Resources for Enhancing Alzheimer’s Caregiver Health in Vietnam (REACH VN): study protocol for a cluster randomized controlled trial to test the efficacy of a family dementia caregiver intervention in Vietnam

Trials

Laura Gitlin¹  Duyen Tran²  Ladson Hinton³  Danielle Harvey⁴  Bien H. Nguyen⁵  Anh T. Nguyen⁶  Hung T. Nguyen⁶  Ngoc B. Nguyen⁶  Thang Pham⁶  Huong Nguyen⁷ 

[1] College of Nursing and Health Professions, Drexel University;Department of Neurology, University of California, Davis;Department of Psychiatry and Behavioral Sciences, University of California, Davis;Department of Public Health Sciences, University of California, Davis;Hai Duong Provincial General Hospital;National Geriatric Hospital;School of Nursing, University of Minnesota;

关键词: Vietnam;    Alzheimer’s;    Dementia;    Non-pharmacological caregiving intervention;    Family caregiving;    Global health;   

DOI  :  10.1186/s13063-022-06228-6

来源: DOAJ

【 摘 要 】

Abstract Background Alzheimer’s disease and related dementias (AD/ADRD) are a public health challenge for Vietnam because of its rapidly aging population. However, very few community-based programs exist to support people living with AD/ADRD and their family caregivers. Resources for Enhancing Alzheimer’s Caregiver Health in Vietnam (REACH VN) is a culturally adapted family caregiver intervention shown in a pilot study to be feasible and promising in terms of preliminary efficacy. We describe the protocol for a larger cluster randomized controlled trial (RCT) to test the efficacy of REACH VN among family caregivers of people living with dementia in a semi-rural area outside of Hanoi, Vietnam. Methods Thirty-two clusters with approximately 350 caregivers will be randomized to either REACH VN intervention or enhanced usual care. REACH VN is a multicomponent intervention delivered in-home or by phone over the course of 2 to 3 months. To be eligible, family caregivers need to be ≥18 years old, be the person who provides the most day-to-day care for people living with dementia, and have a score ≥ 6 on the Zarit Burden Interview-4. The primary outcomes are caregiver burden (Zarit Burden Interview-12) and psychological distress (Patient Health Questionnaire-4). Secondary outcomes include caregiver somatic symptoms (Patient Health Questionnaire-15) and perceived stress (Perceived Stress Scale-10). These outcomes will be assessed at baseline, 3 months, and 6 months. Exploratory analyses to examine potential mediators of primary outcomes are also planned. Discussion To our knowledge, this is the first large-scale study to test the efficacy of a community-based family dementia caregiver intervention in Vietnam. Results from this study will help inform efforts to widely deliver the REACH VN intervention or similar community-based family dementia caregiver support programs in Vietnam and other low- and middle-income countries (LMIC). Trial registration ClinicalTrials.gov NCT04542317 . Registered on 9 September 2020

【 授权许可】

Unknown