Ignite Creation Date:
2024-05-05 @ 11:39 AM
Last Modification Date:
2024-10-26 @ 9:11 AM
Study NCT ID:
NCT00105638
Status:
COMPLETED
Last Update Posted:
2015-04-07
First Post:
2005-03-16
Brief Title:
Telehealth Education Program for Caregivers of Veterans With Dementia
Sponsor:
US Department of Veterans Affairs
Organization:
VA Office of Research and Development
Study Overview
Official Title:
A Telehealth Education Program for Caregivers of Veterans With Dementia
Status:
COMPLETED
Status Verified Date:
2007-11
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
This study was designed to evaluate the impact of a Telehealth Education Program TEP on outpatient veterans with moderate to severe dementia and their spouse caregivers The TEP is a program of education coping skills problem solving and support presented to caregivers of veterans with dementia by teleconference in 10 weekly one-hour sessions The TEP was based on a stress and coping model aimed to enhance the knowledge skills and feelings of support of the caregivers who participated
Detailed Description:
Background
This study was designed to evaluate the impact of a Telehealth Education Program TEP on outpatient veterans with moderate to severe dementia and their spouse caregivers The TEP is a program of education coping skills problem solving and support presented to caregivers of veterans with dementia by teleconference in 10 weekly one-hour sessions The TEP was based on a stress and coping model aimed to enhance the knowledge skills and feelings of support of the caregivers who participated
Objectives
The objectives of this study were to 1 evaluate the impact of TEP on outpatient veterans with dementia and 2 to help spousal caregivers gain the knowledge and skills necessary to provide the highest quality of care possible for their spouse in order to prevent unnecessary healthcare utilization and premature institutionalization In addition a second objective was to develop a TEP training manual for VA clinical staff and a TEP workbook for family members
Methods
This study employed a 2x3x2x4 randomized control group design The design had two levels of intervention TEP verus usual careUC three times of measurement baseline 3 months and 12 months two sites of educational group intervention Albany VAMC and Buffalo VAMC and four leaders two nestled at each of the two sites Veterans were included into the study if 1 they were community dwelling 2 had been diagnosed with Alzheimers disease or a related dementing disorder and 3 scored three or higher on the Global Deterioration Scale Caregivers were included if they 1 were the primary care providers for the veterans 2 had cohabitated with the veteran for more than one year 3 reported at least a moderate level of strain score a seven or higher on the Caregiver Strain Index and 4 had not participated in any other individual or group intervention program designed to support caregivers of demented persons
There were ten TEP caregiver groups that received the educational program in one-hour sessions for 10 weeks Demographic data were collected on the veterans and caregivers at baseline Psychosocial outcome data were collected within two weeks prior to the interventionbaseline and then again at three and twelve months These were collected to evaluate whether TEP veterans would experience a reduction in behavioral problems agitation and symptoms of depression and whether caregivers would experience a significant increase in dementia management skills as well as a perceived ability to care for their spouse Outcome variables were analyzed using mixed effect regression models Healthcare cost and utilization data were extracted from the VISTA databases and included outpatient inpatient and nursing home data within the VA
Status
Completed
This study was designed to evaluate the impact of a Telehealth Education Program TEP on outpatient veterans with moderate to severe dementia and their spouse caregivers The TEP is a program of education coping skills problem solving and support presented to caregivers of veterans with dementia by teleconference in 10 weekly one-hour sessions The TEP was based on a stress and coping model aimed to enhance the knowledge skills and feelings of support of the caregivers who participated
Objectives
The objectives of this study were to 1 evaluate the impact of TEP on outpatient veterans with dementia and 2 to help spousal caregivers gain the knowledge and skills necessary to provide the highest quality of care possible for their spouse in order to prevent unnecessary healthcare utilization and premature institutionalization In addition a second objective was to develop a TEP training manual for VA clinical staff and a TEP workbook for family members
Methods
This study employed a 2x3x2x4 randomized control group design The design had two levels of intervention TEP verus usual careUC three times of measurement baseline 3 months and 12 months two sites of educational group intervention Albany VAMC and Buffalo VAMC and four leaders two nestled at each of the two sites Veterans were included into the study if 1 they were community dwelling 2 had been diagnosed with Alzheimers disease or a related dementing disorder and 3 scored three or higher on the Global Deterioration Scale Caregivers were included if they 1 were the primary care providers for the veterans 2 had cohabitated with the veteran for more than one year 3 reported at least a moderate level of strain score a seven or higher on the Caregiver Strain Index and 4 had not participated in any other individual or group intervention program designed to support caregivers of demented persons
There were ten TEP caregiver groups that received the educational program in one-hour sessions for 10 weeks Demographic data were collected on the veterans and caregivers at baseline Psychosocial outcome data were collected within two weeks prior to the interventionbaseline and then again at three and twelve months These were collected to evaluate whether TEP veterans would experience a reduction in behavioral problems agitation and symptoms of depression and whether caregivers would experience a significant increase in dementia management skills as well as a perceived ability to care for their spouse Outcome variables were analyzed using mixed effect regression models Healthcare cost and utilization data were extracted from the VISTA databases and included outpatient inpatient and nursing home data within the VA
Status
Completed
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None