Dementia Clinical Trial
Official title:
Findings of a Health-coached Technology Based Walking Program in Unpaid Caregivers of Persons With Dementia
This study aims to:
1. Establish the feasibility of a health-coached (HC) walking program utilizing
motivational interviewing (MI) and wireless pedometers in family caregivers of persons
with dementia.
2. Examine preliminary outcomes of a HC walking program utilizing MI with wireless
pedometers on family caregiver's perception of wellbeing, stress, and activity level.
3. Explore caregivers' acceptability and experience of participating in a HC walking
program utilizing MI with wireless pedometers and to explore additional person centered
approaches.
This comparative study will use a two group repeated measure design and mixed methods
approach including well-validated questionnaires and qualitative descriptive methodology.
Qualitative inquiry will provide data about the overall experience of caregivers in the
intervention arm as well as inform web-based, person centered approaches as suggested by
caregivers that will be used to inform future work on person-centered self-care strategies,
aimed at improving caregiver health. Eligibility Criteria: having approval from the primary
care provider to initiate a walking program, being a caregiver of a person with dementia,
being greater than 18 years of age and having access to a computer or smartphone. "The "RSVP
[research volunteer program] for Health," a registry comprised of individuals interested in
receiving information on research studies conducted at Massachusetts General Hospital (MGH),
will be utilized for recruitment. If a person states they are interested, they will be called
to set up a screening visit to determine study eligibility at which time they will be given
the IRB consent to review and a baseline visit will be set up.
At the baseline visit, the consent will be reviewed by the Principal Investigator (PI) and
signed by participants meeting eligibility criteria. A member of the study team will obtain
demographic and caregiver health characteristics and complete study questionnaires. After
baseline measures are obtained, the study team will: 1) provide all participants with
education about the CDC physical activity recommendations for adults, 2) set participants up
with a wireless pedometer and 3) invite them to join a walking group on-line where they can
monitor their activity as compared to others in the intervention arm. Members of the study
team will then provide participants in the intervention arm with health coaching (HC)
utilizing motivational interviewing (MI) weekly for 8 weeks by email, text message or
telephone. The mode of delivery for the MI will be based on participant preference. The
control group will be able to view the web page and monitor their activity compared to others
in the control group arm, but will receive no coaching." At the end of the 8 weeks, study
measures will be again be obtained in both groups. The PI will conduct semi-structured
qualitative interviews with participants in the intervention arm to evaluate acceptability
and acquire feedback on the intervention and ideas for other self-care strategies." Caregiver
Measures Pre - Post
1. Demographic variables
2. General health characteristics
3. Well-being
4. Perceived stress
5. Mini-cog
6. Perceived Steps And post, a qualitative interview
;
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