Trial Outcomes & Findings for Translating a Dementia Caregiver Intervention Into a Mobile Application (NCT NCT04330482)

NCT ID: NCT04330482

Last Updated: 2023-09-28

Results Overview

Percentage of participants who decline participation because of randomization.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

40 participants

Primary outcome timeframe

3 months

Results posted on

2023-09-28

Participant Flow

Participant milestones

Participant milestones
Measure
Internet Links
A tablet pre-loaded with a list of internet links relating to dementia caregiving that participants will be instructed to use at least 4 times weekly for 3 months. Internet Links: Participants randomized into this group will be instructed to use a computer tablet pre-loaded with a list of internet links relevant to dementia caregiving at least 4 times per week.
CARE-Well App
A tablet pre-loaded with the CARE-Well app that participants will be instructed to use at least 4 times weekly for 3 months. CARE-Well App: Participants randomized into this group will be instructed to use the CARE-Well App at least 4 times per week.
Overall Study
STARTED
20
20
Overall Study
COMPLETED
18
16
Overall Study
NOT COMPLETED
2
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Internet Links
A tablet pre-loaded with a list of internet links relating to dementia caregiving that participants will be instructed to use at least 4 times weekly for 3 months. Internet Links: Participants randomized into this group will be instructed to use a computer tablet pre-loaded with a list of internet links relevant to dementia caregiving at least 4 times per week.
CARE-Well App
A tablet pre-loaded with the CARE-Well app that participants will be instructed to use at least 4 times weekly for 3 months. CARE-Well App: Participants randomized into this group will be instructed to use the CARE-Well App at least 4 times per week.
Overall Study
Lost to Follow-up
2
1
Overall Study
Withdrawal by Subject
0
3

Baseline Characteristics

Translating a Dementia Caregiver Intervention Into a Mobile Application

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Internet Links
n=20 Participants
A tablet pre-loaded with a list of internet links relating to dementia caregiving that participants will be instructed to use at least 4 times weekly for 3 months. Internet Links: Participants randomized into this group will be instructed to use a computer tablet pre-loaded with a list of internet links relevant to dementia caregiving at least 4 times per week.
CARE-Well App
n=20 Participants
A tablet pre-loaded with the CARE-Well app that participants will be instructed to use at least 4 times weekly for 3 months. CARE-Well App: Participants randomized into this group will be instructed to use the CARE-Well App at least 4 times per week.
Total
n=40 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
10 Participants
n=5 Participants
6 Participants
n=7 Participants
16 Participants
n=5 Participants
Age, Categorical
>=65 years
10 Participants
n=5 Participants
14 Participants
n=7 Participants
24 Participants
n=5 Participants
Age, Continuous
68.70 years
STANDARD_DEVIATION 8.15 • n=5 Participants
64.05 years
STANDARD_DEVIATION 12.43 • n=7 Participants
66.38 years
STANDARD_DEVIATION 10.64 • n=5 Participants
Sex: Female, Male
Female
13 Participants
n=5 Participants
14 Participants
n=7 Participants
27 Participants
n=5 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
6 Participants
n=7 Participants
13 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
18 Participants
n=5 Participants
20 Participants
n=7 Participants
38 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
White
19 Participants
n=5 Participants
19 Participants
n=7 Participants
38 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
20 participants
n=5 Participants
20 participants
n=7 Participants
40 participants
n=5 Participants
Depression
12.95 units on a scale
STANDARD_DEVIATION 8.02 • n=5 Participants
13.55 units on a scale
STANDARD_DEVIATION 9.69 • n=7 Participants
13.25 units on a scale
STANDARD_DEVIATION 9.69 • n=5 Participants

PRIMARY outcome

Timeframe: 3 months

Percentage of participants who decline participation because of randomization.

Outcome measures

Outcome measures
Measure
Internet Links
n=20 Participants
A tablet pre-loaded with a list of internet links relating to dementia caregiving that participants will be instructed to use at least 4 times weekly for 3 months. Internet Links: Participants randomized into this group will be instructed to use a computer tablet pre-loaded with a list of internet links relevant to dementia caregiving at least 4 times per week.
CARE-Well App
n=20 Participants
A tablet pre-loaded with the CARE-Well app that participants will be instructed to use at least 4 times weekly for 3 months. CARE-Well App: Participants randomized into this group will be instructed to use the CARE-Well App at least 4 times per week.
Randomization
0 Participants
0 Participants

PRIMARY outcome

Timeframe: 3 months

Percentage of participants enrolled and who remain enrolled for the duration of the study.

Outcome measures

Outcome measures
Measure
Internet Links
n=20 Participants
A tablet pre-loaded with a list of internet links relating to dementia caregiving that participants will be instructed to use at least 4 times weekly for 3 months. Internet Links: Participants randomized into this group will be instructed to use a computer tablet pre-loaded with a list of internet links relevant to dementia caregiving at least 4 times per week.
CARE-Well App
n=20 Participants
A tablet pre-loaded with the CARE-Well app that participants will be instructed to use at least 4 times weekly for 3 months. CARE-Well App: Participants randomized into this group will be instructed to use the CARE-Well App at least 4 times per week.
Study Enrollment Rate and Retention
18 Participants
16 Participants

PRIMARY outcome

Timeframe: 3 months

Percentage of participants who used the internet links or the app for the 3-month intervention period.

