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Better Living With Non-memory-led Dementia

Primary Purpose

Primary Progressive Aphasia, Frontotemporal Dementia, Alzheimer Disease

Status
Completed
Phase
Not Applicable
Locations
United Kingdom
Study Type
Interventional
Intervention
Better living with non-memory led dementia course
Sponsored by
University College, London
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Primary Progressive Aphasia focused on measuring "Posterior Cortical Atrophy"

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. . Adults (18+) who self-identify as an unpaid carer (partners, children, friends, etc.) of someone with PPA, PCA or bvFTD who is not living in a full-time care facility.
  2. . The care recipient has to have a confirmed diagnosis of dementia (through self-report of the carer, to reflect the 'real world' application of the intervention).

Exclusion Criteria:

  1. . Those unable to comprehend written English
  2. . Those with no access to the internet

Sites / Locations

  • University College London

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

Intervention

Treatment as usual (TAU)

Arm Description

Subjects in the intervention group receive access to an online training and educational phenotype-specific programme on how to support their relative with non-memory-led dementia. The online course consists on 6 modules to complete in 7 weeks. A course facilitator is available throughout the duration of the intervention to support participants.

The "treatment as usual" group does not receive access to the educational programme.

Outcomes

Primary Outcome Measures

Study feasibility
Feasibility of recruitment process and measurement tools (e.g., number of people agreeing to be sent information about the study, time taken to fill in questionnaires).
Acceptability
Prospective and retrospective acceptability (e.g., reasons for not taking part, task completion rate after every module)

Secondary Outcome Measures

WHO 5 Wellbeing Index
Short self-reported measure of current mental wellbeing (ranging from 0 (minimun) to 25 (maximun) scores). 0 representing the worst imaginable well-being and 100 representing the best imaginable well-being.
Generalized Anxiety Disorder scale (GAD-7)
Generalized Anxiety Disorder scale (ranging from 0 (minimun) to 21 (maximun) scores). Higher scores indicates higher anxiety.
Patient Health Questionnaire (PHQ-9)
Assesses depression severity (ranging from 0 (minimun) to 27 (maximun) scores. Higher scores indicate higher depression.
De Jong Gierveld Loneliness Scale
Measure variations in total loneliness score ranging from 0 (minimun) to 11 (maximun) scores. 0 meaning not lonely and 100 very severe lonely score.
Lubben Social Network Scale
Brief instrument designed to gauge social isolation in older adults by measuring perceived social support received by family and friends. Ranging from 0 (minimun) to 60 (maximun) scores. Higher scores represent higher social network.
Pearling Mastery Scale
Measures the extent to which an individual regards their life chances as being under their personal control. Ranging from 7 (minimun) to 28 (maximun) scores. Higher scores indicate greater levels of mastery.
Caregiver self-efficacy scale
Measures caregivers' beliefs about their ability to carry out behaviors such as obtaining respite, responding to disruptive patient behaviors, etc. Ranging from 0 (minimun) to 100 (maximun) scores. Higher scores reflect higher confidence.
Dementia Management Strategies Scale
Instrument to appraise 3 care styles of caregivers: 1) Active management, 2) Criticism and 3) Encouragement. Ranging from 34 (minimun) to 170 (maximun). Higher scores mean a greater presence of behaviours associated to the the corresponding caregiver style.
The quality of carer-partner relationship scale
Scale that measures closeness in a relationship. Ranging from 14 (minimun) to 70 (maximun). Higher scores reflect higher quality of carer-partner relationship.
Questions about perceived burden and ethicality
Tailored questions administered in a purposed-built interview. They
Health economics questions
Tailored questions administered in a purposed-built interview.

Full Information

First Posted
August 12, 2022
Last Updated
April 26, 2023
Sponsor
University College, London
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1. Study Identification

Unique Protocol Identification Number
NCT05525377
Brief Title
Better Living With Non-memory-led Dementia
Official Title
Better Living With Non-memory-led Dementia: Feasibility Study on the Effects of a Blended Online Training Course for Carers of People With Atypical AD and FTD.
Study Type
Interventional

2. Study Status

Record Verification Date
August 2022
Overall Recruitment Status
Completed
Study Start Date
June 21, 2022 (Actual)
Primary Completion Date
February 9, 2023 (Actual)
Study Completion Date
February 9, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University College, London

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
This is a feasibility study on the effects of an online-based training and education programme for carers of people with posterior cortical atrophy (PCA), primary progressive aphasia (PPA) and behavioural-variant frontotemporal dementia (bvFTD).
Detailed Description
The purpose of this study is: To evaluate the feasibility of an online training course for carers of people with PCA, PPA, and bvFTD. Feasibility measures will focus on the recruitment process and measurement tools. To determine the acceptability of an online training course for carers of people with PCA, PPA and bvFTD. The study will involve 6 online modules over the course of 7 weeks. All sessions will take place over the internet, using an online platform. A research team member (facilitator) will be available to assist participants over the course completion.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Primary Progressive Aphasia, Frontotemporal Dementia, Alzheimer Disease
Keywords
"Posterior Cortical Atrophy"

