EDITH-HC Training Tool for Dementia Care

(EDITH-HC Trial)

Overseen By Elizabeth Luth, PhD

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Rutgers, The State University of New Jersey

Disqualifiers: Under 19, Over 90, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 4

120 Participants Needed

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new training program, EDITH-HC, designed to help home hospice workers better support patients with dementia and their family caregivers. The aim is to determine if this training reduces stress for family caregivers and improves their knowledge about dementia. The trial seeks nurses, social workers, or family members who care for Black or White dementia patients in home hospice and can complete the study in English. As an unphased study, this trial offers participants the opportunity to contribute to innovative training methods that could significantly enhance dementia care.

Do I have to stop taking my current medications for this trial?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that this training tool is safe for dementia care?

Previous studies have tested the EDITH-HC training tool to determine its effectiveness in helping hospice clinicians care for patients with dementia. These studies have examined how well the training improves caregivers' knowledge and eases the burden on family members. Since this trial is in the "Not Applicable" phase, it does not involve new drugs or risky procedures. Instead, it focuses on training and educational tools, which are generally safe.

A small initial study tested the tool, and no negative effects were reported from using the training program. This suggests that EDITH-HC is safe and well-received by both the clinicians who use it and the families they assist. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about the EDITH-HC training tool because it offers a fresh approach to supporting dementia caregivers. Unlike traditional options that focus primarily on the patients, this tool enhances caregiver education and skills through a series of educational videos and assessments. By improving caregivers' knowledge and reducing their burden, the tool aims to indirectly benefit patients, potentially leading to better caregiving outcomes. This trial could pave the way for more comprehensive support systems, addressing both caregiver and patient needs in dementia care.

What evidence suggests that the EDITH-HC training tool is effective for dementia care?

Research shows that training and tools for dementia caregivers can help reduce their stress. Studies of similar programs have found that caregivers feel less stressed and more confident. In this trial, the intervention group will watch educational videos and use assessment tools. Early results suggest these resources help healthcare providers understand the challenges of dementia, making family caregivers feel more prepared and capable. This may lead to fewer disruptions in patient care. Meanwhile, the control group will listen to a presentation on outcomes for home hospice patients living with dementia. By improving healthcare providers' understanding of dementia care, both patients and their family caregivers receive better support. ^{1 2 6 7 8}

Who Is on the Research Team?

Elizabeth Luth, PhD

Principal Investigator

Rutgers University

Are You a Good Fit for This Trial?

This trial is for nurses, social workers, or family members aged 19-90 who care for someone with dementia in home hospice. Participants must speak English and identify as White or Black/African American. While gender isn't a factor for exclusion, it's anticipated that most participants will be female.

Inclusion Criteria

Must be a nurse, social worker, or family member providing care to person(s) living with dementia enrolled in home hospice care

Can complete data collection in English

I understand that most participants are expected to be female.

Exclusion Criteria

Family Caregiver does not identify as White or Black/African American

Does not provide care to person(s) living with dementia enrolled in home hospice

Cannot complete data collection in English

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

Clinicians in the intervention group watch educational videos and use a caregiver burden assessment tool during home visits

8 weeks

Up to 4 visits (in-person)

Control

Clinicians in the control group listen to a presentation on outcomes for home hospice patients living with dementia

8 weeks

Follow-up

Participants are monitored for changes in caregiver burden, self-efficacy, and preparedness

6 months

What Are the Treatments Tested in This Trial?

Interventions

• EDITH-HC

Trial Overview The study tests 'EDITH-HC', a training and tool designed to enhance dementia care by home hospice clinicians. It aims to see if this can reduce caregiver burden and increase clinicians' knowledge about dementia caregiving compared to usual care.

How Is the Trial Designed?

Group I: Intervention Group Experimental Treatment 1 Intervention

Clinicians in intervention group will watch a series educational and instructional videos and use caregiver burden assessment tool up to four times during regular home visits with family caregivers of home hospice patients living with dementia. Clinicians will be assessed for changes in knowledge regarding dementia caregiving (secondary outcome). Family caregivers will be assessed for changes in caregiver burden (primary outcome) and preparedness and self-efficacy (exploratory outcomes).

Group II: Control Group Experimental Treatment 1 Intervention

Clinicians in control group will listen to a presentation on outcomes for home hospice patients living with dementia. Clinicians will be assessed for changes in knowledge regarding dementia caregiving (secondary outcome). Family caregivers will be assessed for changes in caregiver burden (primary outcome) and preparedness and self-efficacy (exploratory outcomes).

Who Is Running the Clinical Trial?

Rutgers, The State University of New Jersey

Lead Sponsor

Trials

471

Recruited

81,700+

National Institute on Aging (NIA)

Collaborator

Trials

1,841

Recruited

28,150,000+

Published Research Related to This Trial

An experiential training course for care home staff has improved their understanding of the challenges faced by residents with dementia, leading to more empathetic interactions.

The training has resulted in immediate changes in staff behavior towards residents, enhancing the quality of care provided.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

An eye opener on living with dementia. Learner, S.[2019]

Training care staff in person-centered care (PCC) and dementia care mapping (DCM) significantly improved the quality of life (QOL) for residents with dementia, as evidenced by increased well-being and ill-being values measured over three time points.

Over 50% of residents showed better well-being scores after the training, and there was a notable increase in positive interactions among residents, indicating that the training had a meaningful impact on social engagement.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Care staff training based on person-centered care and dementia care mapping, and its effects on the quality of life of nursing home residents with dementia. Yasuda, M., Sakakibara, H.[2022]

A development program by the Royal College of Nursing, evaluated by the University of Worcester, successfully supported clinical nurse leaders in enhancing dementia care across nine acute general hospitals using an action learning approach.

