Reducing Caregiver Stress and Sleep Disturbances in Patients With Progressive Dementia

Sponsor

Kathy Kennedy (Other)

Overall Status

Completed

CT.gov ID

NCT00178568

Collaborator

National Institute on Aging (NIA) (NIH)

Enrollment

Location

Duration (Months)

0.7

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

People under stress, such as those caring for an ill family member, often have trouble with their sleep. The aim of this study is to see if reducing stress and changing a caregiver's sleep and wake patterns will improve his/her sleep. The investigators also will see whether improvements in sleep result in improved mood, health, and general functioning.

Condition or Disease	Intervention/Treatment	Phase
Sleep Disorders	Behavioral: Stress Management and Healthy Sleep Practices

Detailed Description

The general aim of this study is to characterize stress-related sleep disturbances in spousal caregivers of patients with progressive dementia and to test the efficacy of an intervention designed to reduce stress and sleep disturbances. We will compare the efficacy of a Stress Management Plus Health Sleep Practices (SM+HSP) intervention to an attention-only control condition in spousal caregivers of patients with progressive dementia.

Specific Aims for this study are:

Aim 1: To characterize stress-related sleep disruptions in spousal caregivers of patients with progressive dementia.

Aim 2: To test the short-term efficacy of a Stress Management Plus Healthy Sleep Practices (SM+HSP) intervention versus an attention-only control for improving sleep and health outcomes in caregivers of patients with progressive dementia.

Aim 3: To test the durability of the SM+HSP intervention among spousal caregivers of patients with progressive dementia.

Aim 4: To characterize:

the impact of stress-related sleep disruptions on health in older adults, and
the effects of sleep interventions on health and functioning.

Study Design

Study Type:

Observational

Actual Enrollment :

60 participants

Observational Model:

Case-Control

Time Perspective:

Cross-Sectional

Official Title:

AgeWise Project 2: Reducing Stress and Sleep Disturbances in Caregivers of Patients With Progressive Dementia

Study Start Date :

Feb 1, 2003

Actual Primary Completion Date :

Nov 1, 2008

Actual Study Completion Date :

Nov 1, 2009

Outcome Measures

Primary Outcome Measures

Polysomnography pre and post intervention [18 months]
collection of physiological & psychological variables pre and post BBTI sleep disturbances and stress in caregivers

Eligibility Criteria

Criteria

Ages Eligible for Study:

60 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

Inclusion Criteria:

Ages 60 or older
Spousal caregivers of patients with progressive dementia
Patients have a diagnosis of possible or probable Alzheimer's disease or other progressive dementia
Affirm that it is a physical and emotional strain to care for spouse
Pittsburgh Sleep Quality Index score of 5 or above or a polysomnographically determined sleep efficiency of 90% or worse.

Exclusion Criteria:

Psychotic disorder or substance abuse disorder
Apnea-hypopnea index of greater than 30
Score of less than 24 on Mini-Mental State Exam

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	University of Pittsburgh Medical Center, Western Psychiatric Institute and Clinic	Pittsburgh	Pennsylvania	United States	15213

Sponsors and Collaborators

Kathy Kennedy
National Institute on Aging (NIA)

Investigators

Principal Investigator: Martica Hall, Ph.D., University of Pittsburgh Medical Center
Study Director: Lynn Martire, Ph.D., University of Pittsburgh Medical Center
Study Director: Greg Seigel, Ph.D., University of Pittsburgh Medical Center
Study Director: Richard Schulz, Ph.D., University of Pittsburgh Medical Center
Study Director: Charles F. Reynolds, III, M.D., University of Pittsburgh Medical Center