Financial Education for Caregiver Burden
(CONFIDENCE-AI Trial)
Recruiting in Palo Alto (17 mi)
Overseen byKylie Meyer, PhD
Age: 18+
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Academic
Recruiting
Sponsor: Case Western Reserve University
Disqualifiers: Nursing home placement, Internet access, Language, others
No Placebo Group
Trial Summary
What is the purpose of this trial?The intervention being tested, CONFIDENCE-AI is a refined version of the original CONFIDENCE intervention made to reduce psychological financial strain and improve management of out-of-pocket care costs while increasing caregiver resourcefulness skills. Participants will be asked to participate in a 4-week intervention that includes participation in four, synchronous group-based Zoom sessions as well as between-session activities to apply learning. Participants will also receive tailored text message notifications from the NeuViCare AI-powered app via text and will be able to submit questions to the app to receive financial well-being information related to caregiving.
Will I have to stop taking my current medications?
The trial protocol does not specify whether participants need to stop taking their current medications.
What data supports the effectiveness of the treatment CONFIDENCE-AI Financial Education for Caregivers?
Research shows that digital and computer-based patient education can improve knowledge and clinical outcomes, and self-management education can enhance confidence and reduce costs in chronic disease management. These findings suggest that financial education for caregivers, like CONFIDENCE-AI, may help improve caregiver confidence and reduce their burden.
12345How is the treatment CONFIDENCE-AI Financial Education for Caregivers different from other treatments for caregiver burden?
CONFIDENCE-AI is unique because it focuses on financial education to help reduce caregiver burden, unlike other treatments that may focus on general education or internet-based support. This approach aims to address the financial stress caregivers often face, which is not typically the primary focus of other interventions.
678910Eligibility Criteria
This trial is for self-identified caregivers of individuals diagnosed with Alzheimer's or related dementia at least 6 months ago, specifically those of Latino/Hispanic ethnicity. It aims to help them manage financial stress and improve their skills in handling care costs.Inclusion Criteria
Latino/Hispanic ethnicity
I have been caring for someone with Alzheimer's or similar dementia for over 6 months.
Exclusion Criteria
Individuals who plan to place their family member in a nursing home in the next 3 months
Unreliable access to internet, tablet or smart phone, and email
Unable to read and speak in English or Spanish
+1 more
Trial Timeline
Screening
Participants are screened for eligibility to participate in the trial
2-4 weeks
Intervention
Participants engage in a 4-week intervention including four synchronous group-based Zoom sessions and between-session activities.
4 weeks
4 visits (virtual)
Follow-up
Participants are monitored for changes in self-efficacy, financial strain, and resourcefulness post-intervention.
8 weeks
Participant Groups
CONFIDENCE-AI is a program designed to reduce financial strain on caregivers through a 4-week course involving group Zoom sessions and activities between sessions. Caregivers will also use the NeuViCare AI app for tailored text messages and caregiving financial advice.
1Treatment groups
Experimental Treatment
Group I: CONFIDENCE AIExperimental Treatment1 Intervention
Participants will attend the 4-week CONFIDENCE-AI Program. This program will include attending 4 group-based sessions delivered by videoconference. Each session will last approximately 1.5 hours each and will cover topics such as how to budget, accessing community resources to displace the out-of-pocket costs of caregiving, asking for help, and more. Participation will be supplemented by access to a digital app to support engagement, such as through text messaging and resources navigation support.
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
Case Western Reserve UniversityCleveland, OH
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Who Is Running the Clinical Trial?
Case Western Reserve UniversityLead Sponsor
References
Review of Digitalized Patient Education in Cardiology: A Future Ahead? [2021]An increased focus on shared decision-making and patient empowerment in cardiology and on patient outcomes such as quality of life (QoL), depression, and anxiety underline the importance of high-quality patient education. Studies focusing on digital means of patient education performed in other disciplines of medicine demonstrated its positive effect in these areas. Therefore, a review of the current literature was performed to (i) evaluate the status of innovative, digitalized means of patient education in cardiology and (ii) assess the impact of digital patient education on outcome parameters (i.e., patient knowledge (or health literacy), QoL, depression, anxiety, and patient satisfaction).
Does patient education in chronic disease have therapeutic value? [2019]A pool of 320 articles on patient education were screened to select controlled experiments in chronic disease where the dependent variables included (a) compliance with therapeutic regimen, (b) physiological progress of patients or (c) long-range outcome. Thirty such articles were found; and the magnitude of experimental effects of patient education were calculated using an empirical form of integrating research findings known as meta-analysis. Summary of all experimental effects showed patient education most successful in altering compliance (average improvement = 0.67 sigma over control, p less than 0.05). However, average improvements in physiological progress (0.49 sigma) and health outcome (0.02 sigma) were also statistically significant (p less than 0.01 and p less than 0.05, respectively). Efforts to improve health by increasing patient knowledge alone were rarely successful. Behaviorally-oriented program, often with special attention to changing the environment in which patients care for themselves, were consistently more successful at improving the clinical course of chronic disease.
