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| ID | Type | Description | Link |
|---|---|---|---|
| K23AG065452 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute on Aging (NIA) | NIH |
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The purpose of this study is to create and test faith-based activities that might be useful for African American adults with moderate and severe dementia and their caregivers. The study aims to enroll 30 dyads of people with moderate and severe dementia and their family caregivers.
African Americans (AAs) are more likely than other racial/ethnic groups to be diagnosed with Alzheimer's disease and related dementias (ADRD) and will account for 20% of persons living with dementia (PLWD) by 2050. PLWD experience progressive distress and confusion, which decreases their quality of life and also contributes to the emotional strain, burden, social isolation, and depression experienced by caregivers. Research indicates that religiosity (the inner commitment to one's faith through integration of religious beliefs and practices into one's life) can serve as a protective factor against the stressors associated with caregiving and living with ADRD.
The goal of this clinical feasibility trial and NIH stage 1 intervention development project is to go beyond the four walls of the church to find ways to meet the spiritual needs of persons living with moderate and severe ADRD "where they are" in order to help them remain religiously and spiritually engaged. This study is premised on the notion that religious/spiritual engagement is possible and beneficial for PLWD and that this beneficial effect will extend to their caregivers.
The purpose of this project is to design and test the feasibility of employing components of a Faith-based Home Activity Toolbox (Faith-HAT) and create intervention tools for a full-scale randomized controlled trial (RCT) to test the efficacy-effectiveness of faith-based programs on patient and caregiver outcomes.
Thirty dyads of people with dementia and their caregivers will be enrolled in a 6 week program to test the feasibility and preliminary effectiveness of using Faith-HAT. A final study follow-up assessment occurs 6 weeks after the end of the intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Caregivers | Experimental | Caregivers of a person living with dementia will participate in the Faith-HAT intervention for 6 weeks. |
|
| Persons living with dementia | Experimental | Persons living with dementia will participate in the Faith-HAT intervention for 6 weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Faith-based Home Activity Toolbox (Faith-HAT) | Behavioral | They will select activities from Faith-HAT at least 3 times a week. Possible examples of these activities include devotional readings, prayer, music, religious images, and video and audio recorded sermons. Faith-HAT will be placed on online, which requires little technical know-how by users. The PI will provide training to participants on how to use the Faith-HAT and online diary on the tablet computer provided by the project. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants Recruited Within the Goal of 12 Months | Feasibility of the intervention is assessed by how many months it takes to recruit all study participants. The researchers aimed to complete recruitment within 12 months, enrolling 2 to 3 dyads per month. | At enrollment (up to 21 months of study) |
| Number of Participants Engaging in the Intervention at Least Two Days Per Week | Engagement with the intervention is assessed by the number of participants who reported engaging with Faith-HAT at least two days per week during the 6 week intervention. | Week 6 |
| Number of Dyads Completing the Study | The feasibility of the intervention is assessed by study retention, specifically, the number of dyads completing the study. | Month 20 of the study |
| Zarit Burden Inventory Score | The amount of burden felt by caregivers was assessed with the 22-item Zarit Burden Inventory. Responses are given on a scale from 0 to 4 where for 0 = never and 4 = nearly always. Total scores range from 0 to 88, where higher scores indicate greater feelings of caregiver burden. | Baseline, Week 6 |
| Perceived Stress Scale Score | Caregiver stress was assessed with the 14-item Perceived Stress Scale. Responses are given on a scale of 0 to 4 where 0 = never and 4 = very often. Total scores range from 0 to 56 with higher scores indicating greater perceived stress by caregivers. | Baseline, Week 6 |
| Center for Epidemiologic Studies - Depression (CES-D) Scale Score | Caregiver depression will be assessed with the 20-item Center for Epidemiologic Studies - Depression Scale. Caregivers are asked how frequently they have experienced specific symptoms of depression in the past week. Responses are given as 0 = rarely, 1 = 1-2 days, 2 = 3-4 days, and 4 = 5-7 days. Total scores range from 0 to 80 with higher scores indicating greater symptoms of depression. |
| Measure | Description | Time Frame |
|---|---|---|
| Caregiver Heart Rate Variability Time Domain | Caregivers will wear wristband, a wearable-sensor (E4 wristwatch), that detects stress reactivity in an ecologically appropriate setting (to overcome the artificial setting of the clinical site) to collect longer-duration measurement of the time domain of heart rate variability. Mean peak-to-peak intervals will be assessed in seconds. Caregiver participants will be asked to wear the wristband for 24 hours, prior to starting the intervention and again at the end of the intervention. |
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Caregiver Inclusion Criteria:
PLWD Inclusion Criteria:
Caregiver Exclusion Criteria:
PLWD Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Fayron Epps, PhD, RN | Emory University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Emory University, Nell Hodgson Woodruff School of Nursing | Fairburn | Georgia | 30213 | United States |
All of the individual participant data collected during the trial will be available for sharing, after deidentification.