The study highlights the importance of investing in clinical leaders and dementia specialists to foster systematic improvements in person-centered care for patients with dementia in hospital settings.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Transforming dementia care in acute hospitals. Thompson, R.[2017]

The Internet-based CARES training module significantly improved dementia care knowledge among 40 certified nursing assistants (CNAs) in nursing homes and assisted living facilities, indicating its effectiveness as a training tool.

Over 85% of CNAs reported that the CARES protocol enhanced their care competency and reduced stress related to caring for residents with dementia, suggesting that such online training programs are beneficial and efficient for long-term care settings.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Feasibility of Internet training for care staff of residents with dementia: the CARES program. Hobday, JV., Savik, K., Smith, S., et al.[2022]

The dementia Carer Education Programme increased carers' knowledge about dementia but did not significantly improve their quality of life, burden, or well-being after six months, based on a study of 32 carers.

Carers who reported a worsening situation post-programme experienced poorer quality of life and increased burden, highlighting that patient behavior disturbance was a key factor affecting their experience.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Dementia carer education and patient behaviour disturbance. Coen, RF., O'Boyle, CA., Coakley, D., et al.[2006]

The Dementia Care Skills for Aged Care Workers program aims to train 17,000 aged care staff in Australia over three years, providing essential skills for dementia care and resulting in a nationally recognized qualification.

Despite challenges in training delivery, such as geographical distances and staffing issues, the program is on track to meet its goals, with positive feedback indicating it is effectively improving care practices, including a notable participation rate of 9% from registered nurses.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Large-scale training in the essentials of dementia care in Australia: Dementia Care Skills for Aged Care Workers project. Fleming, R., Fitzgerald, D.[2016]

A survey of 61 healthcare staff in Germany and Greece revealed a strong interest in future dementia training programs, with 96% of German and 100% of Greek participants expressing willingness to participate.

Despite high attendance in general educational programs, participation in specific dementia training was low (24% in Germany and 5.5% in Greece), indicating a gap that future training initiatives should address by focusing on practical skills and advice.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Expectations of nursing personnel and physicians on dementia training : A descriptive survey in general hospitals in Germany and Greece. Schneider, J., Gkioka, M., Papagiannopoulos, S., et al.[2022]

The STAR training program, which includes workshops and on-site consultations for staff in assisted living residences, significantly reduced behavioral and emotional distress in residents with dementia, as evidenced by a randomized controlled trial involving 120 residents.

Staff who underwent the STAR training reported less negative impact from residents' behaviors and increased job satisfaction, highlighting the program's effectiveness in improving both resident care and staff well-being.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

STAR: a dementia-specific training program for staff in assisted living residences. Teri, L., Huda, P., Gibbons, L., et al.[2022]

The VOICE Dementia Care Training Program significantly improved knowledge and self-efficacy among care managers and nurses, with a large effect size (d = 1.8) in these areas, indicating enhanced confidence in managing behavioral symptoms of dementia.

This evidence-informed training program demonstrates the feasibility and effectiveness of nonpharmacological approaches in dementia care, addressing the training needs of caregivers and promoting better management of dementia-related behaviors.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Empowering the dementia care workforce to manage behavioral symptoms of dementia: Development and training outcomes from the VOICE Dementia Care Program. Karlin, BE., Young, D., Dash, K.[2018]

Family training programs for dementia care have been shown to effectively reduce behavioral problems in patients and delay the need for institutionalization, supported by recent controlled trials.

Despite the progress, there is still a need for more controlled clinical trials and research into broader factors affecting caregiver effectiveness, such as the physical health of both patients and caregivers, as well as social support systems.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Training families to provide care: effects on people with dementia. Teri, L.[2019]

Citations

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Pilot Testing Dementia-Enhanced Training and Tool for ... Clinicians in intervention group will watch a series educational and instructional videos and use caregiver burden assessment tool up to four times during ...

2. withpower.com withpower.com/trial/phase-alzheimer-disease-2-2023-adea7

EDITH-HC Training Tool for Dementia Care ... caregiver burden assessment tool during home visits. 8 weeks. Up to 4 visits (in-person). Control. Clinicians in the control group listen to a presentation on ...

3. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC7302999/

Effectiveness of Powerful Tools for Caregivers on ... Effectiveness of Powerful Tools for Caregivers on Caregiver Burden and on Care Recipient Behavioral and Psychological Symptoms of Dementia: A Randomized ...

4. researchwithnj.com researchwithnj.com/en/projects/enhanced-dementia-instruction-and-tool-in-home-hospice-care-edith-4

Enhanced Dementia Instruction and Tool in Home Hospice ... Aim 4 determines the preliminary efficacy of the training program and tool to improve clinicians' knowledge of dementia-related challenges in home hospice care, ...

5. journals.sagepub.com journals.sagepub.com/doi/10.1177/07334648241305484

Developing and Testing a Two-Part Intervention Following live discharge, FCP or PLWD experience increased burden and strain with the loss of support and services hospice provides (Wladkowski, ...

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A pilot randomized control trial | PLOS One The Enhanced Dementia Instruction and Tool in Home Hospice Care (EDITH-HC) project aims to fill this gap by developing and pilot testing an intervention ...

8. researchgate.net researchgate.net/figure/Mean-and-Standard-Deviation-of-the-Dementia-Knowledge-Assessment-Tool-DKAT2-and_tbl3_366155957

Mean and Standard Deviation of the Dementia Knowledge ... This article describes the development and pilot testing of Enhancing Dementia Instruction and Tool in Home Hospice Care (EDITH-HC). This intervention provides ...