Outcome measures

Outcome measures
Measure
Internet Links
n=18 Participants
A tablet pre-loaded with a list of internet links relating to dementia caregiving that participants will be instructed to use at least 4 times weekly for 3 months. Internet Links: Participants randomized into this group will be instructed to use a computer tablet pre-loaded with a list of internet links relevant to dementia caregiving at least 4 times per week.
CARE-Well App
n=16 Participants
A tablet pre-loaded with the CARE-Well app that participants will be instructed to use at least 4 times weekly for 3 months. CARE-Well App: Participants randomized into this group will be instructed to use the CARE-Well App at least 4 times per week.
Intervention Adherence
18 Participants
16 Participants

PRIMARY outcome

Timeframe: 3 months

Percentage of participants who completed assessments at baseline and follow-up within two weeks of enrollment or completion of the study.

Outcome measures

Outcome measures
Measure
Internet Links
n=18 Participants
A tablet pre-loaded with a list of internet links relating to dementia caregiving that participants will be instructed to use at least 4 times weekly for 3 months. Internet Links: Participants randomized into this group will be instructed to use a computer tablet pre-loaded with a list of internet links relevant to dementia caregiving at least 4 times per week.
CARE-Well App
n=16 Participants
A tablet pre-loaded with the CARE-Well app that participants will be instructed to use at least 4 times weekly for 3 months. CARE-Well App: Participants randomized into this group will be instructed to use the CARE-Well App at least 4 times per week.
Timing of Assessments
18 Participants
16 Participants

PRIMARY outcome

Timeframe: 3 months

Percentage of participants who completed the intervention.

Outcome measures

Outcome measures
Measure
Internet Links
n=20 Participants
A tablet pre-loaded with a list of internet links relating to dementia caregiving that participants will be instructed to use at least 4 times weekly for 3 months. Internet Links: Participants randomized into this group will be instructed to use a computer tablet pre-loaded with a list of internet links relevant to dementia caregiving at least 4 times per week.
CARE-Well App
n=20 Participants
A tablet pre-loaded with the CARE-Well app that participants will be instructed to use at least 4 times weekly for 3 months. CARE-Well App: Participants randomized into this group will be instructed to use the CARE-Well App at least 4 times per week.
Completion Rates
18 Participants
16 Participants

PRIMARY outcome

Timeframe: 3 months

Percentage of participants in a subset of caregivers (10 from each group) interested in continuing to use tablet/App use after formal trial as an estimate of sustainability.

Outcome measures

Outcome measures
Measure
Internet Links
n=10 Participants
A tablet pre-loaded with a list of internet links relating to dementia caregiving that participants will be instructed to use at least 4 times weekly for 3 months. Internet Links: Participants randomized into this group will be instructed to use a computer tablet pre-loaded with a list of internet links relevant to dementia caregiving at least 4 times per week.
CARE-Well App
n=10 Participants
A tablet pre-loaded with the CARE-Well app that participants will be instructed to use at least 4 times weekly for 3 months. CARE-Well App: Participants randomized into this group will be instructed to use the CARE-Well App at least 4 times per week.
Interest in Continuation of Tablet/App Use After Formal Trial
10 Participants
10 Participants

PRIMARY outcome

Timeframe: 3 months

Percentage of participants satisfied or very satisfied with App technology.

Outcome measures

Outcome measures
Measure
Internet Links
n=18 Participants
A tablet pre-loaded with a list of internet links relating to dementia caregiving that participants will be instructed to use at least 4 times weekly for 3 months. Internet Links: Participants randomized into this group will be instructed to use a computer tablet pre-loaded with a list of internet links relevant to dementia caregiving at least 4 times per week.
CARE-Well App
n=16 Participants
A tablet pre-loaded with the CARE-Well app that participants will be instructed to use at least 4 times weekly for 3 months. CARE-Well App: Participants randomized into this group will be instructed to use the CARE-Well App at least 4 times per week.
App Technology Satisfaction
13 Participants
12 Participants

PRIMARY outcome

Timeframe: 3 months

Percentage of participants satisfied or very satisfied with App content.

Outcome measures

Outcome measures
Measure
Internet Links
n=18 Participants
A tablet pre-loaded with a list of internet links relating to dementia caregiving that participants will be instructed to use at least 4 times weekly for 3 months. Internet Links: Participants randomized into this group will be instructed to use a computer tablet pre-loaded with a list of internet links relevant to dementia caregiving at least 4 times per week.
CARE-Well App
n=16 Participants
A tablet pre-loaded with the CARE-Well app that participants will be instructed to use at least 4 times weekly for 3 months. CARE-Well App: Participants randomized into this group will be instructed to use the CARE-Well App at least 4 times per week.
App Content Satisfaction
13 Participants
11 Participants

SECONDARY outcome

Timeframe: Baseline and immediately Post-Intervention at 3 months

Depression scale; 0-30 points; higher scores indicate worse outcome.

