Format

Send to

Choose Destination
Res Nurs Health. 2018 Apr;41(2):107-120. doi: 10.1002/nur.21859. Epub 2018 Feb 5.

Testing Tele-Savvy: Protocol for a randomized controlled trial.

Author information

1
Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia.
2
Emory University Alzheimer's Disease Research Center, Atlanta, Georgia.
3
Atlanta VA Medical Center, Center for Visual and Neurocognitive Rehabilitation, Atlanta, Georgia.
4
Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.
5
Department of Neurology, Emory University School of Medicine, Atlanta, Georgia.
6
Byrdine F. Lewis College of Nursing & Health Professions, Georgia State University, Atlanta, Georgia.
7
Layton Aging and Alzheimer's Disease Center, Oregon Health & Science University, Portland, Oregon.
8
Cognitive Neurology and Alzheimer's Disease Center, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
9
Department of Family Medicine and Rush Alzheimer' Disease Center, Rush Medical College and Rush Graduate College, Rush University Medical Center, Chicago, Illinois.

Abstract

Many informal caregivers of persons with dementia suffer adverse health consequences. Although established psychoeducation programs are known to benefit caregivers, attending in-person programs is challenging for them. To address this challenge, the Savvy Caregiver Program, an evidence-based psychoeducation program with demonstrated effectiveness for caregiving and disease-related outcomes, was transformed into an on-line program, Tele-Savvy. This article describes the rationale for and design of a prospective longitudinal randomized controlled trial (targeted N = 215), currently underway. The trial aims to establish Tele-Savvy's efficacy in (i) reducing the negative effects of caregiving on caregivers; (ii) promoting care recipients' quality of life; (iii) improving caregiver mastery; and to explore (iv) Tele-Savvy's efficacy among caregivers of different races/ethnicities. The mediating role of mastery will be assessed. Participants are randomized to the active condition (immediate Tele-Savvy participation), attention control, or usual care. Participants in the two latter conditions will complete Tele-Savvy 6 months post-baseline. Multilevel mixed effects models will be used to examine changes in outcomes and to model group by time (months since baseline) interactions. The exploratory aim will be addressed using analysis of covariance and qualitative analysis. This trial's results may be used by healthcare and community organizations to implement Tele-Savvy in dementia care, increasing caregivers' access to this evidence-based intervention.

KEYWORDS:

Alzheimer's disease; caregivers; dementia; randomized controlled trials

PMID:
29399825
PMCID:
PMC5945279
DOI:
10.1002/nur.21859
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for PubMed Central
Loading ...
Support Center