Clinical Trial Details
— Status: Enrolling by invitation
Administrative data
| NCT number |
NCT06064955 |
| Other study ID # |
2023B0071 |
| Secondary ID |
|
| Status |
Enrolling by invitation |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
October 5, 2023 |
| Est. completion date |
September 2025 |
Study information
| Verified date |
June 2024 |
| Source |
Ohio State University |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
The purpose of this study is to test a peer support intervention for caregivers who are
caring for a loved one living with dementia.
Description:
African Americans are twice as likely to develop Alzheimer's disease or a related form of
dementia (ADRD) than their White counterparts. These individuals are, however, more often
diagnosed later, creating additional physical, spiritual, psychosocial challenges for both
the person living with ADRD and their family caregivers. African American ADRD caregivers are
therefore at greater risk for adverse physiological and psychological health effects of
caregiving, including significant burden and stress. Evidence suggests that peer to peer
support using storytelling may be effective in assisting ADRD caregivers with surrogate
healthcare decision making, an important aspect of palliative care. Access to and use of
palliative care, a recognized approach to serious illness care symptom management, among
African Americans are low. The impact of this healthcare inequity further reduces the quality
of life for African American ADRD caregivers and subsequently their care recipients. Prior
approaches to serious illness care have failed to address the needs of African Americans
living with ADRD from a palliative care perspective. This inability to meet their needs leads
to increased unmet caregiver needs. Peer mentorship, a relationship-centered person-to-person
approach may reduce healthcare decision making burden within cultural groups such as African
Americans through cultural tailoring by promoting oral traditions, personal contact, and
storytelling. Our current study includes perspectives of lower socioeconomic status African
American ADRD caregivers who have expressed the need for person-centered, non-judgmental,
on-demand, culturally congruent caregiving support for advance care planning and healthcare
decision making. Simultaneously, former caregivers retrospectively described perceived
benefits of peer support while caregiving and their willingness to serve as peer mentors to
current caregivers. Additional data from healthcare provider and community stakeholders
support the need and potential benefits of peer support for ADRD caregivers. Based on these
preliminary findings, there is an urgent need and exciting opportunity to address the unmet
palliative care needs of current caregivers through peer support. For this innovative
project, investigators will use the experiential expertise of former caregivers to help
current caregivers with advance care planning and healthcare decision making. The purpose of
this project is to use a stakeholder-informed approach in further developing and pilot
testing the co-created Peer Support for Caregivers of African Americans Living with
Alzheimer's Disease and Related Dementias (Pair2Care), a culturally sensitive caregiver peer
support intervention.
Aim: Conduct feasibility and acceptability testing of Pair 2 Care in current and trained
former African American ADRD family caregiver peers paired based on congruent identity traits
(e.g., relationship to care recipient, gender identity, etc.). Investigators will determine
if Pair2Care is feasible and acceptable by evaluating satisfaction and appropriateness of the
intervention for broader dissemination.
