ED PLWD/Care Partner Text Messaging
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorYale University
About this trial
The purpose of this research study is to develop and test a text-messaging intervention for emergency department (ED) discharge care transitions experienced by caregivers of older adults with cognitive impairment.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Care partners (family members or close contacts) of persons living with cognitive impairment (PLWCI) who were evaluated and discharged from the emergency department (ED)
Age 18 years or older
Able to read and understand English or Spanish
Owns a mobile phone capable of receiving SMS text messages
Disqualifiers
Care partner of a patient who is admitted to the hospital from the ED or transferred to a facility (e.g., skilled nursing facility)
Care partner who is already enrolled in another caregiving support trial or intervention study
Care partner who does not have regular access to a mobile phone with SMS capabilities
Care partner who is unable or unwilling to participate in follow-up over 30 days
Trial design
Design model
Parallel
Treatments tested in this trial
CAPTURE Text Message Care Transition Support
BehavioralThe CAPTURE intervention is a tailored, automated text messaging program designed to support care partners of persons living with cognitive impairment (PLWCI) during the 30-day period following an emergency department (ED) visit. It provides up to two messages per day, customized based on caregiver-identified needs, and addresses topics such as care transition guidance, symptom monitoring, caregiver well-being, community resources, and communication strategies. The content is evidence-informed and was developed through a user-centered design process involving caregivers and clinician stakeholders. Unlike generic text messaging interventions, CAPTURE specifically targets caregiver support needs in the acute post-ED setting for PLWCI.
Treatment groups
80 Participants
are divided into 2 treatment groupsGroup A: InterventionExperimental treatment 1 intervention
Group B: ControlNo intervention 0 interventions
Trial outcomes
Primary outcomes
1
Enrollment rates
Enrollment rate will be used to assess Feasibility.
Time frame
30 days after ED visit2
Message engagement
Message engagement, assessed via text message response and interaction metrics, will be used to assess Feasibility. Engagement will be operationalized through quantitative metrics including (1) the number of text messages delivered, (2) the number and proportion of text messages that received responses from care partners, (3) the time-to-response for interactive messages, and (4) the number of unique interactions per participant over the 30-day intervention period. These metrics will be captured via backend system logs of the text messaging platform used to deliver the intervention.
Time frame
30 days after ED visit3
Retention rate
Participant retention at 30 days post-enrollment, assessed through completion of final follow-up assessment Retention is defined as the proportion of enrolled care partners who remain active in the study and complete the 30-day follow-up assessment. Completion is operationalized as successfully providing outcome data through a structured telephone-based survey at the end of the 30-day intervention period. This includes response to caregiver-reported outcome measures collected by the research team (e.g., burden, satisfaction, preparedness). Retention rate will be calculated as a percentage: (# of participants who complete the 30-day follow-up ÷ total number enrolled) × 100. Participants lost to follow-up or who withdraw consent prior to completing the final assessment will be considered non-retained.
Time frame
30 days after ED visit4
System Usability Scale (SUS)
The System Usability Scale (SUS) will be used to assess the usability of the CAPTURE text message intervention. The SUS is a validated 10-item questionnaire that measures perceived ease of use, efficiency, and satisfaction with a digital system. Each item is rated on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree), and item scores are converted to yield a total score ranging from 0 to 100, with higher scores indicating better usability. The SUS total score will be calculated for each participant at the 30-day follow-up. Mean and distributional statistics will be reported for the intervention group.
Time frame
30 days after ED visitSecondary outcomes
1
Preparedness for Caregiving Scale
Preparedness for Caregiving Scale to assess Care partner preparedness. Total score range 0 to 32. Higher scores indicate greater perceived readiness for caregiving.
Time frame
30 days after ED visit2
Zarit Burden Interview score
Zarit Burden Interview, self-efficacy scales used to assess Emotional well-being and burden. Total score 0-88, higher scores indicate more severe burden.
Time frame
30 days after ED visit3
Emergency Department revisits and hospitalizations
Return healthcare utilization assessed as mean number ED revisits
Time frame
30 days after ED visitSponsors and contacts
Click on the lead sponsor to view all of their trials.
Yale University
Lead sponsor
National Institute on Aging (NIA)
Collaborator
Source ClinicalTrials.gov
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