Alzheimer's Disease Education and Referral Center

Tailored Activity Program-VA

Tailored Activity Program-VA

Overall Status: 
Recruiting
Brief Description: 

This study will test the efficacy of the Tailored Activity Program (TAP-VA), a patient-centric intervention designed to reduce the burden of neuropsychiatric symptoms in veterans with dementia who live at home with family caregivers. An occupational therapist will identify a veteran's preserved capabilities and deficits, as well as previous roles, habits, and interests, then develop activities tailored to the veteran's profile. Family caregivers will be trained to incorporate these activities into daily care routines.

Patient Qualifications: 
Min AgeMax AgeGenderHealthy Volunteers
18 Years
N/A
Both
No
Inclusion Criteria: 

    All Participants

  • English speaking
  • If taking psychotropic medication (antidepressants, benzodiazepines, antipsychotics, anticonvulsants, or an anti-dementia medication), must be on a stable dose for 60 days prior to enrollment

    Veterans

  • Diagnosed with dementia
  • Ability to participate in at least two activities of daily living (bathing, dressing, grooming, toileting, transferring from bed to chair)

    Caregivers

  • Primary caregiver living with the veteran
  • 21 years of age or older
  • Planning to live in area for at least 8 months
  • Reports one or more neuropsychiatric symptoms in veteran in past month

Exclusion Criteria: 

  • Nonveteran
  • No caregiver available
  • Currently participating in any other dementia- or caregiver-related intervention

Detailed Description: 

This Phase I study will test the efficacy of the Tailored Activity Program (TAP-VA), a patient-centric intervention designed to reduce the burden of neuropsychiatric symptoms in veterans with dementia who live at home with family caregivers. An occupational therapist will conduct an assessment to identify a veteran's preserved capabilities and deficits, as well as previous roles, habits, and interests, then develop activities tailored to the veteran's profile. Family caregivers will be trained to incorporate these activities into daily care routines. The study involves eight sessions during 4 months in veterans' homes.

Findings from a pilot study of TAP-VA showed statistically significant and clinically meaningful reductions in neuropsychiatric symptoms, specifically agitation and, for caregivers, less time being "on duty." We plan to test TAP-VA in racially and ethnically diverse veterans with dementia and their family caregivers. Pairs will be randomly assigned to receive TAP-VA or an attention control group. They will be evaluated to determine any long-term treatment effects, including continued activity use, caregiver well-being, and costs.

Locations: 
Map Marker CityStateZip CodeStatusPrimary Contact

Geolocation is 29.6156734, -82.3659168

Site
Gainesville
Florida
32608
Recruiting
Name: William C Mann, PhD MS BS
Phone: 352-376-1611
Email: William.Mann@va.gov
Lead Sponsor: 
Agency
Department of Veterans Affairs
Collaborator Sponsor: 
Facility Investigators: 
NameRoleAffiliation
William C. Mann, PhD
Principal Investigator
North Florida/South Georgia Veterans Health System
Study Contact: 
NamePhoneEmail
William C. Mann, PhD
352-376-1611
Locations
 
 
ClinicalTrials.gov ID 
Official Title: 
Nonpharmacologic Management of Challenging Behaviors in Veterans with Dementia
Study Start Date: 
August 2012
Study End Date: 
November 2015
Disease Stage: 
Early
Middle
Enrollment: 
160