Evaluating the Pain Identification and Communication Toolkit for Caregivers
This study is looking at how well a program called the Pain Identification and Communication Toolkit (PICT) helps family caregivers of people with Alzheimer's disease and related dementias (ADRD) better understand and talk about pain. PICT involves four weekly phone sessions where you'll learn how to notice pain and communicate effectively about it. Another group will receive a Health Promotion Program focusing on general caregiver health. We're hoping PICT will improve how caregivers communicate about pain, lead to more discussions with healthcare providers, and help caregivers and patients agree more on pain levels. You can join if you are a caregiver, aged 21 or older, speak English, and care for someone with dementia and a pain diagnosis who is not in hospice. The study aims to enroll 440 participants, but its current status is unclear.
- Study design
- This study is an interventional study comparing the Pain Identification and Communication Toolkit (PICT) to a Health Promotion Program. It plans to enroll 440 participants.
- What's involved
- You would participate in four weekly telephone sessions, each lasting 30-60 minutes. Your pain communication and management discussions will be assessed at baseline, 1 month, 3 months, and 6 months.
- Compensation
- Not stated in the trial record.
- Follow-up
- Participants will be followed for 6 months after the start of the intervention.
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Evaluating the Efficacy of the Pain Identification and Communication Toolkit
At a glance
Conditions
Where it's being run
1 sites across 1 statesStudy leadership
- Catherine A Riffin, PhD · PRINCIPAL_INVESTIGATOR · Weill Medical College of Cornell University
Who to contact
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What this trial measures
- Change in caregiver-reported pain communicationBaseline, 1 month, 3 month, 6 month
Change in caregiver-reported pain-related communication as measured by ten questions from the Perceived Involvement in Care Scale (PICS). The range of possible scores is 10-50, where higher scores indicate greater caregiver involvement in patient consultation.
- Change in pain management discussions with health care providersBaseline, 1 month, 3 month, 6 month
Change in pain management discussions as measured by the combined number of phone calls and appointments made to discuss pain management recorded in the patient's medical chart.
- Change in concordance between patient and caregiver pain ratingsBaseline, 1 month, 3 month, 6 month
Change in concordance in patient and caregiver pain ratings as measured by the absolute difference between caregiver and patient pain ratings of the patient's pain on the Iowa Pain Thermometer (IPT). The IPT is scored on a scale of 0-10 where 0 means "no pain" and 10 means "the most intense pain imaginable."
- Change in caregiver's ability to recognize painBaseline, 1 month, 3 month, 6 month
Change in caregiver's ability to recognize pain as measured by the absolute difference between the caregiver-reported PAINAD score and correct PAINAD score (i.e. absolute value of the deviance between the scores). The PAINAD is scored on a scale from 0-10 where 0 means "no pain" and 10 means "severe pain." Participants will be shown multiple videos on which to score the PAINAD.
- Change in caregiver's ability to recognize pain behaviorsBaseline, 1 month, 3 month, 6 month
Change in caregiver's ability to recognize pain behaviors as measured by the absolute difference between the number of caregiver-reported behaviors within each of the 5 PAINAD behaviors (i.e., Breathing, Negative Vocalization, Facial Expression, Body Language, Consolability) and correct number of behaviors. Participants will be shown multiple videos on which to score the PAINAD.