Practice of Acceptance, Awareness, and Compassion in Caregiving (PAACC)

The study is a randomized controlled trial comparing a mindfulness-enhanced evidence-based
caregiver skill-building intervention (PAACC) to REACH-VA to reduce caregiver burden and
increase quality of life of the care recipient. For this, caregivers of persons with ADRD or
TBI-AD who have moderate to severe burden will be randomly assigned to either receive PAACC
or receive REACH-VA. Both the interventions will include 4 biweekly sessions delivered by
trained interventionists, followed by an outcome testing session after the intervention.
Outcomes of caregiver stress, health and well being will be assessed at baseline and at the
end of the intervention.

Inclusion Criteria:

- Caregivers will include family members living with the individual diagnosed with
Alzheimer's Disease( AD) or Alzheimer's disease related dementia(ADRD) or Traumatic
Brain Injury -AD(TBI-AD) with moderate to severe caregiver burden .

- Care recipients with diagnosis of Diagnosis of AD or ADRD or TBI-related AD .

Exclusion Criteria:

- Care givers: Determined to be an imminent risk to self or others,the Care recipient
currently resides in a nursing home or assisted living facilities, unable to provide
their own consent to participate in the study , and active substance use disorder in
the last 1yr.

- Care recipient: Determined to be an imminent risk to self or others, Caregiver is not
interested in the study, unable to obtain informed consent from the Care recipient