Coordinating Center for Caregiver Intervention Trial (REACH)
Dementia, Alzheimer Disease
About this trial
This is an interventional treatment trial for Dementia focused on measuring Family Caregivers, Dementia, Alzheimer Disease, Randomized Controlled Trial, Intervention Studies
Eligibility Criteria
Caregiver Inclusion/Exclusion Criteria: Inclusion Criteria: Age: 21 years or older Family member of the care recipient Must live with care recipient or share cooking facilities Must have a telephone that will enable use of CTIS (Computer Telephone Integration System) system Must plan to remain in the recruitment area for the duration of the intervention and follow-up Caregiver role for more than 6 months Must provide on average 4 hours of supervision or direct assistance per day for the care recipient Risk Screening Tool: must have a total score of at least 1 for questions 1-3, and a total of at least 2 for questions 4-9 Exclusion Criteria: Non-English, non-Spanish speaking Active treatment (chemotherapy, radiation therapy) for cancer Imminent placement of care recipient into a nursing home or with another caregiver (within 6 months) Involvement in another clinical trial for caregivers Participant in REACH I study SPMSQ:> or = 4 errors* If the caregiver has been inconsistent with answers or repeated answers during the screening process, then the interviewer administers the Short Portable Mental Status Questionnaire (SPMSQ). If the caregiver missed 4 or more questions, he/she was excluded from the study. Care Recipient Inclusion/Exclusion Criteria Inclusion Criteria: a. NINCDS (MD diagnosis) of dementia or cognitive impairment (raw score on MMSE of 23 or less) Exclusion Criteria: Non-English, non-Spanish speaking History of Parkinson's Disease or a stroke with no reported decline in memory over the past year Active treatment (chemotherapy, radiation therapy) for cancer More than three acute medical hospitalizations in past year (other than psychiatric or Alzheimer's Disease related admission) Schizophrenia (onset of delusions before age 45) or other severe mental illness Dementia secondary to head trauma (probable) Blindness or deafness if either disability prohibits them from completion of data collection or participation in the interventions MMSE = 0 and Bedbound (confined to a bed or chair for >22 hours per day, for at least 4 of the past 7 days) Planned nursing home admission in 6 months Participant in REACH I study
Sites / Locations
- University of Alabama at Birmingham
- Stanford University and Veterans Affairs
- University of Miami at Miami, Center on Adult Development and Aging
- Thomas Jefferson University at Philadelphia, Center for Applied Research on Aging and Health
- University of Tennessee Health Science Center
Arms of the Study
Arm 1
Arm 2
Experimental
Other
Treatment
Control
The intervention addressed caregiver depression, burden, self-care, and social support and care recipient problem behaviors through 12 in-home and telephone sessions over 6 months.
Caregivers in the control group received 2 brief "check-in" telphone calls during the 6 month intervention.