Telephone-coached "Graphic Narrative" Bibliotherapy for Dementia Caregivers

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorThe Hong Kong Polytechnic University

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 volunteers

Qualifiers

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

Design model

Parallel

Treatments tested in this trial

  • Telephone coached graphic narrative bibliotherapy

    Other intervention

    Eight weekly sessions of telephone coached graphic narrative bibliotherapy

  • Control group

    Other intervention

    Reading educational booklet

Treatment groups

128 Participants
are divided into 2 treatment groups
Group A: Graphic narrative bibliotherapyExperimental treatment 1 intervention
Group B: Control groupSham comparator 1 intervention

Trial outcomes

Primary outcomes

1

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.

Time frame
Pre-intervention, immediately post-intervention, 6 months post-intervention

Secondary outcomes

1

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.

Time frame
Pre-intervention, immediately post-intervention, 6 months post-intervention
2

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.

Time frame
Pre-intervention, immediately post-intervention, 6 months post-intervention
3

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).

Time frame
Pre-intervention, immediately post-intervention, 6 months post-intervention
4

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.

Time frame
Pre-intervention, immediately post-intervention, 6 months post-intervention

Other outcomes

Locations

1

Map coordinates are unavailable for these locations. Locations are shown below instead.

The Hong Kong Polytechnic UniversityRecruiting Hong Kong SARHong KongHong Kong

Sponsors and contacts

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