Trial Outcomes & Findings for Technology Intervention to Support Caregiving for Alzheimer's Disease (I-CARE) (NCT NCT03119259)

NCT ID: NCT03119259

Last Updated: 2024-09-19

Results Overview

Recruitment rate is the average monthly rate of recruitment into the study, calculated as participants recruited over the accrual period.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

53 participants

Primary outcome timeframe

15 month accrual period

Results posted on

2024-09-19

Participant Flow

Participant milestones

Participant milestones
Measure
Usual Care
Dyads of informal caregivers plus patients randomized to the comparison group receive usual care for Alzheimer's disease and related dementia (ADRD) from their health system, either Eskenazi Health or Indiana University (IU) Health. The standard of ADRD care at Eskenazi Health is the ABC Clinical Program. The goal of the ABC Clinical Program is to help primary care physicians achieve the standard of care in the diagnosis, evaluation and management of patients with ADRD. It is delivered by an interdisciplinary team led by a care coordinator. The informal caregiver of the person living is also enrolled in the program and caregiver burden is assessed and managed. The ABC team collects all relevant data and formulates an individualized care plan in collaboration with the informal caregiver. The care coordinator communicates the team's recommendations to the primary care physician and finalizes a collaborative plan of action. During the next year, the ABC team uses face-to-face and telephone interactions with the patient and caregiver to monitor and modify implementation of the care plan. The standard of ADRD care at IU Health is Primary Care visits. The goal of Primary Care at IU Health is to provide preventive care services to their patients. Older adults are assessed for ADRD during clinic visits and referred to brain care specialty as necessary.
Brain CareNotes (BCN) Software
Dyads of informal caregivers plus patients randomized to the intervention group continue to receive usual care for ADRD at Eskenazi Health or IU Health, and additionally receive the BCN software. BCN is installed on either the caregiver's personal mobile device or a device provided by the study. A research assistant orients participants to the device, provides training on the BCN software, and provides technical support and reminders. BCN is a mobile application (app) for informal caregivers of patients with ADRD. The BCN app delivers the following behavioral support: 1. 24/7 psychoeducation and caregiver support on a variety of ADRD related topics, presented as a browse-able library of stories and advice cards or "Notes"; 2. Assessment of informal caregiver status and patients behavioral and psychological symptoms of dementia (BPSD), in the form of the selfadministered HABC Monitor, along with reporting and historical tracking of HABC Monitor scores; 3. Engagement tools, in particular, (i) a toolkit for saving, sorting, creating/editing, and sharing Notes and (ii) a bi-directional messaging tool for communicating with clinicians or trusted others.
Overall Study
STARTED
27
26
Overall Study
COMPLETED
22
23
Overall Study
NOT COMPLETED
5
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Usual Care
Dyads of informal caregivers plus patients randomized to the comparison group receive usual care for Alzheimer's disease and related dementia (ADRD) from their health system, either Eskenazi Health or Indiana University (IU) Health. The standard of ADRD care at Eskenazi Health is the ABC Clinical Program. The goal of the ABC Clinical Program is to help primary care physicians achieve the standard of care in the diagnosis, evaluation and management of patients with ADRD. It is delivered by an interdisciplinary team led by a care coordinator. The informal caregiver of the person living is also enrolled in the program and caregiver burden is assessed and managed. The ABC team collects all relevant data and formulates an individualized care plan in collaboration with the informal caregiver. The care coordinator communicates the team's recommendations to the primary care physician and finalizes a collaborative plan of action. During the next year, the ABC team uses face-to-face and telephone interactions with the patient and caregiver to monitor and modify implementation of the care plan. The standard of ADRD care at IU Health is Primary Care visits. The goal of Primary Care at IU Health is to provide preventive care services to their patients. Older adults are assessed for ADRD during clinic visits and referred to brain care specialty as necessary.
Brain CareNotes (BCN) Software
Dyads of informal caregivers plus patients randomized to the intervention group continue to receive usual care for ADRD at Eskenazi Health or IU Health, and additionally receive the BCN software. BCN is installed on either the caregiver's personal mobile device or a device provided by the study. A research assistant orients participants to the device, provides training on the BCN software, and provides technical support and reminders. BCN is a mobile application (app) for informal caregivers of patients with ADRD. The BCN app delivers the following behavioral support: 1. 24/7 psychoeducation and caregiver support on a variety of ADRD related topics, presented as a browse-able library of stories and advice cards or "Notes"; 2. Assessment of informal caregiver status and patients behavioral and psychological symptoms of dementia (BPSD), in the form of the selfadministered HABC Monitor, along with reporting and historical tracking of HABC Monitor scores; 3. Engagement tools, in particular, (i) a toolkit for saving, sorting, creating/editing, and sharing Notes and (ii) a bi-directional messaging tool for communicating with clinicians or trusted others.
Overall Study
Withdrawn as no longer eligible
1
0
Overall Study
Withdrawal by Subject
4
2
Overall Study
Lost to Follow-up
0
1

