Weill Medical College of Cornell University
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.
Caregiver Burden
Cognitive Impairment
Dementia
Alzheimer Disease
Pain, Chronic
Pain Identification and Communication Toolkit
Health Promotion Program
NA
Up to 60% of older persons with Alzheimer's disease and related dementias (ADRD) suffer from bothersome pain and nearly half experience pain-related activity limitations. Despite best-practice guidelines calling for routine pain assessment of persons with ADRD, pain is severely under-detected and poorly managed in this population. A major barrier to the identification and treatment of pain in persons with ADRD is impaired communication. Informal (family) caregivers are well situated to detect pain and facilitate management in persons with ADRD, given their extensive involvement in care activities. However, caregivers receive virtually no guidance or training in these areas. The Pain Identification and Communication Toolkit (PICT) is a multicomponent intervention for ADRD caregivers that provides training in observational pain assessment and coaching in effective pain communication techniques. PICT consists of 4 weekly telephone sessions (30-60 minutes each) delivered by a trained interventionist. This project aims to (1) determine the efficacy of PICT compared with an Attention Control (AC) condition, (2) identify the patient and caregiver factors that may moderate the effects of PICT on study outcomes, and (3) evaluate the mechanisms (theoretically-derived variables) by which PICT affects study outcomes. Participants will be recruited from programs of all-inclusive care for the elderly (PACE) programs and partnering health care clinics. They will complete assessments at 0 (baseline), 1, 3, and 6 months.
| Study Type : | INTERVENTIONAL |
| Estimated Enrollment : | 440 participants |
| Masking : | SINGLE |
| Masking Description : | Single blind allocation. The outcomes assessors will be masked to group allocation. Other research personnel (investigator, project manager, interventionist) may become aware of group allocation. Participants will be asked not to disclose to outcomes assessors the group to which they are assigned. |
| Primary Purpose : | HEALTH_SERVICES_RESEARCH |
| Official Title : | The Pain Identification and Communication Toolkit: A Training Program to Support Family Caregivers of Persons With ADRD |
| Actual Study Start Date : | 2023-12-14 |
| Estimated Primary Completion Date : | 2027-10-30 |
| Estimated Study Completion Date : | 2027-10-30 |
Information not available for Arms and Intervention/treatment
| Ages Eligible for Study: | 21 Years |
| Sexes Eligible for Study: | ALL |
| Accepts Healthy Volunteers: |
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RECRUITING
Weill Cornell Medicine
New York, New York, United States, 10065