Neighborhood-based Physical and Social Activity for Older Black Caregivers and People Living With Dementia (SHARP-CG)
Caregiver Burden, Depression, Cognitive Impairment
About this trial
This is an interventional other trial for Caregiver Burden focused on measuring physical activity, reminiscence, social engagement, dementia caregiver, neighborhood-based, walking, technology-enabled, sleep, geriatric depression, caregiver burden, African American
Eligibility Criteria
Inclusion Criteria: Self-identified African American (caregiver and PWD) Caregivers and PWD Age > 55 years old; caregiver support person aged >18 years old Caregiver and PWD reside or resided for >10 years in Portland's historically Black neighborhoods (to be familiar with Memory Markers about this area) Able to ambulate independently for at least 45 minutes without the use of mobility aids Meeting Cognition Criteria a. Participants with MCI or early-stage/mild dementia will meet criteria consistent with those defined by Jak et al. and with the criteria outlined by the NIA-Alzheimer's Association workgroup Cognitive function allows independent (or minimally assisted) travel to and from walk locations Caregivers must have in-home reliable broadband internet (for weekly online surveys). Ability to read, speak, and understand English - all participants In general good health for their age (e.g., stable cardiovascular disease, stable diabetes mellitus, no significant nervous system disease). Subject must have adequate vision, hearing and language abilities to complete assessments. Exclusion Criteria: Self-reported or clinically diagnosed late-stage dementia Significant disease of the central nervous system Severely depressed (CES-D score > 16), significantly symptomatic psychiatric disorder Advanced cardiovascular disease that would make walking difficult, including history of congestive heart failure Unstable insulin-dependent diabetes mellitus, received diagnosis Type 1 Diabetes, started insulin within past 3 months, hospitalized for hypoglycemia within past 6 months.
Sites / Locations
- Oregon Health & Science UniversityRecruiting
- Oregon Health & Science UniversityRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Intervention Group
Waitlist Control
Caregivers (MCI or healthy) randomized into this group walk 3x/week for 16 weeks with their care-partner (person living with early-stage dementia - PLWD) and their caregiver support person (MCI or healthy). Caregivers (and optionally for PLWD), wears an actigraphy watch, uses an under-the-mattress sleep sensor, and on a weekly basis completes weight and a health update survey. Mid- and end-study focus groups evaluate program effectiveness and needed adaptations.
Caregivers (MCI or healthy) randomized into this group first complete baseline measures for 16 weeks, consisting of wearing an actigraphy watch, using an under-the-mattress sleep sensor, and, on a weekly basis, completing weight and a health update survey. These baseline measures are optional for PLWD. After 16 weeks of baseline data collection, the primary caregiver continues these measures while walking 3x/week for 16 weeks with their triad. The PLWD optionally completes measures and optionally wears the watch and sleep sensor. Mid- and end-study focus groups during the walking phase evaluate program effectiveness and needed adaptations.