Baseline Characteristics

Age unknown for 4 participants

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Usual Care (Caregiver Characteristics)
n=27 Participants
Dyads of informal caregivers plus patients randomized to the comparison group receive usual care for Alzheimer's disease and related dementia (ADRD) from their health system, either Eskenazi Health or Indiana University (IU) Health. The standard of ADRD care at Eskenazi Health is the ABC Clinical Program. The goal of the ABC Clinical Program is to help primary care physicians achieve the standard of care in the diagnosis, evaluation and management of patients with ADRD. It is delivered by an interdisciplinary team led by a care coordinator. The informal caregiver of the person living is also enrolled in the program and caregiver burden is assessed and managed. The ABC team collects all relevant data and formulates an individualized care plan in collaboration with the informal caregiver. The care coordinator communicates the team's recommendations to the primary care physician and finalizes a collaborative plan of action. During the next year, the ABC team uses face-to-face and telephone interactions with the patient and caregiver to monitor and modify implementation of the care plan. The standard of ADRD care at IU Health is Primary Care visits. The goal of Primary Care at IU Health is to provide preventive care services to their patients. Older adults are assessed for ADRD during clinic visits and referred to brain care specialty as necessary.
Brain CareNotes (BCN) Software (Caregiver Characteristics)
n=26 Participants
Dyads of informal caregivers plus patients randomized to the intervention group continue to receive usual care for ADRD at Eskenazi Health or IU Health, and additionally receive the BCN software. BCN is installed on either the caregiver's personal mobile device or a device provided by the study. A research assistant orients participants to the device, provides training on the BCN software, and provides technical support and reminders. BCN is a mobile application (app) for informal caregivers of patients with ADRD. The BCN app delivers the following behavioral support: 1. 24/7 psychoeducation and caregiver support on a variety of ADRD related topics, presented as a browse-able library of stories and advice cards or "Notes"; 2. Assessment of informal caregiver status and patients behavioral and psychological symptoms of dementia (BPSD), in the form of the selfadministered HABC Monitor, along with reporting and historical tracking of HABC Monitor scores; 3. Engagement tools, in particular, (i) a toolkit for saving, sorting, creating/editing, and sharing Notes and (ii) a bi-directional messaging tool for communicating with clinicians or trusted others.
Usual Care (Patient Characteristics)
n=27 Participants
Dyads of informal caregivers plus patients randomized to the comparison group receive usual care for Alzheimer's disease and related dementia (ADRD) from their health system, either Eskenazi Health or Indiana University (IU) Health. The standard of ADRD care at Eskenazi Health is the ABC Clinical Program. The goal of the ABC Clinical Program is to help primary care physicians achieve the standard of care in the diagnosis, evaluation and management of patients with ADRD. It is delivered by an interdisciplinary team led by a care coordinator. The informal caregiver of the person living is also enrolled in the program and caregiver burden is assessed and managed. The ABC team collects all relevant data and formulates an individualized care plan in collaboration with the informal caregiver. The care coordinator communicates the team's recommendations to the primary care physician and finalizes a collaborative plan of action. During the next year, the ABC team uses face-to-face and telephone interactions with the patient and caregiver to monitor and modify implementation of the care plan. The standard of ADRD care at IU Health is Primary Care visits. The goal of Primary Care at IU Health is to provide preventive care services to their patients. Older adults are assessed for ADRD during clinic visits and referred to brain care specialty as necessary.
Brain CareNotes (BCN) Software (Patient Characteristics)
n=26 Participants
Dyads of informal caregivers plus patients randomized to the intervention group continue to receive usual care for ADRD at Eskenazi Health or IU Health, and additionally receive the BCN software. BCN is installed on either the caregiver's personal mobile device or a device provided by the study. A research assistant orients participants to the device, provides training on the BCN software, and provides technical support and reminders. BCN is a mobile application (app) for informal caregivers of patients with ADRD. The BCN app delivers the following behavioral support: 1. 24/7 psychoeducation and caregiver support on a variety of ADRD related topics, presented as a browse-able library of stories and advice cards or "Notes"; 2. Assessment of informal caregiver status and patients behavioral and psychological symptoms of dementia (BPSD), in the form of the selfadministered HABC Monitor, along with reporting and historical tracking of HABC Monitor scores; 3. Engagement tools, in particular, (i) a toolkit for saving, sorting, creating/editing, and sharing Notes and (ii) a bi-directional messaging tool for communicating with clinicians or trusted others.
Total
n=106 Participants
Total of all reporting groups
Age, Continuous
63.3 years
STANDARD_DEVIATION 13.0 • n=27 Participants • Age unknown for 4 participants
62.5 years
STANDARD_DEVIATION 13.7 • n=26 Participants • Age unknown for 4 participants
77.2 years
STANDARD_DEVIATION 9.9 • n=25 Participants • Age unknown for 4 participants
76.0 years
STANDARD_DEVIATION 10.6 • n=24 Participants • Age unknown for 4 participants
62.9 years
STANDARD_DEVIATION 13.2 • n=102 Participants • Age unknown for 4 participants
Sex: Female, Male
Female
22 Participants
n=27 Participants • Sex unknown for 2 participants
19 Participants
n=26 Participants • Sex unknown for 2 participants
18 Participants
n=25 Participants • Sex unknown for 2 participants
15 Participants
n=26 Participants • Sex unknown for 2 participants
74 Participants
n=104 Participants • Sex unknown for 2 participants
Sex: Female, Male
Male
5 Participants
n=27 Participants • Sex unknown for 2 participants
