search
Back to results

Health enSuite Caregivers: an App-based Treatment for Distressed Caregivers of Persons With Moderate Dementia

Primary Purpose

Caregiver Burnout

Status
Not yet recruiting
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Health enSuite Caregivers
Sponsored by
IWK Health Centre
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Caregiver Burnout focused on measuring Caregiver Burnout, Caregiver Stress, Caregivers, Dementia

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

Caregiver Eligibility Screening:

Part 1:

  1. Are you 18 years and older?

    • Yes
    • No
  2. Do you have regular access to an Internet connected device (tablet, computer, smartphone)?

    • Yes
    • No

    As their disease progresses, persons living with dementia will experience changes in their memory and judgment. These changes will impact their ability to complete many tasks and activities independently.

  3. Does the person with dementia you are caring for need assistance, encouragement or reminders to complete any of the following activities because of memory or thinking problems?

    Assistance with activities such as:

    • Cooking
    • House or yard work
    • Using the telephone
    • Driving
    • Managing finances
    • Managing medications
  4. Encouragement or reminders to complete such activities as:

    • Bathing
    • Getting dressed
    • Walking
    • Using the toilet
    • Eating
  5. How many hours in a week are you providing care for this person with dementia?

    • more than 1 hour per week -less than one hour per week

Part 2:

In the past 30 days:

  1. My worries overwhelm me

    • Never (1)
    • Rarely (2)
    • Sometimes (3)
    • Often (4)
    • Always (5)
  2. I felt hopeless

    -Never (1)

    -Rarely (2)

    -Sometimes (3)

    -Often (4)

    -Always (5)

  3. I found social settings upsetting

    • Never (1)
    • Rarely (2)
    • Sometimes (3)
    • Often (4)
    • Always (5)
  4. I had trouble staying focused on tasks

    -Never (1)

    • Rarely (2)
    • Sometimes (3)
    • Often (4)
    • Always (5)
  5. Anxiety or fear interfered with my ability to do the things I needed to at work or at home

    • Never (1)
    • Rarely (2)
    • Sometimes (3)
    • Often (4)
    • Always (5)

Determination of eligibility:

• If response to the question 1 is Yes, the application will consider the caregiver as eligible. If response to the question 1 is No, then application displays this message to the caregiver "You are currently not eligible to participate in this study. This application is designed to support caregivers who are 18 years and older."

  • If response to the question 2 is Yes, the application will consider the caregiver as eligible. If response to the question 2 is No, then application displays this message to the caregiver "You are currently not eligible to participate in this study. To access the Health enSuite Caregivers program you will need regular access to a device with an internet connection."
  • If at least 1 option from question 3 or question 4 is selected, then person is considered to be living with "moderate" dementia, and the application will consider the caregiver as eligible. If no option from question 3 or question 4 is selected, then the application will consider the caregiver as ineligible, and display the following message to the caregiver "You are currently not eligible to participate in this study. You must be caring for a person with moderate dementia to be able to participate in the Health enSuite Caregivers program."
  • If "more than one hour per week" is selected for question 5 then the application will consider the caregiver as eligible. If "less than one hour per week" is selected, then the application will consider the caregiver as ineligible, and display the following message to the caregiver "You are currently not eligible to participate in this study. You must be caring for a person with moderate dementia for more than 1 hour per week to be able to participate in the Health enSuite Caregivers program."

Part 2:

• If sum of responses in Part 2 is 10 or less, then the participant is ineligible. If the sum of response in Part 2 is 11 or greater, then the participant is ineligible.

Exclusion Criteria:

-

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    No Intervention

    Arm Label

    Intervention

    Waitlist Control

    Arm Description

    Intervention group will have access to Health enSuite Caregivers, an e-health program designed to meet some of the most common needs of caregivers of persons with dementia, including information about dementia and dementia care, caregivers' emotional health, formal or informal help received from others. It also recommends specific strategies to promote well-being and provides tools to help caregivers implement these strategies in their everyday lives. Health enSuite Caregivers is designed to offer advice to caregivers of persons with dementia based on an assessment of their specific needs. Topics are divided into five main content areas, which are recommended based on an assessment of the caregivers current challenges and sources of stress.

