Supporting caregivers of veterans with Alzheimer’s disease and traumatic brain injury: study protocol for a randomized controlled trial

Autor: Joanne Daggy, Emily L. Fortier, Nicole R. Fowler, James E. Slaven, Katherine S. Judge, Nicki Coleman, Christopher Suelzer, Jennifer L. Carnahan
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Gerontology
Male
Psychological intervention
Medicine (miscellaneous)
Collaborative Care
Anxiety
law.invention
Study Protocol
0302 clinical medicine
Traumatic brain injury
Randomized controlled trial
law
Adaptation
Psychological
Brain Injuries
Traumatic
Prevalence
Medicine
Pharmacology (medical)
030212 general & internal medicine
Randomized Controlled Trials as Topic
Veterans
Aged
80 and over
lcsh:R5-920
Family caregivers
Depression
Caregiver burden
Health Care Costs
Middle Aged
Treatment Outcome
Caregivers
Female
medicine.symptom
lcsh:Medicine (General)
Alzheimer’s disease
Adult
Quality of life
Adolescent
03 medical and health sciences
Young Adult
Quality of life (healthcare)
Alzheimer Disease
Early Medical Intervention
Dementia
Humans
Aged
Primary Health Care
business.industry
medicine.disease
United States
Collaborative care
business
030217 neurology & neurosurgery
Follow-Up Studies
Zdroj: Trials, Vol 21, Iss 1, Pp 1-11 (2020)
Trials
ISSN: 1745-6215
DOI: 10.1186/s13063-020-4199-1
Popis: Background Patients with Alzheimer’s disease and related dementias (ADRD) and traumatic brain injury (TBI) and their caregivers require cognitive and behavioral symptom management, interdisciplinary care, support for caregivers, and seamless care coordination between providers. Caring for someone with ADRD or TBI is associated with higher rates of psychological morbidity and burden, social isolation, financial hardship, and deterioration of physical health. Tremendous need exists for primary care–based interventions that concurrently address the care needs of dyads and aim to improve care and outcomes for both individuals with ADRD and TBI and their family caregivers. Methods The Aging Brain Care Acquiring New Skills While Enhancing Remaining Strengths (ABC ANSWERS) study is a randomized controlled trial that tests the effectiveness of an intervention based on two evidence-based programs that have been developed for and previously tested in populations with ADRD, TBI, stroke, and late-life depression and/or who have survived an intensive care unit stay. This study includes 200 dyads comprised of a veteran with a diagnosis of ADRD or TBI and the veteran’s primary informal caregiver. Dyads are randomized to receive the ABC ANSWERS intervention or routine Veterans Health Administration (VHA) primary care with a standardized educational and resource information packet. Data collection occurs at baseline and three follow-up time points (3 months, 6 months, and 12 months). The primary outcome is caregiver quality of life (QoL). A secondary measure for the caregiver is caregiver burden. Secondary measures for both the veteran and caregiver include symptoms of depression and anxiety. Discussion The ABC ANSWERS intervention integrates common features of an evidence-based collaborative care model for brain health while concurrently attending to the implementation barriers of delivering care and skills to dyads. We hypothesize that caregivers in dyads randomized to the ABC ANSWERS program will experience higher levels of QoL and lower levels of depression, anxiety, dyadic strain, and caregiver burden at 12 months than those receiving usual VHA primary care. Trial registration ClinicalTrials.gov, NCT03397667. Registered on 12 January 2018.
Databáze: OpenAIRE
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