7 Participants
n=26 Participants • Sex unknown for 2 participants
7 Participants
n=25 Participants • Sex unknown for 2 participants
11 Participants
n=26 Participants • Sex unknown for 2 participants
30 Participants
n=104 Participants • Sex unknown for 2 participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=27 Participants
0 Participants
n=26 Participants
0 Participants
n=27 Participants
1 Participants
n=26 Participants
3 Participants
n=106 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
25 Participants
n=27 Participants
26 Participants
n=26 Participants
25 Participants
n=27 Participants
25 Participants
n=26 Participants
101 Participants
n=106 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=27 Participants
0 Participants
n=26 Participants
2 Participants
n=27 Participants
0 Participants
n=26 Participants
2 Participants
n=106 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=27 Participants
0 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
0 Participants
n=106 Participants
Race (NIH/OMB)
Asian
0 Participants
n=27 Participants
0 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
0 Participants
n=106 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=27 Participants
0 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
0 Participants
n=106 Participants
Race (NIH/OMB)
Black or African American
12 Participants
n=27 Participants
12 Participants
n=26 Participants
10 Participants
n=27 Participants
12 Participants
n=26 Participants
46 Participants
n=106 Participants
Race (NIH/OMB)
White
14 Participants
n=27 Participants
14 Participants
n=26 Participants
16 Participants
n=27 Participants
13 Participants
n=26 Participants
57 Participants
n=106 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=27 Participants
0 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
0 Participants
n=106 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=27 Participants
0 Participants
n=26 Participants
1 Participants
n=27 Participants
1 Participants
n=26 Participants
3 Participants
n=106 Participants
Marital status
Married
22 Participants
n=27 Participants
16 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
38 Participants
n=106 Participants
Marital status
Living with partner
0 Participants
n=27 Participants
1 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
1 Participants
n=106 Participants
Marital status
Divorced
2 Participants
n=27 Participants
2 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
4 Participants
n=106 Participants
Marital status
Separated
0 Participants
n=27 Participants
1 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
1 Participants
n=106 Participants
Marital status
Never married
3 Participants
n=27 Participants
6 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
9 Participants
n=106 Participants
Marital status
Not measured
0 Participants
n=27 Participants
0 Participants
n=26 Participants
27 Participants
n=27 Participants
26 Participants
n=26 Participants
53 Participants
n=106 Participants
Caregiver living situation
Lives with spouse
19 Participants
n=27 Participants
14 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
33 Participants
n=106 Participants
Caregiver living situation
Lives with children's family
1 Participants
n=27 Participants
2 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
3 Participants
n=106 Participants
Caregiver living situation
Lives with spouse and children's family
3 Participants
n=27 Participants
3 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
6 Participants
n=106 Participants
Caregiver living situation
Lives alone
1 Participants
n=27 Participants
4 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
5 Participants
n=106 Participants
Caregiver living situation
Other
3 Participants
n=27 Participants
3 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
6 Participants
n=106 Participants
Caregiver living situation
Not measured
0 Participants
n=27 Participants
0 Participants
n=26 Participants
27 Participants
n=27 Participants
26 Participants
n=26 Participants
53 Participants
n=106 Participants
Insurance
Medicare
2 Participants
n=27 Participants
1 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
3 Participants
n=106 Participants
Insurance
Medicaid
3 Participants
n=27 Participants
2 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
5 Participants
n=106 Participants
Insurance
Medicare + Medicaid
1 Participants
n=27 Participants
2 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
3 Participants
n=106 Participants
Insurance
Private/commercial
7 Participants
n=27 Participants
7 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
14 Participants
n=106 Participants
Insurance
Medicare + Private
12 Participants
n=27 Participants
10 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
22 Participants
n=106 Participants
Insurance
Self Pay/None
1 Participants
n=27 Participants
2 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
3 Participants
n=106 Participants
Insurance
Private + Self Pay
1 Participants
n=27 Participants
2 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
3 Participants
n=106 Participants
Insurance
Not measured
0 Participants
n=27 Participants
0 Participants
n=26 Participants
27 Participants
n=27 Participants
26 Participants
n=26 Participants
53 Participants
n=106 Participants
Employment
Employed full time (40 hours or more)
9 Participants
n=27 Participants
8 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
17 Participants
n=106 Participants
Employment
Employed part time (less than 40 hours)
0 Participants
n=27 Participants
3 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
3 Participants
n=106 Participants
Employment
Unemployed
0 Participants
n=27 Participants
2 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
2 Participants
n=106 Participants
Employment
Retired
13 Participants
n=27 Participants
12 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
25 Participants
n=106 Participants
Employment
Homemaker
3 Participants
n=27 Participants
0 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
3 Participants
n=106 Participants
Employment
On social security or disability
2 Participants
n=27 Participants
1 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
3 Participants
n=106 Participants
Employment
Not measured
0 Participants
n=27 Participants
0 Participants
n=26 Participants
27 Participants
n=27 Participants
26 Participants
n=26 Participants