Data will be available for sharing beginning 3 months and ending 5 years following article publication.
Data will be available for sharing with researchers who provide a methodologically sound proposal, in order to achieve aims in the approved proposal. Proposals should be directed to fepps@emory.edu. To gain access, data requestors will need to sign a data access agreement. Data will be available for 5 years at a third party website.
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Participants are dyads of community members in the metropolitan area of Atlanta, Georgia, USA. Participant enrollment began August 19, 2021 and follow-up assessments were completed by July 13, 2023.
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| ID | Title | Description |
|---|---|---|
| FG000 | Caregivers | Caregivers of a person living with dementia participating in the Faith-based Home Activity Toolbox (Faith-HAT) intervention for 6 weeks. During the intervention, participants select activities from Faith-HAT at least 3 times a week. Possible examples of these activities include devotional readings, prayer, music, religious images, and video and audio recorded sermons. Faith-HAT is delivered online, which requires little technical know-how by users. Participants were instructed on how to use Faith-HAT and the online diary via a tablet computer provided by the study. |
| FG001 | Persons Living With Dementia | Persons living with dementia participating in the Faith-HAT intervention for 6 weeks. During the intervention, participants select activities from Faith-HAT at least 3 times a week. Possible examples of these activities include devotional readings, prayer, music, religious images, and video and audio recorded sermons. Faith-HAT is delivered online, which requires little technical know-how by users. Participants were instructed on how to use Faith-HAT and the online diary via a tablet computer provided by the study. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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|
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| ID | Title | Description |
|---|---|---|
| BG000 | Caregivers | Caregivers of a person living with dementia participating in the Faith-based Home Activity Toolbox (Faith-HAT) intervention for 6 weeks. |
| BG001 | Persons Living With Dementia |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Participants Recruited Within the Goal of 12 Months | Feasibility of the intervention is assessed by how many months it takes to recruit all study participants. The researchers aimed to complete recruitment within 12 months, enrolling 2 to 3 dyads per month. | Posted | Count of Participants | Participants | At enrollment (up to 21 months of study) |
|
Information on adverse events was collected beginning at the baseline assessment and continued during the duration of the intervention, up to Week 6. All-cause mortality is reported up to the final assessment at 6 weeks after the end of the intervention.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Caregivers | Caregivers of a person living with dementia participating in the Faith-based Home Activity Toolbox (Faith-HAT) intervention for 6 weeks. |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Fayron Epps, PhD, RN | Emory University | 404-727-6936 | fepps@emory.edu |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Sep 6, 2019 | Jun 10, 2024 | Prot_SAP_001.pdf |
| ICF | No | No | Yes | Informed Consent Form | Nov 15, 2021 | Jan 29, 2024 | ICF_000.pdf |
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| ID | Term |
|---|---|
| D000544 | Alzheimer Disease |
| D003704 | Dementia |
| ID | Term |
|---|---|
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D024801 | Tauopathies |
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|
| Baseline, Week 6 |
| Revised Memory and Behavior Problem Checklist Score | The Revised Memory and Behavior Problem Checklist assesses the presence of problematic behaviors in persons with dementia as well as caregiver distress due to those problems. Caregivers complete the 24-item instrument by indicating whether or not the behavior has occurred and how distressing the behaviors are for them on a scale from 0 to 4 (where 0 = not at all and 4 = extremely). Total scores assessing caregiver reactions to problem behaviors range from 0 to 96 with higher scores indicating greater difficulty with problem behaviors. | Baseline, Week 6 |
| Medical Outcomes Study Sleep Scale (MOS-Sleep) Score | The Medical Outcomes Study Sleep Scale (MOS-Sleep) measures sleep quality in the past four weeks. The MOS-Sleep includes 12 items assessing the dimensions of sleep disturbance, sleep adequacy, somnolence, quantity of sleep, snoring, and awakening short of breath or with a headache. Nine of the 12 items are used to create a sleep problem index. Scores for each of the dimensions and the sleep problem index are converted to a 0 to 100 scale, where higher scores indicate more of the dimension attribute or increased problems with sleep (for the sleep problem index). | Baseline, Week 6 |
