Ignite Creation Date:
2024-07-17 @ 10:52 AM
Last Modification Date:
2024-10-26 @ 3:34 PM
Study NCT ID:
NCT06496945
Status:
NOT_YET_RECRUITING
Last Update Posted:
2024-07-12
First Post:
2024-07-03
Brief Title:
Assessing the Impact of DAy Programs on Individuals Living With Dementia and Their FamilyFriend Caregivers
Sponsor:
York University
Organization:
York University
Study Overview
Official Title:
Assessing the Impact of DAy Programs on Individuals Living With Dementia and Their FamilyFriend Caregivers AIDA-DemCare
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-07
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
This study seeks to understand the effects of adult day programs on older adults especially those with dementia and their caregivers A prospective cohort study will be conducted in the Canadian provinces of Alberta British Columbia Manitoba and Ontario Participants will be 1 older adults with dementia who attend a day program and their caregivers and 2 older adults with dementia in the community who do not attend a day program and their caregivers The objectives are to 1 evaluate the effects of day programs on attendee and caregiver outcomes and 2 compare day program use patterns attendee and caregiver social identities day program characteristics and day program outcomes between the 4 provinces and 3 to explore what attendee and caregiver social identities and day program characteristics are associated with study outcomes and with day program attendancenon-attendance
Detailed Description:
Adult day programs provide critical supports to both older adults with dementia in the community and their familyfriend caregivers This is critical because ensuring high-quality care in the community for as long as possible and avoiding or delaying facility-based continuing care are key priorities of individuals with dementia their caregivers and healthcare systems While 61 of the 597000 Canadians with dementia live in the community about 10 of newly admitted nursing home residents have relatively low care needs that could be met in the community with the right supports Caregivers to individuals with dementia most of whom are women provide more care hours per week 26 vs 17 than caregivers to older adults without dementia are more likely to experience distress 45 vs 26 and a caregivers risk of distress is 16 times higher if the individual in need of care exhibits behavioural problems However research on the effectiveness of day programs is inconsistent Generally the methodological quality of studies is poor and we especially lack Canadian research and research on individuals with multiple intersecting vulnerabilities Our research objectives are
1 To evaluate the association of day program exposure with primary outcomes better quality of life of attendees and caregivers and secondary outcomes better mental health of attendees and caregivers increased time to admission to congregate care slower cognitive and physical decline of attendees lower rates of attendees and caregivers emergency room registrations hospital admissions and days in hospital
2 To compare day program use patterns attendee and caregiver social identities day program characteristics and day program outcomes between the 4 provinces
3 To explore what attendee and caregiver social identities and day program characteristics are associated with primary and secondary outcomes and with day program attendancenon-attendance
In this prospective cross-provincial cohort study York Region Ontario Interior Health British Columbia Calgary Alberta Winnipeg Manitoba a total of 1000 day program attendees with dementia 250 per region plus their primary caregivers will be recruited A propensity score matched comparison group of 2000 non-attendees with dementia and their caregivers by age sex typeduration of prior publicly funded community care and variables used by the health system to determine day program eligibility physical functioning cognition behavioural symptoms urinarybowel incontinence availability of a caregiver and caregiver distress will be created Participants longitudinal health administrative data will be combined with repeated baseline and after 1 and 2 years surveys to include critical variables not routinely collected by healthcare systems eg quality of life social identities Primary study outcomes are quality of life of the person with dementia and their caregiver Secondary study outcomes include mental health of individuals with dementia and caregivers cognitive and physical decline of individuals with dementia time to admission to congregate care and system-level rates of emergency room registrations hospital admissions and days in hospital including alternative level of care of individuals with dementia and caregivers Using a day program survey we will also assess day program characteristics eg number of spaces staffing programming Using general estimating equations and time-to-event models these outcomes will be compared between groups of day program exposure no low medium high Models will be adjusted for community-based services eg home care respite care day program characteristics social identities of older adults and caregivers time since day program admission and other older adult and caregiver characteristics
1 To evaluate the association of day program exposure with primary outcomes better quality of life of attendees and caregivers and secondary outcomes better mental health of attendees and caregivers increased time to admission to congregate care slower cognitive and physical decline of attendees lower rates of attendees and caregivers emergency room registrations hospital admissions and days in hospital
2 To compare day program use patterns attendee and caregiver social identities day program characteristics and day program outcomes between the 4 provinces
3 To explore what attendee and caregiver social identities and day program characteristics are associated with primary and secondary outcomes and with day program attendancenon-attendance
In this prospective cross-provincial cohort study York Region Ontario Interior Health British Columbia Calgary Alberta Winnipeg Manitoba a total of 1000 day program attendees with dementia 250 per region plus their primary caregivers will be recruited A propensity score matched comparison group of 2000 non-attendees with dementia and their caregivers by age sex typeduration of prior publicly funded community care and variables used by the health system to determine day program eligibility physical functioning cognition behavioural symptoms urinarybowel incontinence availability of a caregiver and caregiver distress will be created Participants longitudinal health administrative data will be combined with repeated baseline and after 1 and 2 years surveys to include critical variables not routinely collected by healthcare systems eg quality of life social identities Primary study outcomes are quality of life of the person with dementia and their caregiver Secondary study outcomes include mental health of individuals with dementia and caregivers cognitive and physical decline of individuals with dementia time to admission to congregate care and system-level rates of emergency room registrations hospital admissions and days in hospital including alternative level of care of individuals with dementia and caregivers Using a day program survey we will also assess day program characteristics eg number of spaces staffing programming Using general estimating equations and time-to-event models these outcomes will be compared between groups of day program exposure no low medium high Models will be adjusted for community-based services eg home care respite care day program characteristics social identities of older adults and caregivers time since day program admission and other older adult and caregiver characteristics
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None