53 Participants
n=106 Participants
Income
$10,000 or less
0 Participants
n=27 Participants
3 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
3 Participants
n=106 Participants
Income
$10,001 to $30,000
8 Participants
n=27 Participants
7 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
15 Participants
n=106 Participants
Income
$30,001 to $50,000
6 Participants
n=27 Participants
7 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
13 Participants
n=106 Participants
Income
$50,001 to $75,000
4 Participants
n=27 Participants
4 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
8 Participants
n=106 Participants
Income
$75,001 to $100,000
4 Participants
n=27 Participants
2 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
6 Participants
n=106 Participants
Income
$100,001 or above
4 Participants
n=27 Participants
2 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
6 Participants
n=106 Participants
Income
Unknown
1 Participants
n=27 Participants
1 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
2 Participants
n=106 Participants
Income
Not measured
0 Participants
n=27 Participants
0 Participants
n=26 Participants
27 Participants
n=27 Participants
26 Participants
n=26 Participants
53 Participants
n=106 Participants
Education
Grade School or Middle School
0 Participants
n=27 Participants
0 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
0 Participants
n=106 Participants
Education
Some High School
3 Participants
n=27 Participants
2 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
5 Participants
n=106 Participants
Education
High School Graduate or GED
6 Participants
n=27 Participants
4 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
10 Participants
n=106 Participants
Education
Some College
4 Participants
n=27 Participants
6 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
10 Participants
n=106 Participants
Education
College Degree
6 Participants
n=27 Participants
6 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
12 Participants
n=106 Participants
Education
Masters or other advanced degree
8 Participants
n=27 Participants
8 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
16 Participants
n=106 Participants
Education
Unknown
0 Participants
n=27 Participants
0 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
0 Participants
n=106 Participants
Education
Not measured
0 Participants
n=27 Participants
0 Participants
n=26 Participants
27 Participants
n=27 Participants
26 Participants
n=26 Participants
53 Participants
n=106 Participants
Years caring for person with ADRD
1 year or less
4 Participants
n=27 Participants
4 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
8 Participants
n=106 Participants
Years caring for person with ADRD
2 years
3 Participants
n=27 Participants
5 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
8 Participants
n=106 Participants
Years caring for person with ADRD
3 years
7 Participants
n=27 Participants
4 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
11 Participants
n=106 Participants
Years caring for person with ADRD
4 years
3 Participants
n=27 Participants
4 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
7 Participants
n=106 Participants
Years caring for person with ADRD
5 years
4 Participants
n=27 Participants
2 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
6 Participants
n=106 Participants
Years caring for person with ADRD
6 years or more
6 Participants
n=27 Participants
7 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
13 Participants
n=106 Participants
Years caring for person with ADRD
Not measured
0 Participants
n=27 Participants
0 Participants
n=26 Participants
27 Participants
n=27 Participants
26 Participants
n=26 Participants
53 Participants
n=106 Participants
Hours per day spent caregiving
0-1 hours
1 Participants
n=27 Participants
3 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
4 Participants
n=106 Participants
Hours per day spent caregiving
2-5 hours
3 Participants
n=27 Participants
6 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
9 Participants
n=106 Participants
Hours per day spent caregiving
6-9 hours
8 Participants
n=27 Participants
0 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
8 Participants
n=106 Participants
Hours per day spent caregiving
10-13 hours
5 Participants
n=27 Participants
3 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
8 Participants
n=106 Participants
Hours per day spent caregiving
14-17 hours
3 Participants
n=27 Participants
3 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
6 Participants
n=106 Participants
Hours per day spent caregiving
18+ hours
7 Participants
n=27 Participants
11 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
18 Participants
n=106 Participants
Hours per day spent caregiving
Not measured
0 Participants
n=27 Participants
0 Participants
n=26 Participants
27 Participants
n=27 Participants
26 Participants
n=26 Participants
53 Participants
n=106 Participants
Single Item Literacy Screener
Never
19 Participants
n=27 Participants
16 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
35 Participants
n=106 Participants
Single Item Literacy Screener
Rarely
7 Participants
n=27 Participants
6 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
13 Participants
n=106 Participants
Single Item Literacy Screener
Sometimes
1 Participants
n=27 Participants
3 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
4 Participants
n=106 Participants
Single Item Literacy Screener
Often
0 Participants
n=27 Participants
1 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
1 Participants
n=106 Participants
Single Item Literacy Screener
Always
0 Participants
n=27 Participants
0 Participants
n=26 Participants
0 Participants
n=27 Participants
0 Participants
n=26 Participants
0 Participants
n=106 Participants
Single Item Literacy Screener
Not measured
0 Participants
n=27 Participants
0 Participants
n=26 Participants
27 Participants
n=27 Participants
26 Participants
n=26 Participants
53 Participants
n=106 Participants
Study site
Eskenazi Health
17 Participants
n=27 Participants
16 Participants
n=26 Participants
17 Participants
n=27 Participants
16 Participants
n=26 Participants
66 Participants
n=106 Participants
Study site
IU Health
10 Participants
n=27 Participants
10 Participants
n=26 Participants
10 Participants
n=27 Participants
10 Participants
n=26 Participants
40 Participants
n=106 Participants

