REACH Hope Intervention for Dementia and TBI Caregivers

Memphis VA Medical Center110 enrolled

Overview

This three-year randomized clinical trial will evaluate a behavioral intervention for caregivers of Veterans with traumatic brain injury (TBI) and Alzheimer's dementia or mixed Dementia (AD/MD) to reduce caregiver depression, anxiety and burden, and improve veterans' health management. The study will combine and deliver two award-winning behavioral interventions - REACH VA (Resources for Enhancing All Caregivers Health in Department of Veterans Affairs) and the DoD's Virtual Hope Box, which we call REACH Hope. Both REACH and Hope Box have evidence of effectiveness individually but have not been delivered together for caregivers supporting veterans with complex neurodegenerative diagnoses and health conditions. Our primary hypothesis is that REACH Hope will improve caregivers' quality of life as measured by reduced burden.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

110

Conditions

Dementia, Mixed Dementia of Alzheimer Type TBI (Traumatic Brain Injury)

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * primary caregiver for person with diagnosis of TBI and subsequent dementia * at least one activity of daily living limitation or 2 or more instrumental activity of daily living limitation * provide 4 or more hours of care per day for at least 6 months * endorse a score of at least high burden (\>8) on the Zarit Burden Inventory-4 Exclusion Criteria: * no mobile telephone or electronic device that can accept the Hope Box application * current diagnosis of schizophrenia or other major mental illness * auditory impairment that would make telephone use difficult

Outcomes

Primary Outcomes

Change from baseline Burden at three months

Measured by the Zarit Burden Inventory- 12

Time frame: three months

Change from baseline Burden at six months

Measured by the Zarit Burden Inventory- 12

Time frame: six months

Secondary Outcomes

Change from baseline Depression at three months

As measured with the Patient Health Questionnaire-9

Time frame: Three months

Change from baseline Depression at six months

As measured with the Patient Health Questionnaire-9

Time frame: Six months

Change from baseline Anxiety at three months

As measured with the General Anxiety Disorders-7

Time frame: Three months

Change from baseline Anxiety at six months

As measured with the General Anxiety Disorders-7

Time frame: six months

Change from baseline Caregiving self-efficacy at three months

As measured with the Caregiving Self-Efficacy scale

Time frame: three months

Change from baseline Caregiving self-efficacy at six months

As measured with the Caregiving Self-Efficacy scale

Time frame: six months

REACH Hope Intervention for Dementia and TBI Caregivers

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes