Trial Outcomes & Findings for Harmony at Home: A Pilot Telehealth Program for Rural ADRD Caregivers (NCT NCT05202223)

NCT ID: NCT05202223

Last Updated: 2023-12-29

Results Overview

Pearlin Mastery Scale: A 4-item scale measuring the extent to which a participant sees life as being under his/her personal control vs. something that is fatalistically ruled. Scores range from 4 to 16, with higher scores indicating greater levels of mastery.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

80 participants

Primary outcome timeframe

baseline, visit 2 (week 6), visit 3 (week 10)

Results posted on

2023-12-29

Participant Flow

Participant milestones

Participant milestones
Measure
Harmony at HOME
H@H is a 6-week telehealth intervention delivered by an occupational therapist during weekly visits. Harmony at HOME (H@H): H@H is a 6-week telehealth intervention delivered by an occupational therapist during weekly visits.
Overall Study
STARTED
80
Overall Study
COMPLETED
52
Overall Study
NOT COMPLETED
28

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Only 78 participants completed baseline data collection

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Harmony at HOME
n=78 Participants
H@H is a 6-week telehealth intervention delivered by an occupational therapist during weekly visits. Harmony at HOME (H@H): H@H is a 6-week telehealth intervention delivered by an occupational therapist during weekly visits.
Age, Continuous
Caregiver
60.69 years
STANDARD_DEVIATION 1.99 • n=39 Participants • Only 78 participants completed baseline data collection
Age, Continuous
Participant with Dementia
78.74 years
STANDARD_DEVIATION 1.09 • n=39 Participants • Only 78 participants completed baseline data collection
Sex: Female, Male
Caregiver · Female
6 Participants
n=39 Participants • There was no response to this question for 8 participants
Sex: Female, Male
Caregiver · Male
33 Participants
n=39 Participants • There was no response to this question for 8 participants
Sex: Female, Male
Participant with Dementia · Female
11 Participants
n=31 Participants • There was no response to this question for 8 participants
Sex: Female, Male
Participant with Dementia · Male
20 Participants
n=31 Participants • There was no response to this question for 8 participants
Ethnicity (NIH/OMB)
Caregiver · Hispanic or Latino
0 Participants
n=39 Participants • 78 completed baseline data collection
Ethnicity (NIH/OMB)
Caregiver · Not Hispanic or Latino
37 Participants
n=39 Participants • 78 completed baseline data collection
Ethnicity (NIH/OMB)
Caregiver · Unknown or Not Reported
2 Participants
n=39 Participants • 78 completed baseline data collection
Ethnicity (NIH/OMB)
Participant with Dementia · Hispanic or Latino
0 Participants
n=39 Participants • 78 completed baseline data collection
Ethnicity (NIH/OMB)
Participant with Dementia · Not Hispanic or Latino
29 Participants
n=39 Participants • 78 completed baseline data collection
Ethnicity (NIH/OMB)
Participant with Dementia · Unknown or Not Reported
10 Participants
n=39 Participants • 78 completed baseline data collection
Race (NIH/OMB)
Caregiver · American Indian or Alaska Native
0 Participants
n=39 Participants • 78 participants completed baseline data collection.
Race (NIH/OMB)
Caregiver · Asian
0 Participants
n=39 Participants • 78 participants completed baseline data collection.
Race (NIH/OMB)
Caregiver · Native Hawaiian or Other Pacific Islander
0 Participants
n=39 Participants • 78 participants completed baseline data collection.
Race (NIH/OMB)
Caregiver · Black or African American
1 Participants
n=39 Participants • 78 participants completed baseline data collection.
Race (NIH/OMB)
Caregiver · White
35 Participants
n=39 Participants • 78 participants completed baseline data collection.
Race (NIH/OMB)
Caregiver · More than one race
0 Participants
n=39 Participants • 78 participants completed baseline data collection.
Race (NIH/OMB)
Caregiver · Unknown or Not Reported
3 Participants
n=39 Participants • 78 participants completed baseline data collection.
Race (NIH/OMB)
Participant with Dementia · American Indian or Alaska Native
0 Participants
n=39 Participants • 78 participants completed baseline data collection.
Race (NIH/OMB)
Participant with Dementia · Asian
0 Participants
n=39 Participants • 78 participants completed baseline data collection.
Race (NIH/OMB)
Participant with Dementia · Native Hawaiian or Other Pacific Islander
0 Participants
n=39 Participants • 78 participants completed baseline data collection.
Race (NIH/OMB)
Participant with Dementia · Black or African American
1 Participants
n=39 Participants • 78 participants completed baseline data collection.
Race (NIH/OMB)
Participant with Dementia · White
30 Participants
n=39 Participants • 78 participants completed baseline data collection.
Race (NIH/OMB)
Participant with Dementia · More than one race
0 Participants
n=39 Participants • 78 participants completed baseline data collection.
Race (NIH/OMB)
Participant with Dementia · Unknown or Not Reported
8 Participants
n=39 Participants • 78 participants completed baseline data collection.
Region of Enrollment
United States
80 participants
n=78 Participants