PRIMARY outcome

Timeframe: 15 month accrual period

Population: Caregivers recruited to the study

Recruitment rate is the average monthly rate of recruitment into the study, calculated as participants recruited over the accrual period.

Outcome measures

Outcome measures
Measure
All Participants
n=61 Participants
All participants, prior to assignment to condition
Brain CareNotes (BCN) Software
Informal caregivers randomized to the intervention group continue to receive usual care for ADRD at Eskenazi Health or IU Health, and additionally receive the BCN software. BCN is installed on either the caregiver's personal mobile device or a device provided by the study. A research assistant orients participants to the device, provides training on the BCN software, and provides technical support and reminders. BCN is a mobile application (app) for informal caregivers of patients with ADRD. The BCN app delivers the following behavioral support: 1. 24/7 psychoeducation and caregiver support on a variety of ADRD related topics, presented as a browse-able library of stories and advice cards or "Notes"; 2. Assessment of informal caregiver status and patients behavioral and psychological symptoms of dementia (BPSD), in the form of the selfadministered HABC Monitor, along with reporting and historical tracking of HABC Monitor scores; 3. Engagement tools, in particular, (i) a toolkit for saving, sorting, creating/editing, and sharing Notes and (ii) a bi-directional messaging tool for communicating with clinicians or trusted others.
Feasibility: Recruitment Rate
4.1 participants recruited per month
Standard Deviation 4.1

PRIMARY outcome

Timeframe: 6 months after enrollment and randomization

Data completeness is the number of enrolled and randomized individuals who provided data at 3 and 6 months.

Outcome measures

Outcome measures
Measure
All Participants
n=27 Participants
All participants, prior to assignment to condition
Brain CareNotes (BCN) Software
n=26 Participants
Informal caregivers randomized to the intervention group continue to receive usual care for ADRD at Eskenazi Health or IU Health, and additionally receive the BCN software. BCN is installed on either the caregiver's personal mobile device or a device provided by the study. A research assistant orients participants to the device, provides training on the BCN software, and provides technical support and reminders. BCN is a mobile application (app) for informal caregivers of patients with ADRD. The BCN app delivers the following behavioral support: 1. 24/7 psychoeducation and caregiver support on a variety of ADRD related topics, presented as a browse-able library of stories and advice cards or "Notes"; 2. Assessment of informal caregiver status and patients behavioral and psychological symptoms of dementia (BPSD), in the form of the selfadministered HABC Monitor, along with reporting and historical tracking of HABC Monitor scores; 3. Engagement tools, in particular, (i) a toolkit for saving, sorting, creating/editing, and sharing Notes and (ii) a bi-directional messaging tool for communicating with clinicians or trusted others.
Feasibility: Data Completeness
3 months
19 Participants
21 Participants
Feasibility: Data Completeness
6 months
22 Participants
23 Participants

PRIMARY outcome

Timeframe: 3 months

BCN usability at 3 months is the summary score on the modified System Usability Scale (SUS) 10-item scale instrument, ranging from 0 (worst outcome) to 100 (best outcome).

Outcome measures

Outcome measures
Measure
All Participants
n=20 Participants
All participants, prior to assignment to condition
Brain CareNotes (BCN) Software
Informal caregivers randomized to the intervention group continue to receive usual care for ADRD at Eskenazi Health or IU Health, and additionally receive the BCN software. BCN is installed on either the caregiver's personal mobile device or a device provided by the study. A research assistant orients participants to the device, provides training on the BCN software, and provides technical support and reminders. BCN is a mobile application (app) for informal caregivers of patients with ADRD. The BCN app delivers the following behavioral support: 1. 24/7 psychoeducation and caregiver support on a variety of ADRD related topics, presented as a browse-able library of stories and advice cards or "Notes"; 2. Assessment of informal caregiver status and patients behavioral and psychological symptoms of dementia (BPSD), in the form of the selfadministered HABC Monitor, along with reporting and historical tracking of HABC Monitor scores; 3. Engagement tools, in particular, (i) a toolkit for saving, sorting, creating/editing, and sharing Notes and (ii) a bi-directional messaging tool for communicating with clinicians or trusted others.
Feasibility: BCN Usability (3 Months)
76.3 score on a scale
Interval 66.3 to 83.8

PRIMARY outcome

Timeframe: 6 months

BCN usability at 6 months is the summary score on the modified System Usability Scale (SUS) 10-item scale instrument, ranging from 0 to 100. Higher scores indicate higher usability.

Outcome measures

Outcome measures
Measure
All Participants
n=21 Participants
All participants, prior to assignment to condition
Brain CareNotes (BCN) Software
Informal caregivers randomized to the intervention group continue to receive usual care for ADRD at Eskenazi Health or IU Health, and additionally receive the BCN software. BCN is installed on either the caregiver's personal mobile device or a device provided by the study. A research assistant orients participants to the device, provides training on the BCN software, and provides technical support and reminders. BCN is a mobile application (app) for informal caregivers of patients with ADRD. The BCN app delivers the following behavioral support: 1. 24/7 psychoeducation and caregiver support on a variety of ADRD related topics, presented as a browse-able library of stories and advice cards or "Notes"; 2. Assessment of informal caregiver status and patients behavioral and psychological symptoms of dementia (BPSD), in the form of the selfadministered HABC Monitor, along with reporting and historical tracking of HABC Monitor scores; 3. Engagement tools, in particular, (i) a toolkit for saving, sorting, creating/editing, and sharing Notes and (ii) a bi-directional messaging tool for communicating with clinicians or trusted others.
Feasibility: BCN Usability (6 Months)
72.5 score on a scale
Interval 70.0 to 90.0

PRIMARY outcome

Timeframe: 3 months

Acceptance at 3 months is the mean score on the Behavioral Intention 4-item scale on a 7-point response scale from 0 (not at all) to 6 (a great deal). Higher scores indicate higher acceptance.

