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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
121
Informational and educational group-mediated program for family members caring for a person living with dementia; 6 sessions.
Informational and educational group-mediated program for family members caring for a person living with dementia; 3 sessions.
University of Southern California
Los Angeles, California, United States
Patient Health Questionnaire-9 (PHQ-9)
caregiver depressive symptoms
Time frame: up to 7 months
Generalized Anxiety Disorder (GAD-7)
caregiver anxiety symptoms
Time frame: up to 7 months
Revised Memory and Behavior Problems Checklist (RMBPC)
caregiver reactivity to family member's memory/behavior problems
Time frame: up to 7 months
Caregiver Competence Scales
measures caregiver skills, mastery, competence, management of the situation based on the Caregiver Competence, Management and Meaning Scales
Time frame: up to 7 months
Medical Outcomes Study Social Support Survey (MOS)
Measures caregiver social support using the MOS scale
Time frame: 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
Time frame: up to 7 months
Family Members Activities of Daily Living (ADL)
measures family member's activities of daily living using the Katz ADL scale
Time frame: 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
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Time frame: up to 7 months