    Participants in the control group will be wait-listed and receive only treatment as usual from their healthcare providers during the study. After their participation is the study has ended, participants in the control group will be given access to the full Health enSuite Caregivers program.

    Outcomes

    Primary Outcome Measures

    Change in carer emotional and relationship well-being at 3 and 6 months
    Primary objectives: Carer emotional and relationship well-being, (as assessed using the Carer Wellbeing Scales (CWS). The ratings to the CWS questions in the following sections: "your role as a carer", "your relationship with the person you care for", "your relationship with family and friends" and "your emotional well-being" will be aggregated to create a single composite score for each participant. This composite score will be the primary outcome measure. Each of the 21 items in these sections (items 1-5, 6-11, 12-15, and 21-26) can be answered using "A lot (4)" "Quite a bit (3)" "Moderately (2)" "A little (1)" or "Not at all (0), with total scores on the scale ranging from 0-84), with higher scores indicating poorer emotional and relationship well-being.

    Secondary Outcome Measures

    Change in total carer wellbeing at 3 and 6 months
    All sections of the Carer Wellbeing and Support Scales (CWS) will be used as a secondary outcome measure, measuring the total change in carer well-being and support. Each of the 33 items in these sections can be answered using "A lot (4)" "Quite a bit (3)" "Moderately (2)" "A little (1)" or "Not at all (0)", with total scores on the scale ranging from 0-132, with higher scores indicating poorer total carer well-being.
    Change in carer concern toward their role as a carer at 3 and 6 months
    The "your role as a carer" section (items 1-5) of the Carer Wellbeing and Support Scales (CWS) will be used as a secondary outcome measure, measuring the change in overall feeling toward their role as a carer Each of the items in these sections can be answered using "A lot (4)" "Quite a bit (3)" "Moderately (2)" "A little (1)" or "Not at all (0)", with total scores on the scale ranging from 0-20, with higher scores indicating higher carer concern toward their role as a carer.
    Change in carer relationship with the person with dementia at 3 and 6 months
    The "Relationship with the person with dementia" section (items 6-11) the Carer Wellbeing and Support Scales (CWS) will be used as a secondary outcome measure, measuring the change in the carers relationship with the person with dementia. Each of the items in these sections can be answered using "A lot (4)" "Quite a bit (3)" "Moderately (2)" "A little (1)" or "Not at all (0)", with total scores on the scale ranging from 0-24, with higher scores indicating poorer carer relationship with the person with dementia.
    Change in carer relationships with friends and family at 3 and 6 months
    The "Relationships with friends and family" section (items 12-15) of the Carer Wellbeing and Support Scales (CWS) will be used as a secondary outcome measure, measuring the change in relationships with friends and family. Each of the items in these sections can be answered using "A lot (4)" "Quite a bit (3)" "Moderately (2)" "A little (1)" or "Not at all (0)", with total scores on the scale ranging from 0-16, with higher scores indicating poorer carer relationships with friends and family.
    Change in carer emotional well-being at 3 and 6 months
    The "emotional well-being" section(items 21-26) of the Carer Wellbeing and Support Scales (CWS) will be used as a secondary outcome measure, measuring the change in carer emotional well-being. Each of the items in these sections can be answered using "A lot (4)" "Quite a bit (3)" "Moderately (2)" "A little (1)" or "Not at all (0)", with total scores on the scale ranging from 0-24, with higher scores indicating poorer carer emotional well-being.
    Change in carer financial well-being at 3 and 6 months
    The "financial well-being" section (items 16-18) of the Carer Wellbeing and Support Scales (CWS) will be used as a secondary outcome measure, measuring the change in carer financial well-being. Each of the items in these sections can be answered using "A lot (4)" "Quite a bit (3)" "Moderately (2)" "A little (1)" or "Not at all (0)", with total scores on the scale ranging from 0-12, with higher scores indicating poorer financial well-being.
    Change in carer physical health at 3 and 6 months
    The "physical health" section (items 19-20) of the Carer Wellbeing and Support Scales (CWS) will be used as a secondary outcome measure, measuring the change in carer physical health. Each of the items in these sections can be answered using "A lot (4)" "Quite a bit (3)" "Moderately (2)" "A little (1)" or "Not at all (0)", with total scores on the scale ranging from 0-8, with higher scores indicating poorer carer physical health.
    Change in carer experience with stigma and discrimination at 3 and 6 months
    The "stigma and discrimination" section (item 27) of the Carer Wellbeing and Support Scales (CWS) will be used as a secondary outcome measure, measuring the change in carer experience with stigma and discrimination. Each of the items in these sections can be answered using "A lot (4)" "Quite a bit (3)" "Moderately (2)" "A little (1)" or "Not at all (0)", with total scores on the scale ranging from 0-4, with higher scores indicating poorer carer experience with stigma and discrimination.
    Change in carer personal safety at 3 and 6 months
    The "personal safety" section (items 28-29) of the Carer Wellbeing and Support Scales (CWS) will be used as a secondary outcome measure, measuring the change in carer personal safety. Each of the items in these sections can be answered using "A lot (4)" "Quite a bit (3)" "Moderately (2)" "A little (1)" or "Not at all (0)", with total scores on the scale ranging from 0-8, with higher scores indicating poorer carer personal safety.
    Change in safety of the person with dementia at 3 and 6 months
    The "safety of the person with dementia" section (items 30-32) of the Carer Wellbeing and Support Scales (CWS) will be used as a secondary outcome measure, measuring the change in the safety of the person with dementia. Each of the items in these sections can be answered using "A lot (4)" "Quite a bit (3)" "Moderately (2)" "A little (1)" or "Not at all (0)", with total scores on the scale ranging from 0-12, with higher scores indicating poorer safety of the person with dementia.
    Change in carer distress at 3 and 6 months
    The Distress Questionnaire (DQ-5) scale will be used as a secondary outcome measure, measuring the change in carer distress. The response scale for the DQ5 is "Never" (1), "Rarely" (2), "Sometimes" (3), "Often" (4) or "Always" (5), with total scores on the scale ranging from 5-25, with higher scores indicating greater psychological distress.
    Change in carer self-efficacy at 3 and 6 months
    The Family Caregivers' Self-efficacy for Managing Dementia scale will be used as a secondary outcome measure. It includes 10 items and is scored based on a 10-point Likert scale from 1 ("not at all certain") to 10 ("very certain"), with total scores on the scale ranging from 10-100, with lower scores indicating low self-efficacy.

