Telephone Acceptance and Commitment Therapy Intervention for Caregivers of Adults With ADRD ((TACTICs))
Anxiety, Caregiver Burden
About this trial
This is an interventional supportive care trial for Anxiety focused on measuring Dementia, Alzheimer's disease, Caregiving, Caregiver, Anxiety, Telehealth
Eligibility Criteria
Inclusion Criteria:
- Listed in ADRD patient's chart as primary caregiver or self-identifies as ADRD patient's primary caregiver
- Intends to continue caregiving for ≥12 months
- Clinically-significant anxiety (score ≥10 on GAD-7)
- 21 years or older
- Able to communicate in English
- Able to provide informed consent
Exclusion Criteria:
- Caregiver is a non-family member
- Care recipient is in an assisted living or nursing home (at baseline)
- Has ADRD or other serious mental illness diagnosis such as schizophrenia as determined by ICD-10 code or self-report
- Caregiver is enrolled in an existing ADRD collaborative program at Eskenazi Health, IU Health or the VA.
- Caregiver is enrolled in another IU study that is testing a ADRD caregiver intervention
Sites / Locations
- IUH
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
TACTICs
Minimally Enhanced Usual Care
Our ACT intervention will include 6 weekly 1-hour telephone sessions and 1 booster session offered 1 month after session 6 designed to increase psychological flexibility through practice of one or more of the six skills in each session. Although these are ideally spaced 1 week apart, participants will have up to 12 weeks to complete the 6 sessions. Each session will include guided mindfulness practice that encourages non-judgmental awareness of the present moment to increase psychological flexibility; brief (10-minute) study-provided audio recordings will enable participants to practice mindfulness at home. Caregivers will also identify deeply-held values to serve as a guide when choosing how to spend limited time or energy and will set values-based action goals each week. A booster session will be provided one month after session 6 to reinforce skills learned.
All caregivers randomized to the mEUC group will receive a mailed packet containing 1) a letter from the Co-PIs thanking them for participating, 2) printed selections from of the NIH Alzheimer's caregiving website (https://www.nia.nih.gov/health/alzheimers/caregiving), and 3) a listing of Alzheimer's Association sponsored support groups closest to the caregiver's home address. Caregivers will also receive a brief phone call from the research coordinator to verify receipt of the packet. Since this is a usual care group with a minimally-enhanced component, it will be up to the mEUC participants to decide whether or not to engage with these intervention materials.