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The investigators will conduct a hybrid efficacy-effectiveness trial intended to address these gaps by testing the efficacy-effectiveness of two multi-family group interventions, and on 250 English-speaking adults: Savvy Caregiver Express™ (3-session, newly piloted in Los Angeles County for feasibility) and Savvy Caregiver Program (original 6-session evidenced-based intervention), across post-intervention, 3- and 6-months.
A number of epidemiological studies, systematic reviews, and consensus reports highlight the importance of non-pharmacological, sociobehavioural interventions to address the health, psychological, and social effects of caregiving for persons living with dementia, and the need for tangible information and resources.
The investigators will conduct a hybrid efficacy-effectiveness trial intended to address these gaps by testing the efficacy-effectiveness of two multi-family group interventions, and on 250 English-speaking adults: Savvy Caregiver Express™ (3-session, newly piloted in Los Angeles County for feasibility) and Savvy Caregiver Program (original 6-session evidenced-based intervention), across post-intervention, 3- and 6-months. It is hypothesized that no differences (comparable effects) between the programs in their efficacy/effectiveness and moderating conditions.
Focus groups (~25 participants) will be conducted to ascertain program acceptability and satisfaction.
The analyses will include a multiple linear mixed-effects modeling for our trial outcomes, and thematic analyses for our focus group interview data.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Savvy Caregiver Program | Active Comparator | Savvy Caregiver Program, 6 weekly sessions, group treatment, addressing educational, informational, and psychosocial issues and community resources. |
|
| Savvy Express | Active Comparator | Savvy Express, 3 weekly sessions, group treatment, addressing educational, informational, and psychosocial issues and community resources. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Group sessions over 3 weeks | Behavioral | Informational and educational group-mediated program for family members caring for a person living with dementia; 6 sessions. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Patient Health Questionnaire-9 (PHQ-9) | caregiver depressive symptoms | up to 7 months |
| Generalized Anxiety Disorder (GAD-7) | caregiver anxiety symptoms | up to 7 months |
| Revised Memory and Behavior Problems Checklist (RMBPC) | caregiver reactivity to family member's memory/behavior problems | up to 7 months |
| Measure | Description | Time Frame |
|---|---|---|
| Caregiver Competence Scales | measures caregiver skills, mastery, competence, management of the situation based on the Caregiver Competence, Management and Meaning Scales | up to 7 months |
| Medical Outcomes Study Social Support Survey (MOS) |
| Measure | Description | Time Frame |
|---|---|---|
| Caregiver Satisfaction | This is a measure developed for this specific study to ascertain the study participant's satisfaction with the intervention itself. | up to 7 months |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Southern California | Los Angeles | California | 90015 | United States |
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| ID | Term |
|---|---|
| D000084802 | Caregiver Burden |
| ID | Term |
|---|---|
| D013315 | Stress, Psychological |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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The outcome assessor will not have previous knowledge of the respondent's interventional group assignment.
| Group sessions over 6 weeks | Behavioral | Informational and educational group-mediated program for family members caring for a person living with dementia; 3 sessions. |
|
Measures caregiver social support using the MOS scale
| up to 7 months |
| Intent to Institutionalize | TA one-item measure that assesses if the caregiver intends to institutionalize the family member in the next 6 months | up to 7 months |
| Family Members Activities of Daily Living (ADL) | measures family member's activities of daily living using the Katz ADL scale | up to 7 months |
| Family Members Instrumental Activities of Daily Living (IADL) | measures family member's activities of daily living using the Lawton IDL scale | up to 7 months |