A randomized trial of two online platforms for dementia family caregivers: GamePlan4Care and Resources4Care

IF 11.1 1区医学 Q1 CLINICAL NEUROLOGY

Alzheimer's & Dementia Pub Date : 2025-10-14 DOI:10.1002/alz.70690

Alan B. Stevens, Jinmyoung Cho, Thomas Birchfield, Jordan Reese, Gang Han, Jennifer L. Thorud, Marcia G. Ory

{"title":"A randomized trial of two online platforms for dementia family caregivers: GamePlan4Care and Resources4Care","authors":"Alan B. Stevens, Jinmyoung Cho, Thomas Birchfield, Jordan Reese, Gang Han, Jennifer L. Thorud, Marcia G. Ory","doi":"10.1002/alz.70690","DOIUrl":null,"url":null,"abstract":"<div>\n \n <section>\n \n <h3> INTRODUCTION</h3>\n \n <p>Digital technologies can increase the accessibility of evidence-based caregiver programs.</p>\n </section>\n \n <section>\n \n <h3> METHODS</h3>\n \n <p>A 6-month, phase I, exploratory, randomized-controlled trial of two dementia caregiver support platforms, GamePlan4Care (GP4C) and Resources4Care (R4C), each enrolling 120 community-based family caregivers. Outcome measures included burden, positive aspects of caregiving, social support, and depression.</p>\n </section>\n \n <section>\n \n <h3> RESULTS</h3>\n \n <p>Caregivers showed significant follow-up improvements in burden (GP4C: effect size [ES] = 0.50, <i>p</i> < 0.001; R4C: ES = 0.47, <i>p</i> < 0.001), positive aspects of caregiving (GP4C: ES = 0.26, <i>p</i> = 0.022; R4C: ES = 0.23, <i>p</i> = 0.030), social support (GP4C: ES = 0.21, <i>p</i> = 0.035), and distress (GP4C: ES = 0.30, <i>p</i> = 0.010). Caregivers engaged more in GP4C (GP4C: mean 5.5 h, SD = 0.61; R4C: mean 1.9 h, SD = 0.20) and set more goals for the safety domain (mean 8.9 goals, SD = 7.60).</p>\n </section>\n \n <section>\n \n <h3> DISCUSSION</h3>\n \n <p>GP4C was not superior to R4C; however, both platforms demonstrated improved outcomes. Findings highlight a health system's successful development and implementation of online dementia caregiver platforms. Improving digital technology for caregivers requires studies with larger populations and longitudinal outcomes.</p>\n </section>\n \n <section>\n \n <h3> TRIAL REGISTRATION NUMBER</h3>\n \n <p>ClinicalTrials.gov Identifier: NCT04540198</p>\n </section>\n \n <section>\n \n <h3> Highlights</h3>\n \n <div>\n <ul>\n \n <li>Online platforms can be useful in the goal of supporting family caregivers with educational and skills-training material to reduce the negative consequences of caregiving and to improve positive feelings of caregiving.</li>\n \n <li>Rules-based conditional logic was successfully integrated into a Web-based platform to tailor evidence-based strategies to an individual's unique caregiving context and needs.</li>\n \n <li>Health systems are in an ideal position to adopt online technologies that provide education, skills training, and support for family caregivers of persons living with dementia.</li>\n </ul>\n </div>\n </section>\n </div>","PeriodicalId":7471,"journal":{"name":"Alzheimer's & Dementia","volume":"21 10","pages":""},"PeriodicalIF":11.1000,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://alz-journals.onlinelibrary.wiley.com/doi/epdf/10.1002/alz.70690","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Alzheimer's & Dementia","FirstCategoryId":"3","ListUrlMain":"https://alz-journals.onlinelibrary.wiley.com/doi/10.1002/alz.70690","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

INTRODUCTION

Digital technologies can increase the accessibility of evidence-based caregiver programs.

