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N/A N=82 Randomized Single-blind Treatment

Optimizing Dementia Care

Alzheimer's Disease · Dementia · Dementia, Vascular · Caregivers · Veterans

Enrolled (actual)
82
Serious AEs
14.6%
Results posted
Sep 2021
Primary outcome: Primary: Change From Baseline in Caregiver Burden Scores on the Zarit Caregiver Burden Inventory — -2.38; 0.22 change units on a scale — p=.483

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Counseling (C) (Behavioral); Care Consultation (CC) (Behavioral)
Age
Adult, Older Adult · 19+ yrs
Sex
All
Sponsor
VA Office of Research and Development
Primary completion
Aug 2020

Outcome Measures

OutcomeResultp-value
PRIMARY
Change From Baseline in Caregiver Burden Scores on the Zarit Caregiver Burden Inventory
-2.38; 0.22 .483
PRIMARY
Change From Baseline in Relationship Cohesion on the Dyadic Adjustment Scale
6.44; -2.64 0.169
PRIMARY
Change From Baseline in Quality of Life on the World Health Organization (WHO) Quality of Life Measure
.59; -2.97 0.763
PRIMARY
Change From Baseline Depressive Symptoms on the Cornell Scale for Depression in Dementia
-2.000; -1.100 0.780
SECONDARY
Number and Percentage of Veterans With Dementia in Long-term Care Facilities as Reported by the Caregivers at 12 Months
3; 3

Summary

The purpose of this randomized controlled pilot study is to examine the preliminary effectiveness, feasibility, and potential treatment moderators (i.e., behavioral symptoms and spousal relationship status) of a newly developed intervention for individuals with dementia and their family caregivers that combines elements of the established care consultation (CC) approach with additional counseling modules (CC+C). Outcomes for Veterans with dementia and their family caregivers (e.g., depressive symptoms, care-related burden, quality of life, pleasant events, etc.) will be assessed after 6 months of treatment and again at 12 months.

Eligibility Criteria

Inclusion Criteria

Veterans:

  • Must be age 19 or older
  • Must have a diagnosis of dementia or a related disorder
  • Must live in the community (i.e. not in a VA Community Living Center, nursing home, or other facility)
  • Must cohabitate with a caregiver
  • Must have reliable access to a telephone
  • Must be willing to consent to participate or provide assent in conjunction with proxy consent if their decision-making capacity is compromised

Caregivers:

  • Must be age 19 or older
  • Must self-identify as assisting with care for at least 8 hours/week
  • Must be willing to consent to participate

Exclusion Criteria

Veterans:

  • Currently incarcerated
  • Currently pregnant
  • Dyads experiencing low levels of distress

Caregivers:

  • Currently incarcerated
  • Currently pregnant
  • Experiencing severe cognitive impairment that would impair their ability to communicate during an interview
  • Dyads experiencing low levels of distress
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02585232). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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