The NYU Caregiver Intervention in Latinos in Northern Manhattan
| Status: | Recruiting |
|---|---|
| Conditions: | Neurology |
| Therapuetic Areas: | Neurology |
| Healthy: | No |
| Age Range: | Any |
| Updated: | 2/4/2013 |
| Start Date: | March 2011 |
| Contact: | Gabriela Torres Patino |
| Email: | gt2254@columbia.edu |
| Phone: | 346-330-7039 |
Comparative Effectiveness of the NYU Caregiver Intervention in Latinos in Northern Manhattan
Elderly Hispanics have a higher burden of dementia compared to Non-Hispanic Whites.
Furthermore, Hispanic caregivers tend to have a higher burden of care for their relatives
with dementia. The objective of this application is to conduct a randomized trial in 160
Hispanic caregivers of persons with dementia comparing the New York University Caregiver
Intervention to a case management intervention lead by community health workers(CHW). This
trial will last 6 months. The total duration of the project will be 2 years. The main
outcomes in the trial will be changes in the Geriatric Depression Scale and the Zarit
Caregiver Burden Scale. This research project is awaiting funding for the Northern Manhattan
Center of excellence in comparative effectiveness research for eliminating disparities (NOMA
CERED). NOMA CERED will be part of the Columbia Center for the Health of Urban Minorities.
The application for NOMA CERED was in response to a program that is part of the American
Recovery and Reinvestment Act (ARRA).
The aim of this study is to compare the effectiveness of an existing evidence-based dementia
family caregiver intervention, the New York University Caregiver Intervention (NYUCI), to
community-based case management using community health workers (CHWs) in Hispanic caregivers
in Northern Manhattan. The investigators will randomize 160 spouse caregivers of persons
with dementia to case management alone or NYUCI in addition to case management. The total
duration of followup will be 6 months. The investigators hypothesize that depressive
symptoms and caregiver burden will improve or deteriorate less in the NYUCI arm compared to
the case management arm at 6 months.
This project addresses one of the priority areas for comparative effectiveness research
(CER) from the Institute of Medicine, "interventions for caregivers of persons with
dementia". It also addresses 2 priority conditions from the Agency for Health Care Research
and Quality (AHRQ): Dementia and Depression. Dementia caregiver burden is a major source of
disparities in Northern Manhattan. The prevalence of dementia in Hispanics is twice that of
Non-Hispanic Whites. In addition, Hispanic families tend to be reluctant to delegate the
care of their relatives with dementia and consider it a family affair. Thus, the burden of
care-giving for persons with dementia is much higher in Hispanic families. The investigators
project will test the effectiveness of an existing caregiver intervention in the Hispanic
community of Northern Manhattan.
Inclusion Criteria:
- Must be caring for a relative with a clinical diagnosis of dementia and have the
primary responsibility for their care. All people with dementia must be living at
home with their caregiver when they enroll in the study.
- In each family, the person with dementia or the caregiver has to have at least one
relative living in the New York City metropolitan area.
- The caregiver must be emotionally and physically capable of participating. Caregivers
with clinical depression or other serious mental illness will be referred.
We found this trial at
1
site
Columbia University Medical Center Situated on a 20-acre campus in Northern Manhattan and accounting for...
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