Harmony at Home: A Pilot Telehealth Program for Rural ADRD Caregivers (NCT05202223) | Clinical Trial Compass
CompletedNot Applicable
Harmony at Home: A Pilot Telehealth Program for Rural ADRD Caregivers
United States80 participantsStarted 2022-01-15
Plain-language summary
There is a need for caregiver-initiated and -implemented non-pharmacological interventions directly to and for the person with dementia, including environmental assessment and modification, as first-line treatments for behavioral and psychological symptoms of dementia (BPSD) in persons living with dementia (PLWD). Delivered via telehealth, Harmony at HOME (H@H) aims to train caregivers of persons with moderate to severe ADRD in the skills of assessing and modifying the home environment to promote "person-environment fit," a concept that posits that the ability to access features within a built environment (e.g. bathroom, stairs,) or that factors within the environment itself (lighting, noise level, temperature), especially when linked with individualized social support, contribute to or even shape behavior.
In addition to the intervention, the first 10 caregiver participants to enroll will also be invited to participate in two focus groups that will be facilitated during and after the intervention. The first focus group focuses on experiences as a dementia caregiver in rural areas. The second focus group focuses on providing feedback regarding caregivers' perceptions, acceptability, and usefulness of the H@H intervention. These focus groups will be conducted as structured interviews with open-ended questions that encourage participants to share their experiences.
Who can participate
Age range21 Years – 99 Years
SexALL
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Inclusion criteria
✓. Men or women aged 21-99, inclusive.
✓. Willingness and ability to participate in trial and implement recommended intervention strategies throughout the duration of the study.
✓. Access to and ability to use video technology (Zoom) for telehealth visits.
✓. English speaking, able to read and write.
✓. Ability to retrieve and return mail.
✓. Men or women aged 65-99, inclusive.
✓. Living at home in the community with one primary caregiver.
✓. 3\. Diagnosis of Alzheimer's disease as primary dementia type of moderate to severe stages (confirmed by Clinical Dementia Rating Scale score of 1.0+)
Exclusion criteria
✕. Diagnosis of mild cognitive impairment or dementia.
✕. Severe psychological stress or active state of psychiatric conditions (severe depression, mania, hallucinations/delusions).
✕. Unstable medical conditions within one month prior to screening visit such as poorly controlled blood pressure, diabetes, current cancer diagnosis, or breathing problems, etc.
✕. Wheelchair or bed bound.
✕. Residence in skilled nursing facility or facility-based care.
✕. Skin lesions or skin abnormalities throughout upper extremities.
✕. Allergies related to lotion or fragrance.
✕. Caregiver report of physically violent behaviors.