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Easing the burden of dementia caregiving: Protocol development for a telephone-delivered mindfulness intervention for rural, African American families.

Susan A Gaylord, Keturah R Faurot, Jennifer Shafer, Elondra Harr, Christine Lathren, Isabel Roth, Kessonga Giscombé, Karen M Sheffield-Abdullah, Sharon W Williams

Contemporary Clinical Trials Communications December 2022 DOI: 10.1016/j.conctc.2022.101031 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Single-group, uncontrolled feasibility study Peer reviewed
Population Rural African American informal caregiving teams of people with moderate to severe dementia, including a primary caregiver and a care partner
Intervention Telephone-delivered mindfulness training
Topics Meditation
Keywords African american Care partner Caregiver Mindfulness-based stress reduction Rural
Key points The study aims to determine whether telephone-delivered mindfulness training is feasible and acceptable for rural African American dementia caregiving teams, using an 85% retention rate with completion of at least 6 sessions as the feasibility threshold, and to explore effects on caregiver burden and secondary outcomes. No outcome results are reported in this abstract.

Abstract

There have been few interventions targeted for rural African American (AA) caregivers of persons with dementia despite their unique cultural, geographic, health-related and socio-economic needs, including relatively less access to-and willingness to engage with-formal supports and resources. One effective intervention, Mindfulness-based stress reduction (MBSR), has been found to be culturally acceptable in AA populations; however, no studies have assessed feasibility, acceptability and impact of an adapted mindfulness intervention targeting rural AA dementia caregivers. The purpose of this study is to 1) determine the feasibility and acceptability of a telephone-delivered mindfulness training intervention in decreasing caregiver burden among rural, AA, informal caregiving teams of people with dementia; 2) to explore the effects of the training on caregiver burden and relevant secondary outcomes for both caregiving team members, including emotional regulation, tolerance of uncertainty, emotional and physical health, family conflict within the informal caregiving team, and self-efficacy; and 3) to explore comfort with and willingness to adopt technologies to access mindfulness practices and existing caregiving educational resources. Our study utilizes a single-group, uncontrolled design to assess the feasibility and acceptability of telephone-delivered mindfulness training designed to alleviate burden for rural caregivers of AA individuals with moderate to severe dementia. A care partner-the person who provides additional help -is included in the intervention. The primary outcome is feasibility of the telephone-delivered mindfulness intervention as assessed by an 85% retention rate with completion of at least 6 of the intervention sessions. Pre- and post-participation interviews assess acceptability.

Comparable studies

Other non-randomized and open-label trials on meditation, most cited first.

Study Year Design Participants
Mindfulness-Based Stress Reduction in Relation to Quality of Life, Mood, Symptoms of Stress, and Immune Parameters in Breast and Prostate Cancer Outpatients Early-stage breast and prostate cancer patients 2003 Pre-post intervention study n = 59
Exploring self‐compassion and empathy in the context of mindfulness‐based stress reduction (MBSR) Community sample 2010 Pre-post intervention study
Mindfulness-Based Stress Reduction Lowers Psychological Distress In Medical Students Second-year medical students 2003 Prospective nonrandomized cohort-controlled study n = 302
Intensive meditation training, immune cell telomerase activity, and psychological mediators. Retreat participants and matched controls 2011 Controlled trial with wait-list control group n = 60
The Effectiveness of Mindfulness Training for Children with ADHD and Mindful Parenting for their Parents Children aged 8-12 with ADHD and their parents 2011 Within-group waitlist controlled trial n = 22

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