PRIMARY outcome

Timeframe: baseline, visit 2 (week 6), visit 3 (week 10)

Population: Only caregiver data are reported for this outcome. 1 participant was unable to be contacted for visit 3 data collection

Pearlin Mastery Scale: A 4-item scale measuring the extent to which a participant sees life as being under his/her personal control vs. something that is fatalistically ruled. Scores range from 4 to 16, with higher scores indicating greater levels of mastery.

Outcome measures

Outcome measures
Measure
Harmony at HOME
n=26 Participants
H@H is a 6-week telehealth intervention delivered by an occupational therapist during weekly visits. Harmony at HOME (H@H): H@H is a 6-week telehealth intervention delivered by an occupational therapist during weekly visits.
Change in Caregiver Mastery
Baseline
12.6 units on a scale
Standard Deviation 2.1
Change in Caregiver Mastery
Visit 2
13 units on a scale
Standard Deviation 1.6
Change in Caregiver Mastery
Visit 3
13 units on a scale
Standard Deviation 1.7

OTHER_PRE_SPECIFIED outcome

Timeframe: Timeframe 10 weeks (baseline, 6 weeks, 4 week follow up)]

Zarit Burden Interview: It is a questionnaire consisting of 22 items. A minimum score of 0 and a maximum score of 88 can be obtained. The higher the scale score, the higher the difficulty experienced.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Timeframe 10 weeks (baseline, 6 weeks, 4 week follow up)]

Perceived Stress Scale: Caregiver report of perceived stress. The minimum total score possible is 0 and the maximum total score possible is 40. Higher values represent a worse outcome.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Timeframe 10 weeks (baseline, 6 weeks, 4 week follow up)

Revised Caregiving Appraisal Scale, Sub-scale on caregiver satisfaction: Care partner satisfaction consisting of 6-items, 5-point Likert scale. Higher score indicates greater satisfaction.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Timeframe 10 weeks (baseline, 6 weeks, 4 week follow up)

Revised Memory and Behavior Problems Checklist: 24-item caregiver report measure, 5-point Likert scale, higher scores mean greater behavioral problems.

Outcome measures

Outcome data not reported

Adverse Events

Harmony at HOME

Serious events: 0 serious events
Other events: 14 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Harmony at HOME
n=40 participants at risk
This is a single-arm study. Dyads (caregiver and person with dementia) were enrolled in the H@H telehealth intervention delivered by an occupational therapist during weekly visits. Participants were either 1) caregiver or 2) person with dementia (person at risk). Adverse Events are reported for persons with dementia.
General disorders
Fall
30.0%
12/40 • 10 weeks
All-Cause Mortality, Serious Adverse Events and Other Adverse Events were reported for participants with dementia. All-Cause Mortality, Serious Adverse Events and Other Adverse Events were not monitored/assessed in caregiver participants.
General disorders
Hospitalization
5.0%
2/40 • 10 weeks
All-Cause Mortality, Serious Adverse Events and Other Adverse Events were reported for participants with dementia. All-Cause Mortality, Serious Adverse Events and Other Adverse Events were not monitored/assessed in caregiver participants.

Additional Information

Dr. Elizabeth Rhodus

University of Kentucky

Phone: 859-257-5562

Results disclosure agreements

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