ADS Plus for Stress (Psychology)

Phase-Based Progress Estimates
Johns Hopkins, Baltimore, MD
Stress (Psychology)
ADS Plus - Behavioral
All Sexes
What conditions do you have?

Study Summary

This study is evaluating whether a program which provides support for caregivers of individuals with Alzheimer's disease may help improve their health.

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Treatment Effectiveness

Effectiveness Progress

1 of 3

Study Objectives

This trial is evaluating whether ADS Plus will improve 4 primary outcomes and 5 secondary outcomes in patients with Stress (Psychology). Measurement will happen over the course of from baseline to 6 months after intervention.

Baseline to 6 months
Cost Benefit of Intervention as assessed by the Service Utilization and Resources Survey (SURF)
Quality Adjusted Years of Life as assessed by he EuroQol-5 dimension questionnaire
Quality Adjusted Years of Life as assessed by the Health Utilities Index proxy version (HUI)
Month 12
Decrease risk of Long-term Care Placement
baseline to 6 months
Cost Benefit of Intervention as assessed by the Resource Utilization in Dementia (RUD)
Month 6
Decrease Depressive Symptoms in Caregivers as assessed by Center for Epidemiological Studies Depression Scale (CES-D).
Improve Caregiver Well-being as assessed by the Perceived Change Scale
Improve Caregiver Well-being as assessed by the Zarit Burden Interview
Improve Caregiver Well-being as reported on the Neuropsychological Inventory Questionnaire (NPI-Q) caregiver distress questions.

Trial Safety

Safety Progress

1 of 3

Trial Design

2 Treatment Groups

ADS Usual Care
1 of 2
ADS Plus
1 of 2
Active Control
Experimental Treatment

This trial requires 500 total participants across 2 different treatment groups

This trial involves 2 different treatments. ADS Plus is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

ADS Plus
Families in settings assigned to intervention will receive Adult Day Services (ADS) as usual in addition to ADS Plus. ADS Plus has 5 key components: care management, referral/linkage; disease education; counseling/emotional support/stress reduction, and care skills managing daily challenges and behavioral disturbances. The intervention begins with 2 face-to-face sessions with the site interventionist to conduct a needs assessment to identify concerns and needs and develop an agreed upon care plan. The interventionist then meets with caregivers face-to-face at convenient times to implement the care plan, every other week for the first 3 months, and then for monthly reassessments for newly emerging care concerns thereafter. Contact occurs about a minimum of 1 hour per month over 12 months.
ADS Usual CareCaregivers in the 15 sites assigned to serve as the usual care control group will receive Adult Day Services (ADS) as usual. Near completion of the study (project year 05), control group sites will have the option of receiving training in ADS Plus for their setting.

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: baseline to 12 months after intervention
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly baseline to 12 months after intervention for reporting.

Closest Location

Johns Hopkins - Baltimore, MD

Eligibility Criteria

This trial is for patients born any sex aged 18 and older. There are 7 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
are initially enrolling their relative in one of the 30 participating ADS sites
expect to use ADS for a minimum of 1 week for 6 months
have primary responsibility for care of the ADS client
provided > 8 hours of assistance to client in past week
have a telephone and are willing to participate in 4 telephone interviews (baseline, 3 month check-in; 6 and 12 month follow-ups)
are 21 years of age or older (male or female).
speak English

Patient Q&A Section

What are common treatments for stress (psychology)?

"Stress can have a very negative impact on a person's physical health and is associated with a variety of psychiatric, psychological and social conditions including anxiety, depression, substance abuse, increased risk of developing heart disease, chronic conditions, and premature death. Stress management includes various treatments ranging from psychotherapy and relaxation techniques to medications.\n" - Anonymous Online Contributor

Unverified Answer

What is stress (psychology)?

"There is a wide variety of definitions for stress. In our study, we used the psychoanalytic definition stressing the fact that stress is a response to a situation. This definition could be summarized into the following: a reaction to a threat. The situation that gives birth to the reaction can in many cases be a situation that requires a choice (for example, a situation that would trigger a person in distress to run away). For example, an unstable home or unemployment could be a situation that demands a threat of danger. A man is stressed if he fears his life when his wife falls ill. An adolescent is stressed if he needs to go to the doctor when he contracts, for example, a common flu." - Anonymous Online Contributor

Unverified Answer

Can stress (psychology) be cured?

"Stressors (psychological) are common in the normal life of our society, and most stressors have a natural tendency to dissipate on their own. Stress has positive adaptive functions because it helps us to cope with the demands on our nervous system, yet they are not always helpful. As such, the primary psychological intervention (stress management) is to help people to deal effectively with stressors in their life, so that they can be in a state of optimal adjustment." - Anonymous Online Contributor

Unverified Answer

What causes stress (psychology)?

"Stress comes in many different forms, and therefore there are many different causes. More work needs to be done on the biological mechanisms, but these are likely to be involved. In some individuals, stress is a cause of heart disease. More people in developing countries might die of heart disease, because of their stressful lifestyles." - Anonymous Online Contributor

Unverified Answer

How many people get stress (psychology) a year in the United States?

"around 50-60,000,000 people are suffering from stress (psychology) each year in the United States. More than 80 percent of the population suffers from at least one type of stress. Among all psychiatric diagnoses, stress (psychology) has been ranked as the most frequent (about 60).thedevelopment of the DSM-IV criteria for ADHD has provided an opportunity to identify and treat the symptoms associated with depression, generalized anxiety, and conduct disorder, and to introduce new and improved treatments for these diagnoses." - Anonymous Online Contributor

Unverified Answer

What are the signs of stress (psychology)?

"The patient's subjective appraisal of stress is related to stress, as shown by changes in the patient's attitude toward the events in the patient's lives, as well as by changes in the patient's personality characteristics." - Anonymous Online Contributor

Unverified Answer

How does ads plus work?

"Ads plus worked well for people that were in the short-term treatment of stress-related symptoms. When these symptoms had not resolved after 2–3 weeks, people generally moved on to a better treatment plan. This is important, since it helps people keep them out of the emergency room and stay in the game of not having to worry about a health issue for the time being. There were no harms in having the ads in the first place." - Anonymous Online Contributor

Unverified Answer

What does ads plus usually treat?

"Although this study had several limitations, these results suggest that ads alone fail to improve health, happiness or social support in this population. Results also imply that patients with ads in the United States are not well-advised, and that clinicians should be careful about prescribing ads, particularly if patients have more immediate needs such as those related to pregnancy, divorce and other changes in relationships." - Anonymous Online Contributor

Unverified Answer

What are the common side effects of ads plus?

"We conclude that ads plus are well liked in Australia due to its effective communications and its ability to deliver specific messages. Ads plus can also be used as a tool to deliver a range of social messages." - Anonymous Online Contributor

Unverified Answer

Is ads plus safe for people?

"[The use of ads to alleviate stress may reduce anxiety, but it was not demonstrated to be more effective than placebo in patients after coronary artery bypass graft surgery.]\n" - Anonymous Online Contributor

Unverified Answer

What are the latest developments in ads plus for therapeutic use?

"This article should be a step towards more effective and interesting advertising campaigns, by combining more precise and efficient techniques, based on the latest scientific facts." - Anonymous Online Contributor

Unverified Answer

Has ads plus proven to be more effective than a placebo?

"Ad campaigns can have an effect on health care use. Ad campaigns in particular will impact those who spend large amounts of time in a health care facility, whereas a placebo effect must be taken into account in those who do not spend a large amount of time in a health care facility." - Anonymous Online Contributor

Unverified Answer
Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
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