How to improve patient education. [2007]There are a variety of ways to improve patient education. Healthcare managers should investigate the best practices used by the most successful providers and adapt the best ideas for use in their own organizations. Healthcare providers are increasingly recognizing that developing an effective system of patient education is one of the most cost-effective ways to maintain the health status of chronically ill patients. In an era of capitated payment and competition, the provider who can successfully partner with its patients to manage their health will be the one to survive.
Computer-based approaches to patient education: a review of the literature. [2019]All articles indexed in MEDLINE or CINAHL, related to the use of computer technology in patient education, and published in peer-reviewed journals between 1971 and 1998 were selected for review. Sixty-six articles, including 21 research-based reports, were identified. Forty-five percent of the studies were related to the management of chronic disease. Thirteen studies described an improvement in knowledge scores or clinical outcomes when computer-based patient education was compared with traditional instruction. Additional articles examined patients' computer experience, socioeconomic status, race, and gender and found no significant differences when compared with program outcomes. Sixteen of the 21 research-based studies had effect sizes greater than 0.5, indicating a significant change in the described outcome when the study subjects participated in computer-based patient education. The findings from this review support computer-based education as an effective strategy for transfer of knowledge and skill development for patients. The limited number of research studies (N = 21) points to the need for additional research. Recommendations for new studies include cost-benefit analysis and the impact of these new technologies on health outcomes over time.
Patient self-management of chronic disease in primary care. [2022]Patients with chronic conditions make day-to-day decisions about--self-manage--their illnesses. This reality introduces a new chronic disease paradigm: the patient-professional partnership, involving collaborative care and self-management education. Self-management education complements traditional patient education in supporting patients to live the best possible quality of life with their chronic condition. Whereas traditional patient education offers information and technical skills, self-management education teaches problem-solving skills. A central concept in self-management is self-efficacy--confidence to carry out a behavior necessary to reach a desired goal. Self-efficacy is enhanced when patients succeed in solving patient-identified problems. Evidence from controlled clinical trials suggests that (1) programs teaching self-management skills are more effective than information-only patient education in improving clinical outcomes; (2) in some circumstances, self-management education improves outcomes and can reduce costs for arthritis and probably for adult asthma patients; and (3) in initial studies, a self-management education program bringing together patients with a variety of chronic conditions may improve outcomes and reduce costs. Self-management education for chronic illness may soon become an integral part of high-quality primary care.
Internet-Based Supportive Interventions for Family Caregivers of People With Dementia: Systematic Review and Meta-Analysis. [2021]Caring for people with dementia is perceived as one of the most stressful and difficult forms of caring. Family caregivers always experience high levels of psychological burden and physical strain, so effective and practical support is essential. Internet-based supportive interventions can provide convenient and efficient support and education to potentially reduce the physical and psychological burden associated with providing care.
Cancer Caregiver: Perceived Benefits of Technology. [2018]The burden associated with caregiving has been well documented. Caregivers have multiple responsibilities, and technology may be accessible as a potential burden-alleviating resource.
EDUCA study: Psychometric properties of the Spanish version of the Zarit Caregiver Burden Scale. [2022]The Zarit Caregiver Burden Scale, translated and validated into Spanish, is sensitive to the application of a Psychoeducational Intervention Program (PIP) for the prevention and reduction of burden in caregivers of Alzheimer's disease (AD) patients (EDUCA study). The data obtained in EDUCA was used to reanalyse its psychometric properties and the cut-off points of the Zarit scale.
Supportive care needs of Americans: a major issue for women as both recipients and providers. [2007]In 2004, there were approximately 44 million men and women in the United States who were providing unpaid care to a family member, friend, or neighbor; these caregivers represented an estimated 22.9 million households (21% of all U.S. households). The 1-year economic value of this unpaid labor force was recently estimated to be 306 billion dollars. Caregiving is an important issue for women, as they represent 61% of those providing care and 65% of those receiving care. Women caregivers tend to fare worse than men, reporting higher levels of symptoms tied to depression and anxiety and lower levels of subjective well-being, life satisfaction, and physical health. In addition, the care that women provide is not without cost to them in terms of their financial future. Still, despite the burden, most caregivers consider providing care to family and friends a rewarding experience.
Educational intervention for a Huntington's disease caregiver. [2004]A lack of knowledge has been linked to increased stress for caregivers. Educational programs are an inexpensive intervention with potential to improve caregivers' provision of care and to reduce the associated stress. The present description is of a Huntington's disease caregiver's participation in a training program for at-home care of a physically dependent, demented person. Care knowledge was deficient prior to participation and increased with participation. Collaterally, confidence in providing assistance increased and stressfulness of care fell. While increased knowledge remained at follow-up, confidence and stressfulness returned to pre-intervention levels. Measures of affect mirrored the pattern of change in confidence and stressfulness. This suggests that education increased knowledge but this gain was not associated with longer term improvement in the caregiver's affect, stressfulness of continuing to provide care, and confidence in providing care. Implications for such programs are discussed.