    Full Information

    First Posted
    June 14, 2021
    Last Updated
    March 29, 2022
    Sponsor
    IWK Health Centre
    search

    1. Study Identification

    Unique Protocol Identification Number
    NCT04944420
    Brief Title
    Health enSuite Caregivers: an App-based Treatment for Distressed Caregivers of Persons With Moderate Dementia
    Official Title
    Evaluating an App-based Treatment for Distressed Caregivers of Persons With Moderate Dementia: Health enSuite Caregivers Study
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    March 2022
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    September 2022 (Anticipated)
    Primary Completion Date
    June 2024 (Anticipated)
    Study Completion Date
    June 2024 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    IWK Health Centre

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    Health enSuite Caregivers is an e-health program designed to meet some of the most common needs of caregivers of persons with dementia, including information about dementia and dementia care, caregivers' emotional health, formal or informal help received from others. It also recommends specific strategies to promote well-being and provides tools to help caregivers implement these strategies in their everyday lives. Health enSuite Caregivers is available online and as a smartphone app. Its development was informed by reviews of caregivers' needs and existing commercially available apps. A systematic search of commercially available smartphone applications for caregivers found that many apps did not consider each caregiver's unique needs, and were limited to psychoeducational content (no tools for self-management). Furthermore, most existing programs have not been rigorously tested or lack evidence to support their effectiveness.
    Detailed Description
    As the Canadian population ages, the demand for informal caregivers is expected to increase. Currently, an estimated 8 million Canadians provide unpaid assistance and ongoing care to family members and friends in need of support due to physical, cognitive, or mental health conditions. Challenges associated with being an informal caregiver vary based on a number of factors including how much time is involved, the health of the person being cared for, and the care needs. Although all caregivers may experience distress, caregivers of people with dementia are at especially high risk for psychological distress and poor health outcomes. Nearly half of the individuals who are providing care for someone with dementia experience symptoms of distress. It is important to provide caregivers with information and support so that they can manage these demands without compromising their own well-being. However, existing programs for caregivers are relatively limited. Primary care providers play an important role in supporting caregivers of people with dementia; however, there is a lack of effective, easily accessible programs for primary healthcare providers to recommend to a distressed caregiver of someone with dementia. The investigators developed Health enSuite Caregivers as a potential solution to this problem. Primary hypothesis: On average participants assigned to the intervention group will report greater wellbeing (emotional and relationship facets) over time compared to participants assigned to the control group. At 3 and 6 months post-randomization emotional and relational well-being is expected to be higher in the intervention group compared to the control group. Secondary hypothesis: Participants assigned to the intervention group will have greater well-being (each specific facet, total well-being) and greater self-efficacy at 3 and 6 months post-randomization compared to participants assigned to the control group. This project consists of a pragmatic randomized controlled trial (RCT). Participants will be randomly allocated in a 1:1 ratio to either the intervention group or a wait-list control group. Participants in both groups will complete self-assessments, including key outcome measures, at baseline, and 3, and 6 months post-randomization. Participants in the intervention group will receive the full Health enSuite Caregivers program immediately after being randomized to this group. It is designed to offer advice to caregivers of persons with dementia based on an assessment of their specific needs. Topics are divided into five main content areas, which are recommended based on an assessment of the caregivers current challenges and sources of stress. Participants in the control group will be wait-listed and receive only treatment as usual during the study. After their participation is the study has ended, participants in the control group will be given access to the full Health enSuite Caregivers program.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Caregiver Burnout
    Keywords
    Caregiver Burnout, Caregiver Stress, Caregivers, Dementia

