Trial Outcomes & Findings for SAGE-LEAF: Reducing Burden in Alzheimer's Disease Caregivers Through Positive Emotion Regulation and Virtual Support (NCT NCT05562583)

NCT ID: NCT05562583

Last Updated: 2023-10-24

Results Overview

This is to measure adherence to SAGE-LEAF intervention. Score range: 0-100%. A higher percentage means better adherence to the SAGE-LEAF intervention.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

15 participants

Primary outcome timeframe

Post-study (week 6)

Results posted on

2023-10-24

Participant Flow

Participants were recruited from a group of individuals who responded to social media advertisements for another caregiver study but were not eligible (3/15, 20%) and from dementia caregiver support groups (12/15, 80%).

Participant milestones

Participant milestones
Measure
Intervention (Single Arm)
5 session self-guided online delivered positive emotion regulation intervention with social components. SAGE LEAF: SAGE LEAF covers 8 skills and each skill has related home-practice activities that "unlock" every week. Each week will consist of 1-2 days of didactic material and 5-6 days of real-life home practice. Participants can access the skills at their own leisure and as often as they'd like within that week. Participants cannot skip modules with didactic material and can only progress to the next lesson if they have completed the current one. However, participants can return to old lessons or exercises if they choose to do so at a later time.
Overall Study
STARTED
15
Overall Study
COMPLETED
10
Overall Study
NOT COMPLETED
5

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

SAGE-LEAF: Reducing Burden in Alzheimer's Disease Caregivers Through Positive Emotion Regulation and Virtual Support

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention (Single Arm)
n=15 Participants
5 session self-guided online delivered positive emotion regulation intervention with social components. SAGE LEAF: SAGE LEAF covers 8 skills and each skill has related home-practice activities that "unlock" every week. Each week will consist of 1-2 days of didactic material and 5-6 days of real-life home practice. Participants can access the skills at their own leisure and as often as they'd like within that week. Participants cannot skip modules with didactic material and can only progress to the next lesson if they have completed the current one. However, participants can return to old lessons or exercises if they choose to do so at a later time.
Age, Continuous
62.8 years
STANDARD_DEVIATION 11.31 • n=5 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
13 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
15 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Duration of caregiving
4.27 years
STANDARD_DEVIATION 2.94 • n=5 Participants
Diagnosis
Frontotemporal dementia
11 Participants
n=5 Participants
Diagnosis
Uncategorized dementia
4 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Post-study (week 6)

This is to measure adherence to SAGE-LEAF intervention. Score range: 0-100%. A higher percentage means better adherence to the SAGE-LEAF intervention.

Outcome measures

Outcome measures
Measure
Intervention (Single Arm)
n=15 Participants
5 session self-guided online delivered positive emotion regulation intervention with social components. SAGE LEAF: SAGE LEAF covers 8 skills and each skill has related home-practice activities that "unlock" every week. Each week will consist of 1-2 days of didactic material and 5-6 days of real-life home practice. Participants can access the skills at their own leisure and as often as they'd like within that week. Participants cannot skip modules with didactic material and can only progress to the next lesson if they have completed the current one. However, participants can return to old lessons or exercises if they choose to do so at a later time.
Percentage of Skill Pages in SAGE-LEAF Accessed by a Participant
72 Percentage of skill pages
Standard Deviation 42

PRIMARY outcome

Timeframe: Post-study (week 6)

This is to measure the acceptability of SAGE-LEAF. Score range: 1-10. A higher score indicates higher acceptability.

Outcome measures

Outcome measures
Measure
Intervention (Single Arm)
n=10 Participants
5 session self-guided online delivered positive emotion regulation intervention with social components. SAGE LEAF: SAGE LEAF covers 8 skills and each skill has related home-practice activities that "unlock" every week. Each week will consist of 1-2 days of didactic material and 5-6 days of real-life home practice. Participants can access the skills at their own leisure and as often as they'd like within that week. Participants cannot skip modules with didactic material and can only progress to the next lesson if they have completed the current one. However, participants can return to old lessons or exercises if they choose to do so at a later time.
Willingness to Recommend SAGE-LEAF to Other AD Caregivers
8 score on a scale
Interval 6.25 to 9.5

PRIMARY outcome

Timeframe: Post-study (week 6)

This is to measure the usability of SAGE-LEAF. Score range: 0-100. A higher score indicates better usability.