METHODS

A 6-month, phase I, exploratory, randomized-controlled trial of two dementia caregiver support platforms, GamePlan4Care (GP4C) and Resources4Care (R4C), each enrolling 120 community-based family caregivers. Outcome measures included burden, positive aspects of caregiving, social support, and depression.

RESULTS

Caregivers showed significant follow-up improvements in burden (GP4C: effect size [ES] = 0.50, p < 0.001; R4C: ES = 0.47, p < 0.001), positive aspects of caregiving (GP4C: ES = 0.26, p = 0.022; R4C: ES = 0.23, p = 0.030), social support (GP4C: ES = 0.21, p = 0.035), and distress (GP4C: ES = 0.30, p = 0.010). Caregivers engaged more in GP4C (GP4C: mean 5.5 h, SD = 0.61; R4C: mean 1.9 h, SD = 0.20) and set more goals for the safety domain (mean 8.9 goals, SD = 7.60).

DISCUSSION

GP4C was not superior to R4C; however, both platforms demonstrated improved outcomes. Findings highlight a health system's successful development and implementation of online dementia caregiver platforms. Improving digital technology for caregivers requires studies with larger populations and longitudinal outcomes.

TRIAL REGISTRATION NUMBER

ClinicalTrials.gov Identifier: NCT04540198

Highlights

Online platforms can be useful in the goal of supporting family caregivers with educational and skills-training material to reduce the negative consequences of caregiving and to improve positive feelings of caregiving.
Rules-based conditional logic was successfully integrated into a Web-based platform to tailor evidence-based strategies to an individual's unique caregiving context and needs.
Health systems are in an ideal position to adopt online technologies that provide education, skills training, and support for family caregivers of persons living with dementia.

Abstract Image

查看原文本刊更多论文

一项针对痴呆症家庭护理者的两个在线平台的随机试验：GamePlan4Care和Resources4Care

数字技术可以增加基于证据的护理人员计划的可及性。方法：一项为期6个月的I期探索性随机对照试验，涉及两个痴呆症护理支持平台GamePlan4Care （GP4C）和Resources4Care (R4C)，每个平台招募120名社区家庭护理人员。结果测量包括负担、护理的积极方面、社会支持和抑郁。结果护理者在负担（GP4C：效应量[ES] = 0.50, p < 0.001; R4C: ES = 0.47, p < 0.001）、积极照护方面（GP4C: ES = 0.26, p = 0.022; R4C: ES = 0.23, p = 0.030）、社会支持（GP4C: ES = 0.21, p = 0.035）、痛苦（GP4C: ES = 0.30, p = 0.010）均有显著改善。照顾者更多地参与GP4C (GP4C：平均5.5小时，SD = 0.61； R4C：平均1.9小时，SD = 0.20)，并为安全领域设定更多目标（平均8.9个目标，SD = 7.60）。讨论p4c并不优于R4C；然而，两种平台都显示出改善的结果。研究结果强调了卫生系统成功开发和实施在线痴呆症护理平台。改善护理人员的数字技术需要更大规模的研究和纵向结果。在线平台可以为家庭照顾者提供教育和技能培训材料，以减少照顾的负面影响，提高照顾的积极感受。基于规则的条件逻辑成功地集成到基于网络的平台中，以定制基于证据的策略，以适应个人独特的护理环境和需求。卫生系统处于一个理想的位置，可以采用在线技术，为痴呆症患者的家庭照护者提供教育、技能培训和支持。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Alzheimer's & Dementia 医学-临床神经学

CiteScore

14.50

自引率

5.00%

发文量

299

审稿时长

3 months

期刊介绍： Alzheimer's & Dementia is a peer-reviewed journal that aims to bridge knowledge gaps in dementia research by covering the entire spectrum, from basic science to clinical trials to social and behavioral investigations. It provides a platform for rapid communication of new findings and ideas, optimal translation of research into practical applications, increasing knowledge across diverse disciplines for early detection, diagnosis, and intervention, and identifying promising new research directions. In July 2008, Alzheimer's & Dementia was accepted for indexing by MEDLINE, recognizing its scientific merit and contribution to Alzheimer's research.