About this trial
The purpose of this study is to establish the clinical efficacy of Mentalizing Imagery Therapy (MIT) for Alzheimer's Disease and Related Disorders (ADRD) family caregivers in terms of mentalizing and elder mistreatment (EM) risk factors of stress, depression, and suicidality and to identify the mechanistic impacts of MIT on ADRD family caregivers' mental health,including stress, depression, and suicidality.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Primary family ADRD caregivers
Recruited nationally.
Caring for someone aged 60 or older
Provide at least 8 hours of care weekly
Disqualifiers
Active psychosis or mania
A suicide attempt in the last 6 months or current suicidal intent
Self-reported memory or cognitive complaints
Unstable medical conditions or planned major surgery
Trial design
Crossover
Treatments tested in this trial
Mentalizing Imagery Therapy
BehavioralMIT is a 4-week, app-delivered behavioral program integrating guided imagery, mindfulness, and perspective-taking practices designed to enhance mentalizing, emotion regulation, and self compassion. MIT is reinforced by weekly 90-minute virtual group sessions
Mindfulness Exercises.
BehavioralMindfulness exercises (ME) is a 4-week, app-delivered program featuring daily self-guided mindfulness practices and reflective exercises aimed at reducing depression and stress.ME is self-guided and does not include group sessions.
Treatment groups
Trial outcomes
Primary outcomes
Change in perceived stress as measured by self-reported daily stress
This is scored on a scale from 0-10, with 0 indicating no stress, and 10 indicating the day was extremely stressful
Secondary outcomes
Change in perceived stress as measured by Perceived Stress Scale (PSS)
The PSS is a 10-item psychological instrument measuring the degree to which situations in one's life are appraised as stressful. Items are scored from 0-4, with total scores ranging from 0-40. Higher scores indicate greater perceived stress.
Change in depression as measured by Patient Health Questionnaire-9 (PHQ-9)
PHQ-9 is a 9-item self-report measure used to assess the severity of depressive symptoms . Each item is scored from 0 ("Not at all") to 3 ("Nearly every day"), resulting in a total score ranging from 0 to 27. Higher scores indicate greater depressive symptom severity.
Depression as measured by self-rated daily depression severity
this will be reported as the number of times participant felt feel depressed, sad, or hopeless each day
Suicidality as measured by self-reported daily suicidality
this will be reported as the number of times participant felt they would be better off dead or thinking about hurting themselves each day
Sponsors and contacts
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The University of Texas Health Science Center, Houston
Lead sponsor
National Institute on Aging (NIA)
Collaborator
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