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NCT04686266: ViCCY

Improving Self-Care of Behavioral Variant Frontotemporal Dementia Caregivers

Completed NA Results posted Last updated 14 February 2025
What this trial tests

NA trial testing Health Information + Health Coaching in Behavioral Variant of Frontotemporal Dementia in 43 participants. Completed in 3 November 2021.

Timeline
16 December 2020
Primary endpoint
3 November 2021
3 November 2021

Quick facts

Lead sponsorUniversity of Pennsylvania
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposetreatment
Enrollment43
Start date16 December 2020
Primary completion3 November 2021
Estimated completion3 November 2021
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

University of Pennsylvania

Who can join

18 and older, any sex, with Behavioral Variant of Frontotemporal Dementia or Caregiver Stress Syndrome. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change From Baseline in the Self-Care Inventory (SCI) Primary · 6 months

30 items scored 0-100. A higher score indicates better self-care. This theoretically-derived instrument has construct validity. The self-care confidence scale is embedded within this instrument.

SCI Maintenance Baseline
GroupValue95% CI
ViCCY: Health Information + Health Coaching71.4± 14.1
Health Information66.4± 18.3
SCI Maintenance Month 6
GroupValue95% CI
ViCCY: Health Information + Health Coaching80.4± 12.0
Health Information68.9± 14.7
SCI Management Baseline
GroupValue95% CI
ViCCY: Health Information + Health Coaching54.6± 21.2
Health Information56.5± 23.7
SCI Management Month 6
GroupValue95% CI
ViCCY: Health Information + Health Coaching70.7± 15.6
Health Information59.4± 26.9
SCI Monitoring Baseline
GroupValue95% CI
ViCCY: Health Information + Health Coaching60.5± 19.8
Health Information64.6± 25.3
SCI Monitoring Month 6
GroupValue95% CI
ViCCY: Health Information + Health Coaching77.8± 16.6
Health Information64.0± 24.4
SCI Confidence Baseline
GroupValue95% CI
ViCCY: Health Information + Health Coaching66.3± 20.1
Health Information68.1± 22.3
SCI Confidence Month 6
GroupValue95% CI
ViCCY: Health Information + Health Coaching79.6± 18.7
Health Information65.3± 23.5
Change From Baseline in Frontotemporal Dementia Rating Scale (FTDRS) Primary · 6 months

The FTDRS includes 30 questions covering 7 categories: behavior, outing and shopping, household chores and telephone, finances, medications, meal preparation and eating, and self care and mobility. Each question is scored on a likert scale of "never" (0) to "all the time (2). Higher scores represents more frequent symptoms. The reported scores are the mean/standard deviation for the first 7 questions (Category: Behavior).

Q1- Baseline
GroupValue95% CI
ViCCY: Health Information + Health Coaching1.67± 0.49
Health Information1.67± 0.49
Q1- Month 6
GroupValue95% CI
ViCCY: Health Information + Health Coaching1.93± 0.46
Health Information1.73± 0.80
Q2- Baseline
GroupValue95% CI
ViCCY: Health Information + Health Coaching1.47± 0.74
Health Information1.53± 0.64
Q2- Month 6
GroupValue95% CI
ViCCY: Health Information + Health Coaching1.53± 0.64
Health Information1.60± 0.83
Q3- Baseline
GroupValue95% CI
ViCCY: Health Information + Health Coaching2.14± 0.77
Health Information2.13± 0.52
Q3- Month 6
GroupValue95% CI
ViCCY: Health Information + Health Coaching2.13± 0.64
Health Information2.13± 0.52
Q4- Baseline
GroupValue95% CI
ViCCY: Health Information + Health Coaching1.73± 0.70
Health Information1.80± 0.56
Q4- Month 6
GroupValue95% CI
ViCCY: Health Information + Health Coaching1.93± 0.46
Health Information1.93± 0.59
Change From Baseline in Perceived Stress Scale Secondary · 6 months

The Perceived Stress Scale is a 14-item instrument that provides a global rating of an individual's belief in the severity and frequency of stressful experiences during the last month. The Perceived Stress Scale includes 14 items designed to assess symptoms of stress and global measures of the degree of stress experienced in the past month. Each item is scored from 0 (never) to 4 (very often), with total sum scores ranging from 0 to 56; higher scores indicate higher perceived stress.

Baseline
GroupValue95% CI
ViCCY: Health Information + Health Coaching23.1± 10.0
Health Information29.2± 8.7
Month 6
GroupValue95% CI
ViCCY: Health Information + Health Coaching23.4± 12.4
Health Information28.4± 8.3
Change From Baseline in Center for Epidemiologic Studies Depression Scale (CES-D) Secondary · 6 months

CES-D is a valid and reliable scale for detecting caregiver depression in dementia. The scoring is on a likert scale 0: Rarely or none of the time (less than 1 day), 1: Some or a little of the time (1-2 days), 2: Occasionally or a moderate amount of time (3-4 days), and 3: Most or all of the time (5-7 days). Higher scores represent greater depressive symptoms. Total scores can range 0 to 60. A score equal or above a 16 means a person is at risk for clinical depression.

