Trial Outcomes & Findings for Home Safety Clinical Trial for Alzheimer's Disease (NCT NCT00459355)

NCT ID: NCT00459355

Last Updated: 2015-04-28

Results Overview

Caregiver Strain was measured by the MBRC Caregiver Strain Index; scores ranged from 0 - 15 with higher scores indicating more strain.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

254 participants

Primary outcome timeframe

3 months after baseline

Results posted on

2015-04-28

Participant Flow

Participant milestones

Participant milestones
Measure
Home Safety Toolkit
Intervention group receives home safety tool-kit with education and self-efficacy materials to promote competence to make home safety modifications. Home Safety Toolkit: Health literacy-verified booklet and home safety items to promote competence to make home safety modifications.
Checklist
Group receives conventional home safety checklist
Overall Study
STARTED
140
114
Overall Study
COMPLETED
120
96
Overall Study
NOT COMPLETED
20
18

Reasons for withdrawal

Reasons for withdrawal
Measure
Home Safety Toolkit
Intervention group receives home safety tool-kit with education and self-efficacy materials to promote competence to make home safety modifications. Home Safety Toolkit: Health literacy-verified booklet and home safety items to promote competence to make home safety modifications.
Checklist
Group receives conventional home safety checklist
Overall Study
Subject no longer met inc criteria
20
18

Baseline Characteristics

Home Safety Clinical Trial for Alzheimer's Disease

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Home Safety Toolkit
n=120 Participants
Intervention group receives home safety tool-kit with education and self-efficacy materials to promote competence to make home safety modifications. Home Safety Toolkit: Health literacy-verified booklet and home safety items to promote competence to make home safety modifications.
Checklist
n=96 Participants
Received conventional home safety checklist
Total
n=216 Participants
Total of all reporting groups
Age, Continuous
caregiver
70.6 years
STANDARD_DEVIATION 11.4 • n=5 Participants
69.4 years
STANDARD_DEVIATION 12.9 • n=7 Participants
NA years
STANDARD_DEVIATION NA • n=5 Participants
Age, Continuous
care-recipient
80.4 years
STANDARD_DEVIATION 6.7 • n=5 Participants
80.9 years
STANDARD_DEVIATION 7.2 • n=7 Participants
NA years
STANDARD_DEVIATION NA • n=5 Participants
Gender
Female
49 participants
n=5 Participants
38 participants
n=7 Participants
87 participants
n=5 Participants
Gender
Male
11 participants
n=5 Participants
10 participants
n=7 Participants
21 participants
n=5 Participants
Region of Enrollment
United States
120 participants
n=5 Participants
96 participants
n=7 Participants
216 participants
n=5 Participants
Physical Self Maintenance Scale
14.6 Units on a scale
STANDARD_DEVIATION 4.3 • n=5 Participants
15.1 Units on a scale
STANDARD_DEVIATION 4.0 • n=7 Participants
NA Units on a scale
STANDARD_DEVIATION NA • n=5 Participants
Mini Mental State Exam
12.4 Units on a scale
STANDARD_DEVIATION 6.6 • n=5 Participants
13.0 Units on a scale
STANDARD_DEVIATION 6.9 • n=7 Participants
NA Units on a scale
STANDARD_DEVIATION NA • n=5 Participants
Functional Activities Questionnaire
25.8 Units on a scale
STANDARD_DEVIATION 4.1 • n=5 Participants
26.4 Units on a scale
STANDARD_DEVIATION 3.1 • n=7 Participants
NA Units on a scale
STANDARD_DEVIATION NA • n=5 Participants

PRIMARY outcome

Timeframe: 3 months after baseline

Caregiver Strain was measured by the MBRC Caregiver Strain Index; scores ranged from 0 - 15 with higher scores indicating more strain.

Outcome measures

Outcome measures
Measure
Home Safety Toolkit
n=60 Participants
Intervention group receives home safety tool-kit with education and self-efficacy materials to promote competence to make home safety modifications. Home Safety Toolkit: Health literacy-verified booklet and home safety items to promote competence to make home safety modifications.
Checklist
n=48 Participants
non-intervention group received conventional home safety checklist
Caregiver Strain
5.95 units on a scale
Standard Deviation 3.17
6.96 units on a scale
Standard Deviation 3.86

PRIMARY outcome

Timeframe: 3 months after baseline

Caregiver self-efficacy was measured by the Revised Checklist for Caregiving Self-Efficacy; the scale consists of 17 items which are rated from 0 - 100% confidence. The total score is summed from these percentages and ranges from 0 - 1700 where higher scores indicate a higher level of confidence.