Outcome measures

Outcome measures
Measure
All Participants
n=17 Participants
All participants, prior to assignment to condition
Brain CareNotes (BCN) Software
Informal caregivers randomized to the intervention group continue to receive usual care for ADRD at Eskenazi Health or IU Health, and additionally receive the BCN software. BCN is installed on either the caregiver's personal mobile device or a device provided by the study. A research assistant orients participants to the device, provides training on the BCN software, and provides technical support and reminders. BCN is a mobile application (app) for informal caregivers of patients with ADRD. The BCN app delivers the following behavioral support: 1. 24/7 psychoeducation and caregiver support on a variety of ADRD related topics, presented as a browse-able library of stories and advice cards or "Notes"; 2. Assessment of informal caregiver status and patients behavioral and psychological symptoms of dementia (BPSD), in the form of the selfadministered HABC Monitor, along with reporting and historical tracking of HABC Monitor scores; 3. Engagement tools, in particular, (i) a toolkit for saving, sorting, creating/editing, and sharing Notes and (ii) a bi-directional messaging tool for communicating with clinicians or trusted others.
Feasibility: BCN Acceptance (3 Months)
2 score on a scale
Interval 1.5 to 4.0

PRIMARY outcome

Timeframe: 6 months

Acceptance at 6 months is the mean score on the Behavioral Intention 4-item scale on a 7-point response scale from 0 (not at all) to 6 (a great deal).

Outcome measures

Outcome measures
Measure
All Participants
n=21 Participants
All participants, prior to assignment to condition
Brain CareNotes (BCN) Software
Informal caregivers randomized to the intervention group continue to receive usual care for ADRD at Eskenazi Health or IU Health, and additionally receive the BCN software. BCN is installed on either the caregiver's personal mobile device or a device provided by the study. A research assistant orients participants to the device, provides training on the BCN software, and provides technical support and reminders. BCN is a mobile application (app) for informal caregivers of patients with ADRD. The BCN app delivers the following behavioral support: 1. 24/7 psychoeducation and caregiver support on a variety of ADRD related topics, presented as a browse-able library of stories and advice cards or "Notes"; 2. Assessment of informal caregiver status and patients behavioral and psychological symptoms of dementia (BPSD), in the form of the selfadministered HABC Monitor, along with reporting and historical tracking of HABC Monitor scores; 3. Engagement tools, in particular, (i) a toolkit for saving, sorting, creating/editing, and sharing Notes and (ii) a bi-directional messaging tool for communicating with clinicians or trusted others.
Feasibility: BCN Acceptance (6 Months)
2.0 score on a scale
Interval 1.0 to 3.0

SECONDARY outcome

Timeframe: baseline

Informal caregiver burden at baseline, assessed by calculating the NPI-Caregiver Distress score (possible range from 0, best outcome, to 60, worst outcome) from the researcher administered Neuropsychiatric Inventory (NPI)

Outcome measures

Outcome measures
Measure
All Participants
n=27 Participants
All participants, prior to assignment to condition
Brain CareNotes (BCN) Software
n=26 Participants
Informal caregivers randomized to the intervention group continue to receive usual care for ADRD at Eskenazi Health or IU Health, and additionally receive the BCN software. BCN is installed on either the caregiver's personal mobile device or a device provided by the study. A research assistant orients participants to the device, provides training on the BCN software, and provides technical support and reminders. BCN is a mobile application (app) for informal caregivers of patients with ADRD. The BCN app delivers the following behavioral support: 1. 24/7 psychoeducation and caregiver support on a variety of ADRD related topics, presented as a browse-able library of stories and advice cards or "Notes"; 2. Assessment of informal caregiver status and patients behavioral and psychological symptoms of dementia (BPSD), in the form of the selfadministered HABC Monitor, along with reporting and historical tracking of HABC Monitor scores; 3. Engagement tools, in particular, (i) a toolkit for saving, sorting, creating/editing, and sharing Notes and (ii) a bi-directional messaging tool for communicating with clinicians or trusted others.
Caregiver Burden (Baseline)
9.8 score on a scale
Standard Deviation 7.4
8.5 score on a scale
Standard Deviation 6.3

SECONDARY outcome

Timeframe: 3 months

Informal caregiver burden at 3 months, assessed by calculating the NPI-Caregiver Distress score (possible range from 0, best outcome, to 60, worst outcome) from the researcher administered Neuropsychiatric Inventory (NPI)

