About this trial
This study aims to assess the efficacy of telephone-coached graphic narrative bibliotherapy in improving dementia caregiver depressive symptoms compared with the booklet group.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
provide unpaid care to a person diagnosed with early to moderate stage dementia;
provide at least 14 hours of care a week for at least 3 months
aged 18 years or above
able to read
Disqualifiers
with an unstable physical or mental condition
with cognitive impairment
receiving medical, psychological, or psychiatric treatment for depression
have been included in another interventional study
Trial design
Parallel
Treatments tested in this trial
Telephone coached graphic narrative bibliotherapy
Other interventionEight weekly sessions of telephone coached graphic narrative bibliotherapy
Control group
Other interventionReading educational booklet
Treatment groups
Trial outcomes
Primary outcomes
Changes in depressive symptoms
Depressive symptoms will be measured with the Chinese version of the Depression Anxiety Stress Scale-21. It is a 4-point Likert scale consisting of 21 items that measure levels ofdepression, anxiety, and stress in participants. The total score ranges from 0-63, with the depression subscale score ranges from 0-21. Higher scores indicategreater severity of mental health problems.
Secondary outcomes
Changes in caregiving appraisal
Caregiving appraisal will be assessed using the Caregiving Appraisal Scale. It is a 26-item Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree). The score ranges from 26 to 130. Higher scores on this scale indicate more positive caregiving appraisal.
Changes in stress and anxiety
Stress and anxiety will be measured with the stress and anxiety subscales of the Depression, anxiety and stress scale-21 (DASS-21). The total score of the full scale ranges from 0-63, with the anxiety and stress subscale score both range from 0-21.
Changes in patient neuropsychiatric symptoms
Patient neuropsychiatric symptoms: will be measured with the Neuropsychiatric Inventory (NPI). NPI evaluates 12 common neuropsychiatric disturbances in dementia. The presence of problematic behaviors in each domain is assessed by asking an informant a screening question followed by a series of yes/no questions. The frequency of a symptom is created from 1 (rarely) to 4 (very often), and severity is rated from 1 (mild) to 3 (severe).
Changes in quality of life
Quality of life will be measured with the Brief Older People's Quality of Life Questionnaire (OPQOL-Brief). It is a 13-item, 5-point Likert scale to measure the quality of life for older adults. The total score ranges from 13 to 65, with higher scores indicating a better quality of life.
Locations
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Sponsors and contacts
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