Outcome measures

Outcome measures
Measure
Home Safety Toolkit
n=60 Participants
Intervention group receives home safety tool-kit with education and self-efficacy materials to promote competence to make home safety modifications. Home Safety Toolkit: Health literacy-verified booklet and home safety items to promote competence to make home safety modifications.
Checklist
n=48 Participants
non-intervention group received conventional home safety checklist
Caregiver Self-efficacy
1350.30 units on a scale
Standard Deviation 197.18
1305.65 units on a scale
Standard Deviation 203.36

SECONDARY outcome

Timeframe: 3 months after baseline

The Risky Behavior Checklist listed common risky behaviors and accidents exhibited by care recipients with dementia based on previous research. Potential scores ranged from 0 - undetermined. The maximum score is undetermined because the measure represents the caregiver count of the number of times an incident occurred. In this study, sum scores ranged from 0 - 180.

Outcome measures

Outcome measures
Measure
Home Safety Toolkit
n=60 Participants
Intervention group receives home safety tool-kit with education and self-efficacy materials to promote competence to make home safety modifications. Home Safety Toolkit: Health literacy-verified booklet and home safety items to promote competence to make home safety modifications.
Checklist
n=48 Participants
non-intervention group received conventional home safety checklist
Care Recipient Risky Behaviors and Accidents
33.95 number of risky behaviors and accidents
Standard Deviation 32.57
37.44 number of risky behaviors and accidents
Standard Deviation 37.04

Adverse Events

Home Safety Toolkit:Care Recipients

Serious events: 2 serious events
Other events: 8 other events
Deaths: 0 deaths

Checklist:Care Recipients

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Home Safety Toolkit:Caregivers

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Checklist:Caregivers

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Home Safety Toolkit:Care Recipients
n=70 participants at risk
Intervention group receives home safety tool-kit with education and self-efficacy materials to promote competence to make home safety modifications. Home Safety Toolkit: Health literacy-verified booklet and home safety items to promote competence to make home safety modifications.
Checklist:Care Recipients
n=57 participants at risk
Control group receives conventional list of home safety recommendations
Home Safety Toolkit:Caregivers
n=70 participants at risk
Intervention group receives home safety tool-kit with education and self-efficacy materials to promote competence to make home safety modifications.
Checklist:Caregivers
n=57 participants at risk
Control group receives conventional list of home safety recommendations
General disorders
Death
2.9%
2/70 • The caregiver reported events to the investigator during 3 months of study participation.
0.00%
0/57 • The caregiver reported events to the investigator during 3 months of study participation.
0.00%
0/70 • The caregiver reported events to the investigator during 3 months of study participation.
0.00%
0/57 • The caregiver reported events to the investigator during 3 months of study participation.

Other adverse events

Other adverse events
Measure
Home Safety Toolkit:Care Recipients
n=70 participants at risk
Intervention group receives home safety tool-kit with education and self-efficacy materials to promote competence to make home safety modifications. Home Safety Toolkit: Health literacy-verified booklet and home safety items to promote competence to make home safety modifications.
Checklist:Care Recipients
n=57 participants at risk
Control group receives conventional list of home safety recommendations
Home Safety Toolkit:Caregivers
n=70 participants at risk
Intervention group receives home safety tool-kit with education and self-efficacy materials to promote competence to make home safety modifications.
Checklist:Caregivers
n=57 participants at risk
Control group receives conventional list of home safety recommendations
General disorders
Unanticipated hospitalization
11.4%
8/70 • Number of events 8 • The caregiver reported events to the investigator during 3 months of study participation.
14.0%
8/57 • Number of events 8 • The caregiver reported events to the investigator during 3 months of study participation.
0.00%
0/70 • The caregiver reported events to the investigator during 3 months of study participation.
1.8%
1/57 • Number of events 1 • The caregiver reported events to the investigator during 3 months of study participation.

Additional Information

Dr. Kathy Horvath

Bedford VA Medical Center

Phone: 781-687-2006

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place