RecruitingNot ApplicableNCT06168604

Evaluating the Efficacy of the Pain Identification and Communication Toolkit

The Pain Identification and Communication Toolkit: A Training Program to Support Family Caregivers of Persons With ADRD

Sponsor

Weill Medical College of Cornell University

Enrollment

440 participants

Start Date

Dec 14, 2023

Study Type

INTERVENTIONAL

Conditions

Pain, Chronic Cognitive Impairment Dementia Alzheimer Disease Caregiver Burden

Summary

This study will evaluate the Pain Identification and Communication Toolkit (PICT), a multicomponent intervention for caregivers of people with Alzheimer's disease and related dementias (ADRD). PICT provides training in observational pain assessment and coaching in effective pain communication techniques. It will recruit participants from programs of all-inclusive care for the elderly (PACE) and partnering health care clinics. The investigators hypothesize that PICT will help caregivers to recognize and communicate about pain in their care recipients.

Eligibility

Min Age: 21 Years

Inclusion Criteria15

CAREGIVER PARTICIPANTS
Age 21 or older
Any gender
English speaking
Cognitively intact (BOMC ≤10)
Provides care to a community-dwelling adult with dementia or cognitive impairment who also has a pain diagnosis
Care recipient is not enrolled in hospice
Visits the care recipient at least weekly
Accessible by telephone
Residing in community settings
Record of dementia or cognitive impairment
Diagnosis of pain
Responsive to environment
No terminal illness with life expectancy \<6 months
Not in active cancer treatment

Exclusion Criteria16

Paid caregiver
Age 20 or younger
Non-English speaking
Cognitively impaired
Does not provide care to a person with dementia or cognitive impairment who also has a pain diagnosis
Currently enrolled in hospice
The patient to whom the caregiver provides assistance is enrolled in hospice
Visits care recipient less than weekly
Not accessible by telephone.
PATIENT PARTICIPANTS
Lives in a residential facility (such as a nursing home or assisted living)
Enrolled in hospice
No dementia or cognitive impairment
Unresponsive to environment
Has terminal illness with life expectancy \<6 months
Are in active cancer treatment

Interventions

BEHAVIORALPain Identification and Communication Toolkit

The Pain Identification and Communication Toolkit (PICT) is a multicomponent (6 module) intervention for family caregivers of persons with Alzheimer's disease and related dementias (ADRD). PICT consists of 4 weekly telephone sessions (30-60 minutes each) delivered by a trained interventionist

BEHAVIORALHealth Promotion Program

The attention control (AC) condition is referred to as the Health Promotion Program (HPP). The HPP will consist of 4 weekly telephone sessions (30-60 minutes each) but focus on caregiver health promotion topics, such as nutrition, exercise, and sleep.