Outcome measures

Outcome measures
Measure
Intervention (Single Arm)
n=10 Participants
5 session self-guided online delivered positive emotion regulation intervention with social components. SAGE LEAF: SAGE LEAF covers 8 skills and each skill has related home-practice activities that "unlock" every week. Each week will consist of 1-2 days of didactic material and 5-6 days of real-life home practice. Participants can access the skills at their own leisure and as often as they'd like within that week. Participants cannot skip modules with didactic material and can only progress to the next lesson if they have completed the current one. However, participants can return to old lessons or exercises if they choose to do so at a later time.
System Usability Scale
73.75 score on a scale
Interval 57.5 to 85.63

SECONDARY outcome

Timeframe: Pre-study and post-study (week 6)

Measuring caregiving burden. Score range: 0-88. Higher scores indicate greater burden.

Outcome measures

Outcome measures
Measure
Intervention (Single Arm)
n=10 Participants
5 session self-guided online delivered positive emotion regulation intervention with social components. SAGE LEAF: SAGE LEAF covers 8 skills and each skill has related home-practice activities that "unlock" every week. Each week will consist of 1-2 days of didactic material and 5-6 days of real-life home practice. Participants can access the skills at their own leisure and as often as they'd like within that week. Participants cannot skip modules with didactic material and can only progress to the next lesson if they have completed the current one. However, participants can return to old lessons or exercises if they choose to do so at a later time.
Zarit Burden Interview
15.67 score on a scale
Standard Deviation 3.54

SECONDARY outcome

Timeframe: Pre-study and post-study (week 6)

Measuring caregiving burden in terms of time. Score range: 1-5. Higher scores indicate higher levels of caregiver burden.

Outcome measures

Outcome measures
Measure
Intervention (Single Arm)
n=10 Participants
5 session self-guided online delivered positive emotion regulation intervention with social components. SAGE LEAF: SAGE LEAF covers 8 skills and each skill has related home-practice activities that "unlock" every week. Each week will consist of 1-2 days of didactic material and 5-6 days of real-life home practice. Participants can access the skills at their own leisure and as often as they'd like within that week. Participants cannot skip modules with didactic material and can only progress to the next lesson if they have completed the current one. However, participants can return to old lessons or exercises if they choose to do so at a later time.
Oberst Caregiving Burden Scale - Time
3.07 score on a scale
Standard Deviation 0.75

SECONDARY outcome

Timeframe: Pre-study and post-study (week 6)

Measuring caregiving burden in terms of difficulty. Score range: 1-5. Higher scores indicate higher levels of caregiver burden.

Outcome measures

Outcome measures
Measure
Intervention (Single Arm)
n=10 Participants
5 session self-guided online delivered positive emotion regulation intervention with social components. SAGE LEAF: SAGE LEAF covers 8 skills and each skill has related home-practice activities that "unlock" every week. Each week will consist of 1-2 days of didactic material and 5-6 days of real-life home practice. Participants can access the skills at their own leisure and as often as they'd like within that week. Participants cannot skip modules with didactic material and can only progress to the next lesson if they have completed the current one. However, participants can return to old lessons or exercises if they choose to do so at a later time.
Oberst Caregiving Burden Scale - Difficulty
2.77 score on a scale
Standard Deviation 0.82

SECONDARY outcome

Timeframe: Pre-study and post-study (week 6)

Measuring positive aspects to caregiving for dementia patients. Score range: 5-45. Higher scores indicate better caregivers' outlook on life and self-affirmations.

Outcome measures

Outcome measures
Measure
Intervention (Single Arm)
n=10 Participants
5 session self-guided online delivered positive emotion regulation intervention with social components. SAGE LEAF: SAGE LEAF covers 8 skills and each skill has related home-practice activities that "unlock" every week. Each week will consist of 1-2 days of didactic material and 5-6 days of real-life home practice. Participants can access the skills at their own leisure and as often as they'd like within that week. Participants cannot skip modules with didactic material and can only progress to the next lesson if they have completed the current one. However, participants can return to old lessons or exercises if they choose to do so at a later time.
Positive Aspects of Caregiving Scale
22.23 score on a scale
Standard Deviation 9.27

SECONDARY outcome

Timeframe: Pre-study and post-study (week 6)

Measuring role captivity in caregiving. Score 1-4. Higher scores indicate stronger feelings of role captivity.

Outcome measures

Outcome measures
Measure
Intervention (Single Arm)
n=10 Participants
5 session self-guided online delivered positive emotion regulation intervention with social components. SAGE LEAF: SAGE LEAF covers 8 skills and each skill has related home-practice activities that "unlock" every week. Each week will consist of 1-2 days of didactic material and 5-6 days of real-life home practice. Participants can access the skills at their own leisure and as often as they'd like within that week. Participants cannot skip modules with didactic material and can only progress to the next lesson if they have completed the current one. However, participants can return to old lessons or exercises if they choose to do so at a later time.
Role Captivity Sub-scale of Caregiver Reaction Assessment
2.55 score on a scale
Standard Deviation 0.7

SECONDARY outcome

Timeframe: Pre-study and post-study (week 6)

Measuring the feeling of overload in caregiving. Score 1-4. Higher scores indicate stronger feelings of overload.

