Than The Nh, Nguyen Tran Tt, Nguyen Tuan C, Vu Lan Td, Vo Phong T, TTruong Khoa, Schofield Penelope, Nguyen Tuan A
Department of Geriatrics, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Department of Geriatrics and Palliative Care, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Digit Health. 2023 Mar 13;9:20552076231163786. doi: 10.1177/20552076231163786. eCollection 2023 Jan-Dec.
This study aims to: (1) identify the information required by family caregivers of people with dementia to be targeted within our dementia family caregiver intervention and (2) test the feasibility of the intervention and methodology to underpin a fully powered randomized controlled trial.
The study setting will be the Department of Geriatrics at Gia Dinh People's Hospital in Ho Chi Minh City. Inclusion criteria will be the family caregivers of people with dementia living in the community, who attend the Department and use smartphones. In phase 1, we will identify the intervention content with family caregivers of people with dementia through 20 in-depth interviews to determine what information and skills they need. In phase 2, a pilot randomized control trial design will be conducted, with 60 family caregivers of people with dementia being assigned to the intervention or control group by the block randomization method with a ratio of 1:1. The intervention will include weekly, online, psycho-educational, group sessions hosted on the Zalo app. The participants will complete questionnaires at baseline, immediately postintervention, and 3-month postintervention. The feasibility of the intervention and methodology will be assessed, including the rates of recruitment, retention, completion of assessments, and acceptability of the intervention.
The required information and skills in phase 1 may include dealing with worrying behavior changes in people with dementia, emotional support, and seeking support sources. The rates of recruitment, retention, completion of assessments, and acceptability of the intervention will be obtained in phase 2. The scores of symptoms of stress, depression, and anxiety in the intervention group may be lower than those in the control group at postintervention and 3-month postintervention.
The study will provide a foundation for a fully powered clinical trial for the smartphone app-based intervention to reduce stress, depression, and anxiety among family caregivers of people with dementia in Vietnam.
本研究旨在：（1）确定痴呆症患者家庭照顾者在我们的痴呆症家庭照顾者干预中需要的目标信息；（2）测试该干预措施及方法的可行性，为全面的随机对照试验提供支持。
研究地点将为胡志明市吉定人民医院老年科。纳入标准为居住在社区、前往该科室就诊且使用智能手机的痴呆症患者家庭照顾者。在第一阶段，我们将通过20次深入访谈，与痴呆症患者家庭照顾者确定干预内容，以确定他们需要哪些信息和技能。在第二阶段，将进行一项试点随机对照试验设计，采用1:1的比例，通过区组随机化方法将60名痴呆症患者家庭照顾者分配到干预组或对照组。干预措施将包括每周在Zalo应用程序上进行的在线心理教育小组会议。参与者将在基线、干预后立即以及干预后3个月完成问卷调查。将评估干预措施及方法的可行性，包括招募率、保留率、评估完成率以及干预措施的可接受性。
第一阶段所需的信息和技能可能包括应对痴呆症患者令人担忧的行为变化、情感支持以及寻求支持来源。第二阶段将获得招募率、保留率、评估完成率以及干预措施的可接受性。干预组在干预后及干预后3个月时的压力、抑郁和焦虑症状评分可能低于对照组。
本研究将为基于智能手机应用程序的干预措施开展全面的临床试验奠定基础，以减轻越南痴呆症患者家庭照顾者的压力、抑郁和焦虑。