Outcome measures

Outcome measures
Measure
All Participants
n=27 Participants
All participants, prior to assignment to condition
Brain CareNotes (BCN) Software
n=26 Participants
Informal caregivers randomized to the intervention group continue to receive usual care for ADRD at Eskenazi Health or IU Health, and additionally receive the BCN software. BCN is installed on either the caregiver's personal mobile device or a device provided by the study. A research assistant orients participants to the device, provides training on the BCN software, and provides technical support and reminders. BCN is a mobile application (app) for informal caregivers of patients with ADRD. The BCN app delivers the following behavioral support: 1. 24/7 psychoeducation and caregiver support on a variety of ADRD related topics, presented as a browse-able library of stories and advice cards or "Notes"; 2. Assessment of informal caregiver status and patients behavioral and psychological symptoms of dementia (BPSD), in the form of the selfadministered HABC Monitor, along with reporting and historical tracking of HABC Monitor scores; 3. Engagement tools, in particular, (i) a toolkit for saving, sorting, creating/editing, and sharing Notes and (ii) a bi-directional messaging tool for communicating with clinicians or trusted others.
Caregiver Burden (3 Months)
10.9 score on a scale
Standard Deviation 8.2
7.5 score on a scale
Standard Deviation 6.8

SECONDARY outcome

Timeframe: 6 months

Informal caregiver burden at 6 months, assessed by calculating the NPI-Caregiver Distress score (possible range from 0, best outcome, to 60, worst outcome) from the researcher administered Neuropsychiatric Inventory (NPI)

Outcome measures

Outcome measures
Measure
All Participants
n=27 Participants
All participants, prior to assignment to condition
Brain CareNotes (BCN) Software
n=26 Participants
Informal caregivers randomized to the intervention group continue to receive usual care for ADRD at Eskenazi Health or IU Health, and additionally receive the BCN software. BCN is installed on either the caregiver's personal mobile device or a device provided by the study. A research assistant orients participants to the device, provides training on the BCN software, and provides technical support and reminders. BCN is a mobile application (app) for informal caregivers of patients with ADRD. The BCN app delivers the following behavioral support: 1. 24/7 psychoeducation and caregiver support on a variety of ADRD related topics, presented as a browse-able library of stories and advice cards or "Notes"; 2. Assessment of informal caregiver status and patients behavioral and psychological symptoms of dementia (BPSD), in the form of the selfadministered HABC Monitor, along with reporting and historical tracking of HABC Monitor scores; 3. Engagement tools, in particular, (i) a toolkit for saving, sorting, creating/editing, and sharing Notes and (ii) a bi-directional messaging tool for communicating with clinicians or trusted others.
Caregiver Burden (6 Months)
8.8 score on a scale
Standard Deviation 7.0
7.8 score on a scale
Standard Deviation 6.2

SECONDARY outcome

Timeframe: baseline

Severity of patient behavioral and psychological symptoms of dementia (BPSD) at baseline, assessed by calculating the NPI total score (possible range from 0, best outcome, to 144, worst outcome) from caregiver-reported responses to the researcher-administered Neuropsychiatric Inventory (NPI).

Outcome measures

Outcome measures
Measure
All Participants
n=27 Participants
All participants, prior to assignment to condition
Brain CareNotes (BCN) Software
n=26 Participants
Informal caregivers randomized to the intervention group continue to receive usual care for ADRD at Eskenazi Health or IU Health, and additionally receive the BCN software. BCN is installed on either the caregiver's personal mobile device or a device provided by the study. A research assistant orients participants to the device, provides training on the BCN software, and provides technical support and reminders. BCN is a mobile application (app) for informal caregivers of patients with ADRD. The BCN app delivers the following behavioral support: 1. 24/7 psychoeducation and caregiver support on a variety of ADRD related topics, presented as a browse-able library of stories and advice cards or "Notes"; 2. Assessment of informal caregiver status and patients behavioral and psychological symptoms of dementia (BPSD), in the form of the selfadministered HABC Monitor, along with reporting and historical tracking of HABC Monitor scores; 3. Engagement tools, in particular, (i) a toolkit for saving, sorting, creating/editing, and sharing Notes and (ii) a bi-directional messaging tool for communicating with clinicians or trusted others.
BPSD Severity (Baseline)
17.2 score on a scale
Standard Deviation 15.5
16.4 score on a scale
Standard Deviation 13.4

SECONDARY outcome

Timeframe: 3 months

Severity of patient behavioral and psychological symptoms of dementia (BPSD) at 3 months, assessed by calculating the NPI total score (possible range from 0, best outcome, to 144, worst outcome) from caregiver-reported responses to the researcher-administered Neuropsychiatric Inventory (NPI).

Outcome measures

Outcome measures
Measure
All Participants
n=27 Participants
All participants, prior to assignment to condition
Brain CareNotes (BCN) Software
n=26 Participants
Informal caregivers randomized to the intervention group continue to receive usual care for ADRD at Eskenazi Health or IU Health, and additionally receive the BCN software. BCN is installed on either the caregiver's personal mobile device or a device provided by the study. A research assistant orients participants to the device, provides training on the BCN software, and provides technical support and reminders. BCN is a mobile application (app) for informal caregivers of patients with ADRD. The BCN app delivers the following behavioral support: 1. 24/7 psychoeducation and caregiver support on a variety of ADRD related topics, presented as a browse-able library of stories and advice cards or "Notes"; 2. Assessment of informal caregiver status and patients behavioral and psychological symptoms of dementia (BPSD), in the form of the selfadministered HABC Monitor, along with reporting and historical tracking of HABC Monitor scores; 3. Engagement tools, in particular, (i) a toolkit for saving, sorting, creating/editing, and sharing Notes and (ii) a bi-directional messaging tool for communicating with clinicians or trusted others.
BPSD Severity (3 Months)
18.3 score on a scale
Standard Deviation 15.1
12.4 score on a scale
Standard Deviation 11.0

SECONDARY outcome

Timeframe: 6 months

Severity of patient behavioral and psychological symptoms of dementia (BPSD) at 6 months, assessed by calculating the NPI total score (possible range from 0, best outcome, to 144, worst outcome) from caregiver-reported responses to the researcher-administered Neuropsychiatric Inventory (NPI).

