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| Name | Class |
|---|---|
| The Hong Kong Polytechnic University | OTHER |
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The goal of this study is to learn if a new online training program is helpful to dementia family caregivers. This online program is fully computerized and supports 24/7 access from any location. The main questions it aims to answer are:
To answer these questions, researchers will compare the online program to a waitlist control.
Participants will:
The Benefit-Finding Intervention is a type of caregiver intervention called psychoeducation with psychotherapeutic components. It combines standard topics of psychoeducation (e.g., training of care skills and stress management) with training on thinking style. As implied by the title 'benefit-finding', the training style in focus is the inclination to think alternatively and positively about challenging caregiving situations. In two clinical trials, the Benefit-Finding Intervention was compared with didactic psychoeducational programs but without thought training. This comparison allowed researchers to see if the addition of the benefit-finding component produced improvements over the above those achieved by standard psychoeducation. Results supported the superiority of the Benefit-Finding Intervention, with significantly greater reductions of depression and burden up to 10 months after the termination of the intervention.
A face-to-face intervention is nonetheless labor intensive. It may also cause inconvenience to caregivers who have to find blocks of time to attend the intervention, while making sure the care-recipient is being attended to. Having to travel to receive help is another challenge, especially for rural populations and older caregivers. The limitation of the face-to-face format was further exposed during the pandemic when such meetings were simply impossible. To address these issues, the original Benefit-Finding Intervention has been adapted for computer-automated delivery on a web platform, which is accessible anytime anywhere. The online intervention is not meant to replace traditional manned intervention, but as an alternative service for those who, for various reasons, cannot benefit from traditional interventions or who prefer the flexible, self-guided and self-paced approach offered by this intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Active Comparator | Caregiver training |
|
| Waitlist control | Other | Waitlist control |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Positive Dementia Caregiving in 30 Days | Behavioral | Based on an evidence-based face-to-face Benefit-Finding Intervention, a computer-delivered web-based program supporting 24/7 access without location restriction, is developed. It is a psychoeducation program with an emphasis on strengthening caregivers' coping capacity through skills training and developing a positive way of looking at caregiving challenges. The program consists of reading materials, illustrated texts, caregivers' testimonies, a chatbot, and several interactive apps to facilitate self-learning at the caregiver's own pace. |
| Measure | Description | Time Frame |
|---|---|---|
| Depressive symptoms | Patient Health Questionnaire-9; possible scores 0-27, higher = more depressed | baseline, 1 month, 2 months, 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Anxiety symptoms | Profile of Mood States - Anxiety Subscale, brief version; possible scores 0-24, higher = more anxious | baseline, 1 month, 2 months, 3 months |
| Caregiver burden | Zarit Burden Interview, brief version; possible scores 0-24, higher = more burden |
| Measure | Description | Time Frame |
|---|---|---|
| Caregiving self-efficacy | Revised Scale for Caregiving Self-efficacy, brief version; possible scores 0-100, higher = more self-efficacy | 3 weeks |
| Positive reappraisal coping | Brief-COPE, Positive Reframing Subscale; possible scores 2-8, higher = more use of positive reframing |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sheung-Tak Cheng, PhD | The Education University of Hong Kong | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Education University of Hong Kong | Hong Kong | Hong Kong |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31076215 | Background | Cheng ST, Chan WC, Lam LCW. Long-Term Outcomes of the Benefit-Finding Group Intervention for Alzheimer Family Caregivers: A Cluster-Randomized Double-Blind Controlled Trial. Am J Geriatr Psychiatry. 2019 Sep;27(9):984-994. doi: 10.1016/j.jagp.2019.03.013. Epub 2019 Mar 26. | |
| 31556447 | Background | Cheng ST, Mak EPM, Kwok T, Fung H, Lam LCW. Benefit-Finding Intervention Delivered Individually to Alzheimer Family Caregivers: Longer-Term Outcomes of a Randomized Double-Blind Controlled Trial. J Gerontol B Psychol Sci Soc Sci. 2020 Oct 16;75(9):1884-1893. doi: 10.1093/geronb/gbz118. |
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Materials will be deposited onto a credible repository.
After study completion
Open access
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Randomized parallel group (treatment vs. waitlist control) design
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Assessor bias is eliminated by having the assessment instruments administered by the computer in an automated manner, without human involvement.
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| baseline, 1 month, 2 months, 3 months |
| Positive aspects of caregiving | Positive Aspects of Caregiving Scale, brief version; possible scores 6-30; higher = more positive aspects of caregiving | baseline, 1 month, 2 months, 3 months |
| 3 weeks |