Mavandadi 2017.
Trial name or title | A randomised pilot trial of a telephone‐based collaborative care management program for caregivers of individuals with dementia |
Methods | Randomised trial |
Participants | Caregivers of older veterans with dementia |
Interventions | Title of the intervention: Modified Telehealth Education Program (TEP) and the Behavioural Health Laboratory (BHL) Aim: To provide caregiver education and psychosocial support Interventionist(s): Care manager (nurse) Mode of delivery: Telephone Duration: Three months (minimum of 3 contacts) Content: Two components: An individualised dementia care manager (CM) provided regular and extended contact between the caregiver (CG), care manager, and when appropriate, the veteran’s primary care provider (PCP). The care manager monitored veterans’ symptoms via CG report and provided support to CGs. TEP was modified for use with individual CGs and was formatted so that CGs could select from a menu of up to seven modules in workbook format covering various content areas evaluated during the course of the CM assessments (e.g. communication skills, behavioural management techniques, stress management and coping skills, long‐term planning). They also received all material made available in the usual care arm. During the first contact, the care manager provided a general overview of the format, content, and goals of the TEP. In addition, the care manager reviewed the recommended subject areas and the CG and care manager collaboratively finalised the list of TEP modules to be covered throughout the course of the individualised program. CGs were permitted to choose as many or as few of the modules as they felt necessary. All CGs, however, were encouraged to participate in a minimum of two introductory sessions. These two sessions explained how symptoms of dementia differ from normal aging and how symptoms change over the course of the illness and introduced problem‐solving techniques. Sessions were scheduled depending upon the availability and preference of the CG. Even if the CG declined all modules, the care manager still contacted the CG for the individualised care management as described above. Standardisation: No detail provided Comparison group: Usual care (were mailed general material providing information about VA and community resources) |
Outcomes | 1.Burden: Zarit Burden Interview 12‐item (range 0–48) 2. Bother or upset: Revised Memory and Behavior Problems Checklist RMBPC caregiver reaction subscale (range 0–96) 3.Distress Neuropsychiatric Inventory Questionnaire caregiver distress subscale (range 0–50) 4.Coping: Management of Meaning — Reduction of Expectations subscale of the Pearlin Caregiving and Stress Process Scale 3 items, range 3–12) 5. Mastery: Caregiving Mastery subscale of the Lawton Caregiving Appraisal (6‐item scale ranging from 6–30) Data were collected at baseline and at 3‐ and 6‐month follow‐ups. |
Starting date | Study is complete. |
Contact information | Shahrzad Mavandadi email: shahrzad.mavandadi@va.gov |
Notes | Full paper published in 2017 following completion and submission of the review; to be evaluated for inclusion in the next update. |