Outcome measures

Outcome measures
Measure
Internet Links
n=18 Participants
A tablet pre-loaded with a list of internet links relating to dementia caregiving that participants will be instructed to use at least 4 times weekly for 3 months. Internet Links: Participants randomized into this group will be instructed to use a computer tablet pre-loaded with a list of internet links relevant to dementia caregiving at least 4 times per week.
CARE-Well App
n=16 Participants
A tablet pre-loaded with the CARE-Well app that participants will be instructed to use at least 4 times weekly for 3 months. CARE-Well App: Participants randomized into this group will be instructed to use the CARE-Well App at least 4 times per week.
Center for Epidemiologic Studies Depression Scale
Baseline
13.29 units on a scale
Standard Deviation 7.88
13.94 units on a scale
Standard Deviation 12.19
Center for Epidemiologic Studies Depression Scale
Post-Intervention
16.71 units on a scale
Standard Deviation 8.36
17.38 units on a scale
Standard Deviation 11.67

SECONDARY outcome

Timeframe: Baseline and immediately Post-Intervention at 3 months

Caregiver burden scale; 0-88 points; higher scores indicate worse outcome.

Outcome measures

Outcome measures
Measure
Internet Links
n=18 Participants
A tablet pre-loaded with a list of internet links relating to dementia caregiving that participants will be instructed to use at least 4 times weekly for 3 months. Internet Links: Participants randomized into this group will be instructed to use a computer tablet pre-loaded with a list of internet links relevant to dementia caregiving at least 4 times per week.
CARE-Well App
n=16 Participants
A tablet pre-loaded with the CARE-Well app that participants will be instructed to use at least 4 times weekly for 3 months. CARE-Well App: Participants randomized into this group will be instructed to use the CARE-Well App at least 4 times per week.
Zarit Burden Interview
Baseline
55.53 units on a scale
Standard Deviation 9.82
56.56 units on a scale
Standard Deviation 14.40
Zarit Burden Interview
Post Intervention
58.11 units on a scale
Standard Deviation 10.93
57.56 units on a scale
Standard Deviation 13.22

SECONDARY outcome

Timeframe: Baseline and immediately Post-Intervention at 3 months

Caregiver reaction to problem behaviors; range 0-96 Higher scores indicate worse outcomes.

Outcome measures

Outcome measures
Measure
Internet Links
n=18 Participants
A tablet pre-loaded with a list of internet links relating to dementia caregiving that participants will be instructed to use at least 4 times weekly for 3 months. Internet Links: Participants randomized into this group will be instructed to use a computer tablet pre-loaded with a list of internet links relevant to dementia caregiving at least 4 times per week.
CARE-Well App
n=16 Participants
A tablet pre-loaded with the CARE-Well app that participants will be instructed to use at least 4 times weekly for 3 months. CARE-Well App: Participants randomized into this group will be instructed to use the CARE-Well App at least 4 times per week.
Revised Memory and Behavior Problem Checklist
Baseline
22.88 units on a scale
Standard Deviation 7.90
22.00 units on a scale
Standard Deviation 8.61
Revised Memory and Behavior Problem Checklist
Post Intervention
18.10 units on a scale
Standard Deviation 10.56
11.56 units on a scale
Standard Deviation 16.91

SECONDARY outcome

Timeframe: Baseline and immediately Post-Intervention at 3 months

Caregiver desire to institutionalize care recipient; 0-7 points; high scores indicate worse outcome (or stronger desire to institutionalize).

Outcome measures

Outcome measures
Measure
Internet Links
n=18 Participants
A tablet pre-loaded with a list of internet links relating to dementia caregiving that participants will be instructed to use at least 4 times weekly for 3 months. Internet Links: Participants randomized into this group will be instructed to use a computer tablet pre-loaded with a list of internet links relevant to dementia caregiving at least 4 times per week.
CARE-Well App
n=16 Participants
A tablet pre-loaded with the CARE-Well app that participants will be instructed to use at least 4 times weekly for 3 months. CARE-Well App: Participants randomized into this group will be instructed to use the CARE-Well App at least 4 times per week.
Desire to Institutionalize Scale
Baseline
0.82 units on a scale
Standard Deviation 1.24
1.38 units on a scale
Standard Deviation 1.45
Desire to Institutionalize Scale
Post Intervention
1.12 units on a scale
Standard Deviation 1.54
1.94 units on a scale
Standard Deviation 2.29

Adverse Events

Internet Links

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

CARE-Well App

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

Geoffrey Tremont

Rhode Island Hospital

Phone: 401-444-4500

Results disclosure agreements

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