The goal of this clinical trial is to test a risk assessment screening and intervention for caregivers of people with dementia. The main questions it aims to answer are: 1. What are the harms and benefits of administering the elder abuse risk assessment screening? 2. What are the harms and benefits of administering the caregiver intervention? Researchers will compare participants who receive the screening and caregiver intervention to a group who does not receive the caregiver intervention and a group who receives neither the screening or the caregiver intervention to answer these questions. Participants will: * Complete two surveys, three months apart * Complete a 5-item screening tool, if assigned to one of the screening groups * Complete a 3-session caregiver intervention, if assigned to that group
This study aims to address the issue of elder mistreatment which affects one in ten older adults, and is particularly prevalent among those with dementia, where rates can reach 50%. In this randomized study, caregivers are assigned to different study groups so researchers can evaluate outcomes across varying levels of support. The project examines how structured assessment and caregiver-focused education influence caregiver stress, decision-making, and overall care dynamics, with the broader aim of informing scalable prevention strategies within primary care systems
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
1,000
A five question tool that can be delivered verbally or through written self-administration.
A three-session community health worker intervention, including a caregiver information website.
Keck Medicine
Los Angeles, California, United States
Caregiver Depression Symptoms
Measured through Patient Health Questionnaire-8 score (0-24) .
Time frame: Enrollment to three months
Caregiver Anxiety Symptoms
Measured by Generalized Anxiety Disorder-7 screening tool score (0-21) .
Time frame: Enrollment to three months
Caregiver Burden
Measured by Zarit Burden Interview-6 scores (6-24)
Time frame: Enrollment to three months
Caregiver Stress About Care Receiver Behavioral Symptoms
Measured by Neuropsychiatric Inventory Questionnaire scores (0-60)
Time frame: Enrollment to three months
Elder Mistreatment
Measured using combined and modified Geriatric Mistreatment Scale and Older Adult Conflict Scale (0-19)
Time frame: Enrollment to three months
Healthcare Use of Person Living with Demenita
Count of each emergency department, hospitalization, and outpatient medical visits.
Time frame: Enrollment to three months
Dementia Knowledge
Measured using Dementia Attitudes Scale scores (0-36)
Time frame: Enrollment to three months
Caregiver Self Efficacy
Measured using Self-Efficacy for Caregiving scores (8-40)
Time frame: Enrollment to three months
Resilience
Measured using modified Brief Resilience Scale scores (6-24)
Time frame: Enrollment to three months
Elder Abuse Knowledge
Measured using survey questions from previous UK study, with summary scores ranging from 15 to 75 (higher numbers indicating higher understanding of elder abuse).
Time frame: Enrollment to three months
Stress
Measured using the Perceived Stress Scale scores (0-40)
Time frame: Enrollment to three months
Emotional Regulation
Measured using modified Difficulties in Emotion Regulation Scale (4-16)
Time frame: Enrollment to three months
Anger
Measured using the Dimensions of Anger Reactions scale (5-25)
Time frame: Enrollment to three months
Hopelessness
Measured using modified Beck Hopelessness Inventory scores (7-28)
Time frame: Enrollment to three months
Social Support
Measured using Duke/UNC Functional Social Support Questionnaire scores (8-40)
Time frame: Enrollment to three months
Coping
Measured using count of adaptive (0-18) and maladaptive (0-4) coping methods on novel measure
Time frame: Enrollment to three months
Positive Aspects of Caregiving
Measured using Positive Aspects of Caregiving Scale scores (6-24)
Time frame: Enrollment to three months
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