret MacAndrew; Glenna Brewster; Vycki Nalls; Ying-Ling Jao; Naomi Duffort; Danny Scerpella
Journal:  Nurs Outlook       Date:  2017-06-16       Impact factor: 3.250

7.  Expanding access to hepatitis C virus treatment--Extension for Community Healthcare Outcomes (ECHO) project: disruptive innovation in specialty care.

Authors:  Sanjeev Arora; Summers Kalishman; Karla Thornton; Denise Dion; Glen Murata; Paulina Deming; Brooke Parish; John Brown; Miriam Komaromy; Kathleen Colleran; Arthur Bankhurst; Joanna Katzman; Michelle Harkins; Luis Curet; Ellen Cosgrove; Wesley Pak
Journal:  Hepatology       Date:  2010-09       Impact factor: 17.425

8.  2020 Alzheimer's disease facts and figures.

Authors: 
Journal:  Alzheimers Dement       Date:  2020-03-10       Impact factor: 21.566

Review 9.  Health economics research into supporting carers of people with dementia: a systematic review of outcome measures.

Authors:  Carys Jones; Rhiannon Tudor Edwards; Barry Hounsome
Journal:  Health Qual Life Outcomes       Date:  2012-11-26       Impact factor: 3.186

10.  Internet-Based Interventions Aimed at Supporting Family Caregivers of People With Dementia: Systematic Review.

Authors:  Jenny Hopwood; Nina Walker; Lorraine McDonagh; Greta Rait; Kate Walters; Stephen Iliffe; Jamie Ross; Nathan Davies
Journal:  J Med Internet Res       Date:  2018-06-12       Impact factor: 5.428

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