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This study aims to refine and evaluate feasibility of a telehealth intervention for persons with Alzheimer's disease and their caregivers. The intervention will use evidence-based techniques for decreasing symptoms of depression, anxiety, and poor sleep, that are commonly reported among this vulnerable group during the COVID-19 pandemic. Improved symptoms among this group may improve their other health outcomes and quality of life and furthermore the quality of care that caregivers provide for persons with Alzheimer's disease during this challenging time.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment group | Experimental | 6 weekly sleep education program |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| sleep education program | Behavioral | A multicomponent behavioral sleep program, consisting of sleep hygiene, stimulus control, sleep compression, pleasurable activity, daily walking, and light exposure. |
| Measure | Description | Time Frame |
|---|---|---|
| Sleep efficiency-Actigraphy | Nighttime sleep efficiency (i.e., mean percent of time in bed spent asleep) will be calculated from 7 days of wrist actigraphy for patients and caregivers. Range from 0 to 100% with a higher percent indicating better objective sleep quality | immediately after the last session of the intervention |
| Pittsburgh Sleep Quality Index score | Self-reported sleep quality over the past week for patients (reported by caregivers) and caregivers. Range from 0 to 21 with lower scores indicating better subjective sleep quality. | immediately after the last session of the intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Total scores on the Cornell Scale for Depression in Dementia | Total scores on the Cornell Scale for Depression in Dementia. Range from 0 to 38 with higher scores indicating worse depressive symptoms among persons with dementia | immediately after the last session of the intervention |
| Total scores on the Patient Health Questionnaire-9 |
| Measure | Description | Time Frame |
|---|---|---|
| Attrition rate | Percent of number of dyads who fail to complete the study both during the intervention and at posttreatment will be measured. | immediately after the posttreatment assessment |
| Adherence to homework |
Inclusion Criteria:
Inclusion criteria for patients
Inclusion criteria for caregivers
Exclusion Criteria:
-Professional caregivers will be excluded. Patients will be excluded if they are bedbound. If the eligibility criteria for either a patient or a caregiver are not met, their dyads will be excluded for this study
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Yeonsu Song | Los Angeles | California | 90095 | United States |
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| ID | Term |
|---|---|
| D003704 | Dementia |
| D000086382 | COVID-19 |
| ID | Term |
|---|---|
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D019965 | Neurocognitive Disorders |
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Total scores on the Patient Health Questionnaire-9 for caregivers. Range from from 0 to 27 with higher scores indicating worse depressive symptoms among caregivers |
| immediately after the last session of the intervention |
| Total scores on the Rating Anxiety in Dementia | Total scores on the Rating Anxiety in Dementia for patients. Range from 0 to 54 with higher scores indicating worse anxiety among persons with dementia | immediately after the last session of the intervention |
| Total scores on the Generalized Anxiety Disorder-7 | Total scores on the Generalized Anxiety Disorder-7 for caregivers. Range from 0 to 21 with higher scores indicating worse anxiety among caregivers | immediately after the last session of the intervention |
Percent of days that dyad members complete the homework over the course of the intervention program will be measured.
| immediately after the last session of the intervention |
| Interventionist adherence | Percent of completion of delivery of each component in sessions will be measured | immediately after the last session of the intervention |
| D001523 | Mental Disorders |
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D014777 | Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |