About this trial
The objective of this study is to test the efficacy of e-bibliotherapy on improving the psychological well-being of informal caregivers of people with dementia as compared with a control group.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
primary caregivers aged 18 or above;
provide unpaid regular care to a person with mild to moderately severe dementia (measured by Global Deterioration Scale, GDS=4~6);
have cared for the care recipient for at least six months;
assist with at least one of the care recipient's daily activities;
Disqualifiers
caregivers with unstable physical or mental conditions;
have cognitive impairment;
are undergoing acute treatment or have not yet stabilized on their chronic medication;
are involved in another interventional study
Trial design
Parallel
Treatments tested in this trial
E-bibliotherapy
Other interventionParticipants in the intervention group will accept eight weekly sessions of e-bibliotherapy. The e-bibliotherapy will be delivered via the e-bibliotherapy app we develop and includes eight e-bibliotherapy sessions, each focusing on one active component that may affect a caregiver's mental well-being.
Control
Other interventionThe control group will give access to the same e-bibliotherapy app, but only be authorized to access general daily living knowledge that is different from the intervention contents. They will also be asked to finish a session each week for eight weeks.
Treatment groups
Trial outcomes
Primary outcomes
Changes on psychological well-being
Psychological well-being will be measured by the Chinese version of Ryff's Psychological Well-being Scale. It is a 6-point Likert scale with 1=strongly disagree to 6=totally agree. It includes 18 items. A higher score indicates better psychological well-being.
Secondary outcomes
Changes on caregiving appraisal
Caregiving appraisal will be measured by the Chinese version of the Caregiving Appraisal Scale. It is a 5-point Likert scale (1=extremly disagree, 5=strongly agree) including 26 items. Higher scores indicate more positive caregiving appraisal.
Changes on mental health
Mental health will be measured by the Chinese version of the Depression Anxiety Stress Scale-21 (DASS-21). DASS-21 is a 4-point Likert scale (0=totally unfit my condition, 3=very fit my condition). It includes 21 items. Higher scores indicate worse mental health problems.
Changes on biomarker of stress
Saliva cortisol concentration will be used.
Changes on health-related quality of life
Health-related quality of life will be measured by the 12-item Short Form Survey (SF-12). SF-12 includes 12 items. Scores range from 0 to 100, with higher scores indicating better physical and mental health functioning.
Locations
Sponsors and contacts
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The Hong Kong Polytechnic University
Lead sponsor
Health and Medical Research Fund
Collaborator
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