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Model Description
    This project consists of a pragmatic randomized controlled trial. Participants will be randomly allocated in a 1:1 ratio to either the intervention group or a wait-list control group. Participants in both groups will complete self-assessments, including key outcome measures, at baseline, and 3 and 6 months post-randomization. Participants in the intervention group will receive the full Health enSuite Caregivers program immediately after being randomized to this group. Participants in the control group will be wait-listed and receive only treatment as usual during the study. After their participation is the study has ended, participants in the control group will be given access to the full Health enSuite Caregivers program.
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    430 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Intervention
    Arm Type
    Experimental
    Arm Description
    Intervention group will have access to Health enSuite Caregivers, an e-health program designed to meet some of the most common needs of caregivers of persons with dementia, including information about dementia and dementia care, caregivers' emotional health, formal or informal help received from others. It also recommends specific strategies to promote well-being and provides tools to help caregivers implement these strategies in their everyday lives. Health enSuite Caregivers is designed to offer advice to caregivers of persons with dementia based on an assessment of their specific needs. Topics are divided into five main content areas, which are recommended based on an assessment of the caregivers current challenges and sources of stress.
    Arm Title
    Waitlist Control
    Arm Type
    No Intervention
    Arm Description
    Participants in the control group will be wait-listed and receive only treatment as usual from their healthcare providers during the study. After their participation is the study has ended, participants in the control group will be given access to the full Health enSuite Caregivers program.
    Intervention Type
    Behavioral
    Intervention Name(s)
    Health enSuite Caregivers
    Intervention Description
    Advice within Health enSuite Caregivers is organized into 5 priority areas: Taking Care of Yourself (Self-care), Support for You (Support), Supporting the Person Living with Dementia (Characteristics of Persons Living with Dementia), Communication, and Time Management. Under "My Priority Areas", participants will see these in order from highest to lowest need, based on their answers to the needs assessment. Each priority area contains small subtopics and specific tips for things to "Try" or "Avoid". Navigation through the priority areas is user directed and at the participant's discretion. The goal is to make the information they need easy to access.
    Primary Outcome Measure Information:
    Title
    Change in carer emotional and relationship well-being at 3 and 6 months
    Description
    Primary objectives: Carer emotional and relationship well-being, (as assessed using the Carer Wellbeing Scales (CWS). The ratings to the CWS questions in the following sections: "your role as a carer", "your relationship with the person you care for", "your relationship with family and friends" and "your emotional well-being" will be aggregated to create a single composite score for each participant. This composite score will be the primary outcome measure. Each of the 21 items in these sections (items 1-5, 6-11, 12-15, and 21-26) can be answered using "A lot (4)" "Quite a bit (3)" "Moderately (2)" "A little (1)" or "Not at all (0), with total scores on the scale ranging from 0-84), with higher scores indicating poorer emotional and relationship well-being.
    Time Frame
    Baseline assessment, 3 months post randomization, 6 months post randomization
    Secondary Outcome Measure Information:
    Title
    Change in total carer wellbeing at 3 and 6 months
    Description
    All sections of the Carer Wellbeing and Support Scales (CWS) will be used as a secondary outcome measure, measuring the total change in carer well-being and support. Each of the 33 items in these sections can be answered using "A lot (4)" "Quite a bit (3)" "Moderately (2)" "A little (1)" or "Not at all (0)", with total scores on the scale ranging from 0-132, with higher scores indicating poorer total carer well-being.
    Time Frame
    Baseline assessment, 3 months post randomization, 6 months post randomization
    Title
    Change in carer concern toward their role as a carer at 3 and 6 months
    Description
    The "your role as a carer" section (items 1-5) of the Carer Wellbeing and Support Scales (CWS) will be used as a secondary outcome measure, measuring the change in overall feeling toward their role as a carer Each of the items in these sections can be answered using "A lot (4)" "Quite a bit (3)" "Moderately (2)" "A little (1)" or "Not at all (0)", with total scores on the scale ranging from 0-20, with higher scores indicating higher carer concern toward their role as a carer.
    Time Frame
    Baseline assessment, 3 months post randomization, 6 months post randomization
    Title
    Change in carer relationship with the person with dementia at 3 and 6 months
    Description
    The "Relationship with the person with dementia" section (items 6-11) the Carer Wellbeing and Support Scales (CWS) will be used as a secondary outcome measure, measuring the change in the carers relationship with the person with dementia. Each of the items in these sections can be answered using "A lot (4)" "Quite a bit (3)" "Moderately (2)" "A little (1)" or "Not at all (0)", with total scores on the scale ranging from 0-24, with higher scores indicating poorer carer relationship with the person with dementia.
    Time Frame
    Baseline assessment, 3 months post randomization, 6 months post randomization
    Title
    Change in carer relationships with friends and family at 3 and 6 months
    Description
    The "Relationships with friends and family" section (items 12-15) of the Carer Wellbeing and Support Scales (CWS) will be used as a secondary outcome measure, measuring the change in relationships with friends and family. Each of the items in these sections can be answered using "A lot (4)" "Quite a bit (3)" "Moderately (2)" "A little (1)" or "Not at all (0)", with total scores on the scale ranging from 0-16, with higher scores indicating poorer carer relationships with friends and family.
    Time Frame
    Baseline assessment, 3 months post randomization, 6 months post randomization
    Title
    Change in carer emotional well-being at 3 and 6 months
    Description
    The "emotional well-being" section(items 21-26) of the Carer Wellbeing and Support Scales (CWS) will be used as a secondary outcome measure, measuring the change in carer emotional well-being. Each of the items in these sections can be answered using "A lot (4)" "Quite a bit (3)" "Moderately (2)" "A little (1)" or "Not at all (0)", with total scores on the scale ranging from 0-24, with higher scores indicating poorer carer emotional well-being.
    Time Frame
    Baseline assessment, 3 months post randomization, 6 months post randomization
    Title
    Change in carer financial well-being at 3 and 6 months
    Description
    The "financial well-being" section (items 16-18) of the Carer Wellbeing and Support Scales (CWS) will be used as a secondary outcome measure, measuring the change in carer financial well-being. Each of the items in these sections can be answered using "A lot (4)" "Quite a bit (3)" "Moderately (2)" "A little (1)" or "Not at all (0)", with total scores on the scale ranging from 0-12, with higher scores indicating poorer financial well-being.
    Time Frame
    Baseline assessment, 3 months post randomization, 6 months post randomization
    Title
    Change in carer physical health at 3 and 6 months
    Description
    The "physical health" section (items 19-20) of the Carer Wellbeing and Support Scales (CWS) will be used as a secondary outcome measure, measuring the change in carer physical health. Each of the items in these sections can be answered using "A lot (4)" "Quite a bit (3)" "Moderately (2)" "A little (1)" or "Not at all (0)", with total scores on the scale ranging from 0-8, with higher scores indicating poorer carer physical health.
    Time Frame
    Baseline assessment, 3 months post randomization, 6 months post randomization
    Title
    Change in carer experience with stigma and discrimination at 3 and 6 months
    Description
    The "stigma and discrimination" section (item 27) of the Carer Wellbeing and Support Scales (CWS) will be used as a secondary outcome measure, measuring the change in carer experience with stigma and discrimination. Each of the items in these sections can be answered using "A lot (4)" "Quite a bit (3)" "Moderately (2)" "A little (1)" or "Not at all (0)", with total scores on the scale ranging from 0-4, with higher scores indicating poorer carer experience with stigma and discrimination.
    Time Frame
    Baseline assessment, 3 months post randomization, 6 months post randomization
    Title
    Change in carer personal safety at 3 and 6 months
    Description
    The "personal safety" section (items 28-29) of the Carer Wellbeing and Support Scales (CWS) will be used as a secondary outcome measure, measuring the change in carer personal safety. Each of the items in these sections can be answered using "A lot (4)" "Quite a bit (3)" "Moderately (2)" "A little (1)" or "Not at all (0)", with total scores on the scale ranging from 0-8, with higher scores indicating poorer carer personal safety.
    Time Frame
    Baseline assessment, 3 months post randomization, 6 months post randomization
    Title
    Change in safety of the person with dementia at 3 and 6 months
    Description
    The "safety of the person with dementia" section (items 30-32) of the Carer Wellbeing and Support Scales (CWS) will be used as a secondary outcome measure, measuring the change in the safety of the person with dementia. Each of the items in these sections can be answered using "A lot (4)" "Quite a bit (3)" "Moderately (2)" "A little (1)" or "Not at all (0)", with total scores on the scale ranging from 0-12, with higher scores indicating poorer safety of the person with dementia.
    Time Frame
    Baseline assessment, 3 months post randomization, 6 months post randomization
    Title
    Change in carer distress at 3 and 6 months
    Description
    The Distress Questionnaire (DQ-5) scale will be used as a secondary outcome measure, measuring the change in carer distress. The response scale for the DQ5 is "Never" (1), "Rarely" (2), "Sometimes" (3), "Often" (4) or "Always" (5), with total scores on the scale ranging from 5-25, with higher scores indicating greater psychological distress.
    Time Frame
    Baseline assessment, 3 months post randomization, 6 months post randomization
    Title
    Change in carer self-efficacy at 3 and 6 months
    Description
    The Family Caregivers' Self-efficacy for Managing Dementia scale will be used as a secondary outcome measure. It includes 10 items and is scored based on a 10-point Likert scale from 1 ("not at all certain") to 10 ("very certain"), with total scores on the scale ranging from 10-100, with lower scores indicating low self-efficacy.
    Time Frame
    Baseline assessment, 3 months post randomization, 6 months post randomization

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Caregiver Eligibility Screening: Part 1: Are you 18 years and older? Yes No Do you have regular access to an Internet connected device (tablet, computer, smartphone)? Yes No As their disease progresses, persons living with dementia will experience changes in their memory and judgment. These changes will impact their ability to complete many tasks and activities independently. Does the person with dementia you are caring for need assistance, encouragement or reminders to complete any of the following activities because of memory or thinking problems? Assistance with activities such as: Cooking House or yard work Using the telephone Driving Managing finances Managing medications Encouragement or reminders to complete such activities as: Bathing Getting dressed Walking Using the toilet Eating How many hours in a week are you providing care for this person with dementia? more than 1 hour per week -less than one hour per week Part 2: In the past 30 days: My worries overwhelm me Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) I felt hopeless -Never (1) -Rarely (2) -Sometimes (3) -Often (4) -Always (5) I found social settings upsetting Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) I had trouble staying focused on tasks -Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) Anxiety or fear interfered with my ability to do the things I needed to at work or at home Never (1) Rarely (2) Sometimes (3) Often (4) Always (5) Determination of eligibility: • If response to the question 1 is Yes, the application will consider the caregiver as eligible. If response to the question 1 is No, then application displays this message to the caregiver "You are currently not eligible to participate in this study. This application is designed to support caregivers who are 18 years and older." If response to the question 2 is Yes, the application will consider the caregiver as eligible. If response to the question 2 is No, then application displays this message to the caregiver "You are currently not eligible to participate in this study. To access the Health enSuite Caregivers program you will need regular access to a device with an internet connection." If at least 1 option from question 3 or question 4 is selected, then person is considered to be living with "moderate" dementia, and the application will consider the caregiver as eligible. If no option from question 3 or question 4 is selected, then the application will consider the caregiver as ineligible, and display the following message to the caregiver "You are currently not eligible to participate in this study. You must be caring for a person with moderate dementia to be able to participate in the Health enSuite Caregivers program." If "more than one hour per week" is selected for question 5 then the application will consider the caregiver as eligible. If "less than one hour per week" is selected, then the application will consider the caregiver as ineligible, and display the following message to the caregiver "You are currently not eligible to participate in this study. You must be caring for a person with moderate dementia for more than 1 hour per week to be able to participate in the Health enSuite Caregivers program." Part 2: • If sum of responses in Part 2 is 10 or less, then the participant is ineligible. If the sum of response in Part 2 is 11 or greater, then the participant is ineligible. Exclusion Criteria: -
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Rekha Dhonde
    Phone
    1-877-341-8309
    Ext
    5
    Email
    TeamHealthEnSuite@iwk.nshealth.ca
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Patrick McGrath
    Organizational Affiliation
    IWK Health Centre
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    Yes
    IPD Sharing Plan Description
    De-identified data sets may be retained and stored within the Centre for Research in Family Health as required for future research or program development, if merited. During Consent, participants will be offered the option of allowing their de-identified study data to be re-used by other approved researchers under the conditions that the research projects are approved by an appropriate ethics board and the researchers sign an agreement ensuring confidentiality and restricting data use only to the approved study. A database will be created containing only the data for those participants who agree will be available to researchers who meet these criteria.
    IPD Sharing Time Frame
    From study closure to five years post publication.
    IPD Sharing Access Criteria
    During Consent, participants will be offered the option of allowing their de-identified study data to be re-used by other approved researchers under the conditions that the research projects are approved by an appropriate ethics board and the researchers sign an agreement ensuring confidentiality and restricting data use only to the approved study.