Baseline
GroupValue95% CI
ViCCY: Health Information + Health Coaching19.7± 15.1
Health Information19.0± 12.8
Month 6
GroupValue95% CI
ViCCY: Health Information + Health Coaching15.3± 11.3
Health Information16.6± 10.4
Change From Baseline in Ways of Coping Questionnaire, Short Form Secondary · 6 months

This 42-item questionnaire measures the use of five different coping styles: avoidance, problem-focused, seeking social support, self-blame, and wishful thinking. The original scale has been used widely since developed by Lazarus in 1985. The short version (30 items) uses a 4-point Likert-scale response format (0 = not used to 3 = used a great deal). Scores range from 0-90 with higher scores indicating greater coping. It is reliable (alpha 0.95) and has construct validity. This instrument has been used numerous times in studies with older adult caregivers.

Baseline
GroupValue95% CI
ViCCY: Health Information + Health Coaching22.7± 16.0
Health Information20.4± 15.0
Month 6
GroupValue95% CI
ViCCY: Health Information + Health Coaching23.4± 15.9
Health Information19.1± 14.6
Change From Baseline in Zarit Burden Interview (ZBI) Secondary · 6 months

The ZBI has been used in numerous informal dementia caregiver studies to capture burden associated with providing care to a loved one. Total scores are summed and a range is provided for little to no burden (0-21) to severe burden (61-88).

Baseline
GroupValue95% CI
ViCCY: Health Information + Health Coaching38.4± 11.4
Health Information43.6± 13.6
Month 6
GroupValue95% CI
ViCCY: Health Information + Health Coaching39.3± 14.9
Health Information46.3± 12.8
Change From Baseline in Neuropsychiatric Inventory Secondary · 6 months

Commonly used scale to evaluate 12 common behaviors in dementia including Delusions, Hallucinations, Agitation/Aggression, Depression, Anxiety, Elation/Euphoria, Apathy/Indifference, Disinhibition, Irritability, Aberrant motor behavior, Sleep and Nighttime Behavior Disorders, Appetite and Eating Disorders. Ratings include the frequency of the occurrence of behaviors (1 = occasionally, 2 = often, 3 = frequently, 4 = very frequently), and the level of severity of behaviors (1 = mild, 2 = moderate, 3 = severe). The behavioral domain total score is the product of the frequency score multiplied by

Baseline
GroupValue95% CI
ViCCY: Health Information + Health Coaching20.4± 15.7
Health Information23.4± 17.3
Month 6
GroupValue95% CI
ViCCY: Health Information + Health Coaching14.6± 8.2
Health Information23.8± 15.4

Sponsor's own description

The research study is being conducted to evaluate the efficacy of a virtual support intervention to reduce stress and poor self-care for caregivers of persons with behavioral variant Frontotemporal Degeneration (bvFTD) compared to receiving health information alone.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. iCare4Me for FTD: A pilot randomized study to improve self-care in caregivers of persons with frontotemporal degeneration.
    Massimo L, Hirschman KB, Aryal S, Quinn R, et al · · 2023 · cited 5× · PMID 37143583 · DOI 10.1002/trc2.12381
  2. Evaluating the Implementation Fidelity of a Motivational Health Coaching Intervention to Improve Self-Care for Caregivers of Persons Living With Dementia.
    Fisher L, Massimo L, Riegel B, Walser TJ, et al · · 2025 · PMID 40009352 · DOI 10.1177/07334648251322548
  3. EVALUATING THE IMPLEMENTATION OF A SELF-CARE INTERVENTION FOR CAREGIVERS OF PERSONS WITH DEMENTIA
    · 2023
  4. EVALUATING POPULATION ATTRIBUTABLE FRACTIONS ASSOCIATED WITH ALZHEIMER’S DISEASE RISK FACTORS
    · 2023
  5. EXAMINING THE PRELIMINARY EFFICACY OF AN ONLINE ASYNCHRONOUS PSYCHOEDUCATION COURSE FOR BLACK DEMENTIA CAREGIVERS
    · 2023
  6. EARLY DETECTION IN ALZHEIMER’S DISEASE AT ADVENTHEALTH: A DAVOS ALZHEIMER’S COLLABORATIVE FLAGSHIP SITE
    · 2023
  7. CARING FOR INDIVIDUALS WITH DEMENTIA AND COGNITIVE IMPAIRMENT IN LOS ANGELES: A CAREGIVER PROFILE
    · 2022
  8. Full GSA 2022 Abstract Book PDF.
    · 2022 · PMID 36570860 · DOI 10.1093/geroni/igac059

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