Outcome measures

Outcome measures
Measure
All Participants
n=27 Participants
All participants, prior to assignment to condition
Brain CareNotes (BCN) Software
n=26 Participants
Informal caregivers randomized to the intervention group continue to receive usual care for ADRD at Eskenazi Health or IU Health, and additionally receive the BCN software. BCN is installed on either the caregiver's personal mobile device or a device provided by the study. A research assistant orients participants to the device, provides training on the BCN software, and provides technical support and reminders. BCN is a mobile application (app) for informal caregivers of patients with ADRD. The BCN app delivers the following behavioral support: 1. 24/7 psychoeducation and caregiver support on a variety of ADRD related topics, presented as a browse-able library of stories and advice cards or "Notes"; 2. Assessment of informal caregiver status and patients behavioral and psychological symptoms of dementia (BPSD), in the form of the selfadministered HABC Monitor, along with reporting and historical tracking of HABC Monitor scores; 3. Engagement tools, in particular, (i) a toolkit for saving, sorting, creating/editing, and sharing Notes and (ii) a bi-directional messaging tool for communicating with clinicians or trusted others.
BPSD Severity (6 Months)
18.5 score on a scale
Standard Deviation 16.0
15.9 score on a scale
Standard Deviation 12.9

SECONDARY outcome

Timeframe: 3 months

Number of all-cause hospital and emergency room admissions among patients and caregivers in the first 3 months (3 months post-intervention).

Outcome measures

Outcome measures
Measure
All Participants
n=19 Participants
All participants, prior to assignment to condition
Brain CareNotes (BCN) Software
n=21 Participants
Informal caregivers randomized to the intervention group continue to receive usual care for ADRD at Eskenazi Health or IU Health, and additionally receive the BCN software. BCN is installed on either the caregiver's personal mobile device or a device provided by the study. A research assistant orients participants to the device, provides training on the BCN software, and provides technical support and reminders. BCN is a mobile application (app) for informal caregivers of patients with ADRD. The BCN app delivers the following behavioral support: 1. 24/7 psychoeducation and caregiver support on a variety of ADRD related topics, presented as a browse-able library of stories and advice cards or "Notes"; 2. Assessment of informal caregiver status and patients behavioral and psychological symptoms of dementia (BPSD), in the form of the selfadministered HABC Monitor, along with reporting and historical tracking of HABC Monitor scores; 3. Engagement tools, in particular, (i) a toolkit for saving, sorting, creating/editing, and sharing Notes and (ii) a bi-directional messaging tool for communicating with clinicians or trusted others.
Acute Care Utilization (3 Months)
Patients
7 Participants
13 Participants
Acute Care Utilization (3 Months)
Caregivers
5 Participants
6 Participants

SECONDARY outcome

Timeframe: 6 months

Number of all-cause hospital and emergency room admissions among patients and caregivers in the last 3 months (at 6 months post-intervention).

Outcome measures

Outcome measures
Measure
All Participants
n=22 Participants
All participants, prior to assignment to condition
Brain CareNotes (BCN) Software
n=23 Participants
Informal caregivers randomized to the intervention group continue to receive usual care for ADRD at Eskenazi Health or IU Health, and additionally receive the BCN software. BCN is installed on either the caregiver's personal mobile device or a device provided by the study. A research assistant orients participants to the device, provides training on the BCN software, and provides technical support and reminders. BCN is a mobile application (app) for informal caregivers of patients with ADRD. The BCN app delivers the following behavioral support: 1. 24/7 psychoeducation and caregiver support on a variety of ADRD related topics, presented as a browse-able library of stories and advice cards or "Notes"; 2. Assessment of informal caregiver status and patients behavioral and psychological symptoms of dementia (BPSD), in the form of the selfadministered HABC Monitor, along with reporting and historical tracking of HABC Monitor scores; 3. Engagement tools, in particular, (i) a toolkit for saving, sorting, creating/editing, and sharing Notes and (ii) a bi-directional messaging tool for communicating with clinicians or trusted others.
Acute Care Utilization (6 Months)
Patients
3 Participants
13 Participants
Acute Care Utilization (6 Months)
Caregivers
5 Participants
3 Participants

Adverse Events

Usual Care - Caregivers

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

Brain CareNotes (BCN) Software - Caregivers

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

Usual Care - Patients

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

Brain CareNotes (BCN) Software - Patients

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Richard Holden

Indiana University

Phone: 812-586-1965

Results disclosure agreements

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