| Baseline, Week 6 |
| Caregiver Heart Rate Variability Frequency Domain | Caregivers will wear wristband, a wearable-sensor (E4 wristwatch), that detects stress reactivity in an ecologically appropriate setting (to overcome the artificial setting of the clinical site) to collect longer-duration measurement of the frequency domain, measured in Hertz (Hz), of heart rate variability. Parasympathetic control is characterized as high frequency (0.15-0.40 Hz) while low frequency (0.04-0.15 Hz) characterizes both the sympathetic and parasympathetic activities. Exposure of an individual to a physical or mental stressor activates their stress response through the sympathetic nervous system (SNS) axis. Caregiver participants will be asked to wear the wristband for 24 hours, prior to starting the intervention and again at the end of the intervention. | Baseline, Week 6 |
| Caregiver Skin Conductance Level (SCL) | Caregivers will wear wristband, a wearable-sensor (E4 wristwatch), that detects stress reactivity in an ecologically appropriate setting (to overcome the artificial setting of the clinical site) to collect longer-duration measurement of skin conductance level. Skin conductance level is the electrical conductivity of the skin. Skin conducts electricity better during physiological or psychological arousal, making skin conductance level a maker for measuring emotion. Caregiver participants will be asked to wear the wristband for 24 hours, prior to starting the intervention and again at the end of the intervention. | Baseline, Week 6 |
| Lost to Follow-up |
|
| Completed the demographic questionnaire but lost to follow-up before beginning the intervention |
|
Persons living with dementia participating in the Faith-HAT intervention for 6 weeks.
| BG002 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Count of Participants | Participants |
|
|
|
| Primary | Number of Participants Engaging in the Intervention at Least Two Days Per Week | Engagement with the intervention is assessed by the number of participants who reported engaging with Faith-HAT at least two days per week during the 6 week intervention. | This analysis includes participants who completed the study. | Posted | Count of Participants | Participants | Week 6 |
|
|
|
| Primary | Number of Dyads Completing the Study | The feasibility of the intervention is assessed by study retention, specifically, the number of dyads completing the study. | Posted | Count of Participants | Participants | Month 20 of the study |
|
|
|
| Primary | Zarit Burden Inventory Score | The amount of burden felt by caregivers was assessed with the 22-item Zarit Burden Inventory. Responses are given on a scale from 0 to 4 where for 0 = never and 4 = nearly always. Total scores range from 0 to 88, where higher scores indicate greater feelings of caregiver burden. | This analysis includes caregiver participants who completed the study. | Posted | Mean | Standard Deviation | score on a scale | Baseline, Week 6 |
|
|
|
| Primary | Perceived Stress Scale Score | Caregiver stress was assessed with the 14-item Perceived Stress Scale. Responses are given on a scale of 0 to 4 where 0 = never and 4 = very often. Total scores range from 0 to 56 with higher scores indicating greater perceived stress by caregivers. | This analysis includes caregiver participants who completed the study. | Posted | Mean | Standard Deviation | score on a scale | Baseline, Week 6 |
|
|
|
| Primary | Center for Epidemiologic Studies - Depression (CES-D) Scale Score | Caregiver depression will be assessed with the 20-item Center for Epidemiologic Studies - Depression Scale. Caregivers are asked how frequently they have experienced specific symptoms of depression in the past week. Responses are given as 0 = rarely, 1 = 1-2 days, 2 = 3-4 days, and 4 = 5-7 days. Total scores range from 0 to 80 with higher scores indicating greater symptoms of depression. | To decrease the number of surveys administered, reactions to problematic behaviors was used as a marker for depression and was assessed with the Revised Memory and Behavior Problem Checklist. The CES-D instrument was not administered to any participants. | Posted | Baseline, Week 6 |
|
|
| Primary | Revised Memory and Behavior Problem Checklist Score | The Revised Memory and Behavior Problem Checklist assesses the presence of problematic behaviors in persons with dementia as well as caregiver distress due to those problems. Caregivers complete the 24-item instrument by indicating whether or not the behavior has occurred and how distressing the behaviors are for them on a scale from 0 to 4 (where 0 = not at all and 4 = extremely). Total scores assessing caregiver reactions to problem behaviors range from 0 to 96 with higher scores indicating greater difficulty with problem behaviors. | This analysis includes caregiver participants who completed the study. | Posted | Mean | Standard Deviation | score on a scale | Baseline, Week 6 |