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
31 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Intervention
Arm Type
Experimental
Arm Description
Subjects in the intervention group receive access to an online training and educational phenotype-specific programme on how to support their relative with non-memory-led dementia. The online course consists on 6 modules to complete in 7 weeks. A course facilitator is available throughout the duration of the intervention to support participants.
Arm Title
Treatment as usual (TAU)
Arm Type
No Intervention
Arm Description
The "treatment as usual" group does not receive access to the educational programme.
Intervention Type
Behavioral
Intervention Name(s)
Better living with non-memory led dementia course
Intervention Description
Caregivers online training and educational phenotype-specific programme on how to support people with non-memory-led dementia.
Primary Outcome Measure Information:
Title
Study feasibility
Description
Feasibility of recruitment process and measurement tools (e.g., number of people agreeing to be sent information about the study, time taken to fill in questionnaires).
Time Frame
Since June 2022 to January 2023 (8 months)
Title
Acceptability
Description
Prospective and retrospective acceptability (e.g., reasons for not taking part, task completion rate after every module)
Time Frame
Since June 2022 to January 2023 (8 months)
Secondary Outcome Measure Information:
Title
WHO 5 Wellbeing Index
Description
Short self-reported measure of current mental wellbeing (ranging from 0 (minimun) to 25 (maximun) scores). 0 representing the worst imaginable well-being and 100 representing the best imaginable well-being.
Time Frame
Change from baseline to 8 weeks and 3 months
Title
Generalized Anxiety Disorder scale (GAD-7)
Description
Generalized Anxiety Disorder scale (ranging from 0 (minimun) to 21 (maximun) scores). Higher scores indicates higher anxiety.
Time Frame
Change from baseline to 8 weeks and 3 months
Title
Patient Health Questionnaire (PHQ-9)
Description
Assesses depression severity (ranging from 0 (minimun) to 27 (maximun) scores. Higher scores indicate higher depression.
Time Frame
Change from baseline to 8 weeks and 3 months
Title
De Jong Gierveld Loneliness Scale
Description
Measure variations in total loneliness score ranging from 0 (minimun) to 11 (maximun) scores. 0 meaning not lonely and 100 very severe lonely score.
Time Frame
Change from baseline to 8 weeks and 3 months
Title
Lubben Social Network Scale
Description
Brief instrument designed to gauge social isolation in older adults by measuring perceived social support received by family and friends. Ranging from 0 (minimun) to 60 (maximun) scores. Higher scores represent higher social network.
Time Frame
Change from baseline to 8 weeks and 3 months
Title
Pearling Mastery Scale
Description
Measures the extent to which an individual regards their life chances as being under their personal control. Ranging from 7 (minimun) to 28 (maximun) scores. Higher scores indicate greater levels of mastery.
Time Frame
Change from baseline to 8 weeks and 3 months
Title
Caregiver self-efficacy scale
Description
Measures caregivers' beliefs about their ability to carry out behaviors such as obtaining respite, responding to disruptive patient behaviors, etc. Ranging from 0 (minimun) to 100 (maximun) scores. Higher scores reflect higher confidence.
Time Frame
Change from baseline to 8 weeks and 3 months
Title
Dementia Management Strategies Scale
Description
Instrument to appraise 3 care styles of caregivers: 1) Active management, 2) Criticism and 3) Encouragement. Ranging from 34 (minimun) to 170 (maximun). Higher scores mean a greater presence of behaviours associated to the the corresponding caregiver style.
Time Frame
Change from baseline to 8 weeks and 3 months
Title
The quality of carer-partner relationship scale
Description
Scale that measures closeness in a relationship. Ranging from 14 (minimun) to 70 (maximun). Higher scores reflect higher quality of carer-partner relationship.
Time Frame
Change from baseline to 8 weeks and 3 months
Title
Questions about perceived burden and ethicality
Description
Tailored questions administered in a purposed-built interview. They
Time Frame
At 8 weeks post-randomisation and 3 month follow up
Title
Health economics questions
Description
Tailored questions administered in a purposed-built interview.
Time Frame
At 8 weeks post-randomisation and 3 month follow up

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: . Adults (18+) who self-identify as an unpaid carer (partners, children, friends, etc.) of someone with PPA, PCA or bvFTD who is not living in a full-time care facility. . The care recipient has to have a confirmed diagnosis of dementia (through self-report of the carer, to reflect the 'real world' application of the intervention). Exclusion Criteria: . Those unable to comprehend written English . Those with no access to the internet
Facility Information:
Facility Name
University College London
City
London
ZIP/Postal Code
WC1N 3BG
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Better Living With Non-memory-led Dementia

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