Outcome measures

Outcome measures
Measure
Intervention (Single Arm)
n=10 Participants
5 session self-guided online delivered positive emotion regulation intervention with social components. SAGE LEAF: SAGE LEAF covers 8 skills and each skill has related home-practice activities that "unlock" every week. Each week will consist of 1-2 days of didactic material and 5-6 days of real-life home practice. Participants can access the skills at their own leisure and as often as they'd like within that week. Participants cannot skip modules with didactic material and can only progress to the next lesson if they have completed the current one. However, participants can return to old lessons or exercises if they choose to do so at a later time.
Overload Sub-scale of Caregiver Reaction Assessment
2.65 score on a scale
Standard Deviation 0.83

SECONDARY outcome

Timeframe: Pre-study and post-study (week 6)

Measuring caregiving mastery. Score range: 1-5. Higher scores indicate better caregiving mastery.

Outcome measures

Outcome measures
Measure
Intervention (Single Arm)
n=10 Participants
5 session self-guided online delivered positive emotion regulation intervention with social components. SAGE LEAF: SAGE LEAF covers 8 skills and each skill has related home-practice activities that "unlock" every week. Each week will consist of 1-2 days of didactic material and 5-6 days of real-life home practice. Participants can access the skills at their own leisure and as often as they'd like within that week. Participants cannot skip modules with didactic material and can only progress to the next lesson if they have completed the current one. However, participants can return to old lessons or exercises if they choose to do so at a later time.
Caregiving Mastery Subscale of the Caregiving Appraisal Measure
2.66 score on a scale
Standard Deviation 0.45

SECONDARY outcome

Timeframe: Pre-study and post-study (week 6)

Measuring perceived stress. Score range: 0-40. Higher scores indicate higher levels of perceived stress

Outcome measures

Outcome measures
Measure
Intervention (Single Arm)
n=10 Participants
5 session self-guided online delivered positive emotion regulation intervention with social components. SAGE LEAF: SAGE LEAF covers 8 skills and each skill has related home-practice activities that "unlock" every week. Each week will consist of 1-2 days of didactic material and 5-6 days of real-life home practice. Participants can access the skills at their own leisure and as often as they'd like within that week. Participants cannot skip modules with didactic material and can only progress to the next lesson if they have completed the current one. However, participants can return to old lessons or exercises if they choose to do so at a later time.
Cohen's Perceived Stress Scale
7.5 score on a scale
Standard Deviation 1.78

SECONDARY outcome

Timeframe: Pre-study and post-study (week 6)

Measuring positive emotions. Score range: 1-5. Higher scores indicate higher levels of positive emotions.

Outcome measures

Outcome measures
Measure
Intervention (Single Arm)
n=10 Participants
5 session self-guided online delivered positive emotion regulation intervention with social components. SAGE LEAF: SAGE LEAF covers 8 skills and each skill has related home-practice activities that "unlock" every week. Each week will consist of 1-2 days of didactic material and 5-6 days of real-life home practice. Participants can access the skills at their own leisure and as often as they'd like within that week. Participants cannot skip modules with didactic material and can only progress to the next lesson if they have completed the current one. However, participants can return to old lessons or exercises if they choose to do so at a later time.
Positive Affect in Differential Emotions Scale
1.82 score on a scale
Standard Deviation 0.68

SECONDARY outcome

Timeframe: Pre-study and post-study (week 6)

Measuring positive emotions. Score range: 1-5. Higher scores indicate higher levels of negative emotions.

Outcome measures

Outcome measures
Measure
Intervention (Single Arm)
n=10 Participants
5 session self-guided online delivered positive emotion regulation intervention with social components. SAGE LEAF: SAGE LEAF covers 8 skills and each skill has related home-practice activities that "unlock" every week. Each week will consist of 1-2 days of didactic material and 5-6 days of real-life home practice. Participants can access the skills at their own leisure and as often as they'd like within that week. Participants cannot skip modules with didactic material and can only progress to the next lesson if they have completed the current one. However, participants can return to old lessons or exercises if they choose to do so at a later time.
Negative Affect in Differential Emotions Scale
1.34 score on a scale
Standard Deviation 0.72

SECONDARY outcome

Timeframe: Pre-study and post-study (week 6)

Measuring depression level. Score range: 20-80. Higher scores indicate higher depression levels.