|
|
|
| Primary | Medical Outcomes Study Sleep Scale (MOS-Sleep) Score | The Medical Outcomes Study Sleep Scale (MOS-Sleep) measures sleep quality in the past four weeks. The MOS-Sleep includes 12 items assessing the dimensions of sleep disturbance, sleep adequacy, somnolence, quantity of sleep, snoring, and awakening short of breath or with a headache. Nine of the 12 items are used to create a sleep problem index. Scores for each of the dimensions and the sleep problem index are converted to a 0 to 100 scale, where higher scores indicate more of the dimension attribute or increased problems with sleep (for the sleep problem index). | The online form used for this survey did not record responses accurately and the information that was collected was not usable. | Posted | Baseline, Week 6 |
|
|
| Secondary | Caregiver Heart Rate Variability Time Domain | Caregivers will wear wristband, a wearable-sensor (E4 wristwatch), that detects stress reactivity in an ecologically appropriate setting (to overcome the artificial setting of the clinical site) to collect longer-duration measurement of the time domain of heart rate variability. Mean peak-to-peak intervals will be assessed in seconds. Caregiver participants will be asked to wear the wristband for 24 hours, prior to starting the intervention and again at the end of the intervention. | None of the caregiver participants wore the wristband sensor for 24 hours, thus there were not adequate data for any participant to perform valid calculations of longer-duration heart rate variability. Caregivers reported that wearing the wristband sensor was burdensome and stressful and after the first 5 caregiver participants had unsuccessful attempts for the baseline assessment the investigators discontinued use of the wearable sensor in this study. | Posted | Baseline, Week 6 |
|
|
| Secondary | Caregiver Heart Rate Variability Frequency Domain | Caregivers will wear wristband, a wearable-sensor (E4 wristwatch), that detects stress reactivity in an ecologically appropriate setting (to overcome the artificial setting of the clinical site) to collect longer-duration measurement of the frequency domain, measured in Hertz (Hz), of heart rate variability. Parasympathetic control is characterized as high frequency (0.15-0.40 Hz) while low frequency (0.04-0.15 Hz) characterizes both the sympathetic and parasympathetic activities. Exposure of an individual to a physical or mental stressor activates their stress response through the sympathetic nervous system (SNS) axis. Caregiver participants will be asked to wear the wristband for 24 hours, prior to starting the intervention and again at the end of the intervention. | None of the caregiver participants wore the wristband sensor for 24 hours, thus there were not adequate data for any participant to perform valid calculations of longer-duration heart rate variability. Caregivers reported that wearing the wristband sensor was burdensome and stressful and after the first 5 caregiver participants had unsuccessful attempts for the baseline assessment the investigators discontinued use of the wearable sensor in this study. | Posted | Baseline, Week 6 |
|
|
| Secondary | Caregiver Skin Conductance Level (SCL) | Caregivers will wear wristband, a wearable-sensor (E4 wristwatch), that detects stress reactivity in an ecologically appropriate setting (to overcome the artificial setting of the clinical site) to collect longer-duration measurement of skin conductance level. Skin conductance level is the electrical conductivity of the skin. Skin conducts electricity better during physiological or psychological arousal, making skin conductance level a maker for measuring emotion. Caregiver participants will be asked to wear the wristband for 24 hours, prior to starting the intervention and again at the end of the intervention. | None of the caregiver participants wore the wristband sensor for 24 hours, thus there were not adequate data for any participant to perform valid calculations of longer-duration measurement of skin conductance level. Caregivers reported that wearing the wristband sensor was burdensome and stressful and after the first 5 caregiver participants had unsuccessful attempts for the baseline assessment the investigators discontinued use of the wearable sensor in this study. | Posted | Baseline, Week 6 |
|
|
| 0 |
| 27 |
| 0 |
| 27 |
| 0 |
| 27 |
| EG001 | Persons Living With Dementia | Persons living with dementia participating in the Faith-HAT intervention for 6 weeks. | 1 | 27 | 0 | 27 | 0 | 27 |
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| D019636 |
| Neurodegenerative Diseases |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |