Alzheimer Dementia Clinical Trial
Official title:
Reappraising Intergeneration Relationships in Dementia Caregiving Through Perspective Taking
It is hypothesized that reappraising intergeneration relationships through perspective-taking
will enhance the well-being of adult-child caregivers. Incorporating both psychological and
social perspectives, the study makes a unique contribution to address research gaps by
evaluating an integrated model of intervention for dementia caregivers. The conceptual model
involves the following components: 1) relational insights; 2) self-reflection to integrate
the challenges and benefits in caregiving; 3) interpersonal empathy
To test the incremental value of perspective-taking reappraisals, the study involves a
two-arm randomized controlled trial of 12 weeks of intervention with two conditions: 1)
Reappraisal through Perspective Taking and 2) Basic Skill Building. Telephone-administered
sessions are integrated with group sessions and home visits to maximize sustainability and
accessibility of the intervention. One hundred fifty-four participants will be recruited and
randomized. Primary outcomes are reduced depressive symptoms and enhanced psychological
well-being for the caregivers. Secondary outcomes include enhanced social support for
caregivers and reduced behavioral problems in the care-recipients.
The proposed study aims to address a major research gap in caregiving interventions in the
context of intergeneration perspective-taking reappraisals. Adult child caregivers are part
of a sandwich generation, involved in actualizing their own goals and coping with social
expectations to care for their elderly parents. Dementia caregiving presents a particular
challenge in life transition wherein the adult child is parenting his or her parents. With
global aging, people living with dementia are rising exponentially. This presents a challenge
for sustainable care in Hong Kong and also in countries where public services are developing
and the demand for family and intergeneration caregiving is high due to collectivistic
concerns. It is hypothesized that reappraising intergeneration relationships through
perspective-taking will enhance the well-being of adult-child caregivers. Incorporating both
psychological and social perspectives, the study makes a unique contribution to address
research gaps by evaluating an integrated model of intervention for dementia caregivers. The
conceptual model involves the following components: 1) relational insights; 2)
self-reflection to integrate the challenges and benefits in caregiving; 3) interpersonal
empathy.
Most caregiving psycho-education programs involve skill training including scheduling
pleasant events, communicating with the care recipient and other family members. To test the
incremental value of perspective-taking reappraisals, the study involves a two-arm randomized
controlled trial of 12 weeks of intervention with two conditions: 1) Perspective Taking
Reappraisal and 2) Basic Skill Building. Telephone-administered sessions are integrated with
home visits to maximize sustainability and accessibility of the intervention. One hundred
fifty-four participants will be recruited and randomized. Primary outcomes are reduced
depressive symptoms and enhanced psychological well-being for the caregivers. Secondary
outcomes include enhanced social support for caregivers and reduced behavioral problems in
the care-recipients. Measures are obtained at baseline Weeks 1 (baseline), 6 and 12 with a
follow-up at Week 24. Findings have implications for enhancing sustainable care for older
adults in the wider society.
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