    Citations:
    Citation
    Hango D. Insights on Canadian Society Support received by caregivers in Canada. Stat Canada. 2020;(75).
    Results Reference
    background
    PubMed Identifier
    19585957
    Citation
    Brodaty H, Donkin M. Family caregivers of people with dementia. Dialogues Clin Neurosci. 2009;11(2):217-28. doi: 10.31887/DCNS.2009.11.2/hbrodaty.
    Results Reference
    background
    Citation
    Canadian Institute for Health Information. Unpaid caregiver challenges and supports. 2018.
    Results Reference
    background
    PubMed Identifier
    30833490
    Citation
    Stall N. We should care more about caregivers. CMAJ. 2019 Mar 4;191(9):E245-E246. doi: 10.1503/cmaj.190204. No abstract available.
    Results Reference
    background
    PubMed Identifier
    30967164
    Citation
    Queluz FNFR, Kervin E, Wozney L, Fancey P, McGrath PJ, Keefe J. Understanding the needs of caregivers of persons with dementia: a scoping review. Int Psychogeriatr. 2020 Jan;32(1):35-52. doi: 10.1017/S1041610219000243.
    Results Reference
    background
    PubMed Identifier
    31518255
    Citation
    Wozney L, Freitas de Souza LM, Kervin E, Queluz F, McGrath PJ, Keefe J. Commercially Available Mobile Apps for Caregivers of People With Alzheimer Disease or Other Related Dementias: Systematic Search. JMIR Aging. 2018 Dec 7;1(2):e12274. doi: 10.2196/12274.
    Results Reference
    background
    PubMed Identifier
    29959111
    Citation
    Duggleby W, Ploeg J, McAiney C, Peacock S, Fisher K, Ghosh S, Markle-Reid M, Swindle J, Williams A, Triscott JA, Forbes D, Jovel Ruiz K. Web-Based Intervention for Family Carers of Persons with Dementia and Multiple Chronic Conditions (My Tools 4 Care): Pragmatic Randomized Controlled Trial. J Med Internet Res. 2018 Jun 29;20(6):e10484. doi: 10.2196/10484.
    Results Reference
    background
    Citation
    Quirk A, Smith S, Hamilton S, Lamping D, Lelliott P, Stahl D, et al. Development of the carer well-being and support (CWS) questionnaire. Ment Heal Rev J. 2012 Sep 21;17(3):128-38.
    Results Reference
    background
    PubMed Identifier
    29538433
    Citation
    Dow J, Robinson J, Robalino S, Finch T, McColl E, Robinson L. How best to assess quality of life in informal carers of people with dementia; A systematic review of existing outcome measures. PLoS One. 2018 Mar 14;13(3):e0193398. doi: 10.1371/journal.pone.0193398. eCollection 2018.
    Results Reference
    background
    PubMed Identifier
    12028884
    Citation
    Fortinsky RH, Kercher K, Burant CJ. Measurement and correlates of family caregiver self-efficacy for managing dementia. Aging Ment Health. 2002 May;6(2):153-60. doi: 10.1080/13607860220126763.
    Results Reference
    background
    PubMed Identifier
    21547745
    Citation
    Gallagher D, Ni Mhaolain A, Crosby L, Ryan D, Lacey L, Coen RF, Walsh C, Coakley D, Walsh JB, Cunningham C, Lawlor BA. Self-efficacy for managing dementia may protect against burden and depression in Alzheimer's caregivers. Aging Ment Health. 2011 Aug;15(6):663-70. doi: 10.1080/13607863.2011.562179. Epub 2011 May 24.
    Results Reference
    background
    PubMed Identifier
    16449755
    Citation
    Spitznagel MB, Tremont G, Davis JD, Foster SM. Psychosocial predictors of dementia caregiver desire to institutionalize: caregiver, care recipient, and family relationship factors. J Geriatr Psychiatry Neurol. 2006 Mar;19(1):16-20. doi: 10.1177/0891988705284713.
    Results Reference
    background
    Citation
    Keefe J, Guberman N, Fancey P, Barylak L, Nahmiash D. Caregivers' Aspirations, Realities, and Expectations: The CARE Tool. J Appl Gerontol. 2008 Jun 11;27(3):286-308.
    Results Reference
    background
    PubMed Identifier
    23512568
    Citation
    Michie S, Richardson M, Johnston M, Abraham C, Francis J, Hardeman W, Eccles MP, Cane J, Wood CE. The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: building an international consensus for the reporting of behavior change interventions. Ann Behav Med. 2013 Aug;46(1):81-95. doi: 10.1007/s12160-013-9486-6.
    Results Reference
    background
    PubMed Identifier
    31985249
    Citation
    Cheng ST, Li KK, Losada A, Zhang F, Au A, Thompson LW, Gallagher-Thompson D. The effectiveness of nonpharmacological interventions for informal dementia caregivers: An updated systematic review and meta-analysis. Psychol Aging. 2020 Feb;35(1):55-77. doi: 10.1037/pag0000401.
    Results Reference
    background
    PubMed Identifier
    30642300
    Citation
    Qiu D, Hu M, Yu Y, Tang B, Xiao S. Acceptability of psychosocial interventions for dementia caregivers: a systematic review. BMC Psychiatry. 2019 Jan 14;19(1):23. doi: 10.1186/s12888-018-1976-4.
    Results Reference
    background

    Learn more about this trial

    Health enSuite Caregivers: an App-based Treatment for Distressed Caregivers of Persons With Moderate Dementia

    We'll reach out to this number within 24 hrs