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N/A N=53 Randomized Double-blind Treatment

Internet and Telephone Support Intervention for Stroke Caregivers

Depression · Quality of Life · Recovery of Function · Self Efficacy · Stress

Enrolled (actual)
53
Serious AEs
1.9%
Results posted
May 2020
Primary outcome: Primary: Change in Depressive Symptoms — -2.31; 1.00; .08; 3.9 score on a scale

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Caregiver problem-solving (Behavioral); Attention Control (Behavioral)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
VA Office of Research and Development
Primary completion
Sep 2016

Outcome Measures

OutcomeResultp-value
PRIMARY
Change in Depressive Symptoms
.92; -1.50; -3.46; 1.92
PRIMARY
Change in Caregiver Burden
-.08; -.40; -.38; -.54
PRIMARY
Change in Depressive Symptoms
.92; -1.50; -3.46; 1.92
PRIMARY
Change in Caregiver Burden
-.08; -.40; -.38; -.54
SECONDARY
Change in Health-Related Quality of Life - Physical Scale
-.48; 1.11; -7.50; .16
SECONDARY
Change in Perceived Stress
.92; .10; .54; 1.15
SECONDARY
Change in Stroke Knowledge
-.08; -.20; -.08; .15
SECONDARY
Changes in Problem-Solving Abilities
4.31; 4.55; 3.92; -1.07
SECONDARY
Caregiving Self-efficacy
-.23; .18; .77; -.71
SECONDARY
Change in Veteran Functional Abilities
-3.85; 4.00; 2.31; 0.00
SECONDARY
Change in Health-Related Quality of Life - Physical Scale
-.48; 1.11; -7.50; .16
SECONDARY
Change in Perceived Stress
.92; .10; .54; 1.15
SECONDARY
Change in Stroke Knowledge
-.08; -.20; -.08; .15
SECONDARY
Change in Problem-Solving Abilities
3.15; 7.40; -1.77; -1.08
SECONDARY
Change in Caregiving Self-Efficacy
-.23; .20; .38; -.62
SECONDARY
Change in Veteran Functional Abilities
-3.85; 4.00; 2.31; 0.00
SECONDARY
Change in Health-Related Quality of Life - Mental Scale
1.44; -1.47; -4.32; -.99
SECONDARY
Change in Health-Related Quality of Life - Mental Scale
1.44; -1.47; -4.32; -.99

Summary

This study will test a problem-solving and support intervention for caregivers of veterans with stroke. The investigators will assign caregivers to one for four groups: 4-session intervention, 8-session intervention, attention control (active listening), or standard care. The investigators will assess the impact of the intervention on caregiver outcomes (depression, burden, stress, problem-solving abilities, self-efficacy, and quality of life) and veteran outcomes (functional abilities).

Eligibility Criteria

Inclusion Criteria

All non-paid caregivers of Veterans with a primary diagnosis of stroke, discharged to home from a medical or rehabilitation facility are eligible for participation if they meet the following criteria:

  • have caregiving responsibility for a Veteran who has a diagnosis of stroke (ICD9 codes for stroke: 430-438) within the last 2.5 years and who have at least one activity of daily living (ADL), cognitive, or speech deficit related to stroke
  • score 1 or greater on the Perceived Stress Scale
  • have Internet access and ability
  • are reachable by their cell or home phones
  • read English at a seventh-grade reading level or better
  • agree to random assignment to a study arm

Exclusion Criteria

The investigators will exclude caregivers who fail to meet one or more of the inclusion criteria and whose Veterans:

  • have a life expectancy of less than 6 months
  • are receiving hospice/palliative care or are residing in a community living center
  • Life expectancy will be determined by reviewing the electronic health record (EHR) and conferring with our physician and clinical team members
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04348851). 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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