Outcome measures

Outcome measures
Measure
Intervention (Single Arm)
n=10 Participants
5 session self-guided online delivered positive emotion regulation intervention with social components. SAGE LEAF: SAGE LEAF covers 8 skills and each skill has related home-practice activities that "unlock" every week. Each week will consist of 1-2 days of didactic material and 5-6 days of real-life home practice. Participants can access the skills at their own leisure and as often as they'd like within that week. Participants cannot skip modules with didactic material and can only progress to the next lesson if they have completed the current one. However, participants can return to old lessons or exercises if they choose to do so at a later time.
Patient-Reported Outcomes Measurement Information System - Depression
57.96 score on a scale
Standard Deviation 5.05

SECONDARY outcome

Timeframe: Pre-study and post-study (week 6)

Measuring anxiety level. Score range: 20-80. Higher scores indicate higher anxiety levels.

Outcome measures

Outcome measures
Measure
Intervention (Single Arm)
n=10 Participants
5 session self-guided online delivered positive emotion regulation intervention with social components. SAGE LEAF: SAGE LEAF covers 8 skills and each skill has related home-practice activities that "unlock" every week. Each week will consist of 1-2 days of didactic material and 5-6 days of real-life home practice. Participants can access the skills at their own leisure and as often as they'd like within that week. Participants cannot skip modules with didactic material and can only progress to the next lesson if they have completed the current one. However, participants can return to old lessons or exercises if they choose to do so at a later time.
Patient-Reported Outcomes Measurement Information System - Anxiety
57.45 score on a scale
Standard Deviation 7.96

SECONDARY outcome

Timeframe: Pre-study and post-study (week 6)

Measuring sleep disturbance level. Score range: 20-80. Higher scores indicate higher levels of sleep disturbance.

Outcome measures

Outcome measures
Measure
Intervention (Single Arm)
n=10 Participants
5 session self-guided online delivered positive emotion regulation intervention with social components. SAGE LEAF: SAGE LEAF covers 8 skills and each skill has related home-practice activities that "unlock" every week. Each week will consist of 1-2 days of didactic material and 5-6 days of real-life home practice. Participants can access the skills at their own leisure and as often as they'd like within that week. Participants cannot skip modules with didactic material and can only progress to the next lesson if they have completed the current one. However, participants can return to old lessons or exercises if they choose to do so at a later time.
Patient-Reported Outcomes Measurement Information System - Sleep Disturbance
52.73 score on a scale
Standard Deviation 7.27

SECONDARY outcome

Timeframe: Pre-study and post-study (week 6)

Measuring one's sense of life having purpose and that there are good reasons for living. Score range: 20-80. Higher scores indicate hopefulness, optimism, goal-directedness, and feelings that one's life is worthy.

Outcome measures

Outcome measures
Measure
Intervention (Single Arm)
n=10 Participants
5 session self-guided online delivered positive emotion regulation intervention with social components. SAGE LEAF: SAGE LEAF covers 8 skills and each skill has related home-practice activities that "unlock" every week. Each week will consist of 1-2 days of didactic material and 5-6 days of real-life home practice. Participants can access the skills at their own leisure and as often as they'd like within that week. Participants cannot skip modules with didactic material and can only progress to the next lesson if they have completed the current one. However, participants can return to old lessons or exercises if they choose to do so at a later time.
Patient-Reported Outcomes Measurement Information System - Meaning and Purpose
47.19 score on a scale
Standard Deviation 5.63

SECONDARY outcome

Timeframe: Pre-study and post-study (week 6)

Measuring perceptions of being avoided, excluded, detached, disconnected from, or unknown by, others. Score range: 20-80. Higher scores indicate higher levels of perception of social isolation.

Outcome measures

Outcome measures
Measure
Intervention (Single Arm)
n=10 Participants
5 session self-guided online delivered positive emotion regulation intervention with social components. SAGE LEAF: SAGE LEAF covers 8 skills and each skill has related home-practice activities that "unlock" every week. Each week will consist of 1-2 days of didactic material and 5-6 days of real-life home practice. Participants can access the skills at their own leisure and as often as they'd like within that week. Participants cannot skip modules with didactic material and can only progress to the next lesson if they have completed the current one. However, participants can return to old lessons or exercises if they choose to do so at a later time.
Patient-Reported Outcomes Measurement Information System - Social Isolation
51.27 score on a scale
Standard Deviation 5.73

Adverse Events

Intervention (Single Arm)

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

Judith Tedlie Moskowitz

Northwestern University

Phone: 312-503-7712

Results disclosure agreements

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