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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03907748
Registration number
NCT03907748
Ethics application status
Date submitted
3/04/2019
Date registered
9/04/2019
Titles & IDs
Public title
Home-based Family Caregiver-delivered Music and Reading Interventions for People With Dementia
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Scientific title
HOMESIDE: Home-based Family Caregiver-delivered Music and Reading Interventions for People Living With Dementia: A Randomised Controlled Trial
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Secondary ID [1]
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ACTRN12618001799246p
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Secondary ID [2]
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U4-10366
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Universal Trial Number (UTN)
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Trial acronym
HOMESIDE
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Dementia
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Dementia, Vascular
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Dementia With Lewy Bodies
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Dementia, Mixed
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Dementia Alzheimers
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Behavioural and Psychiatric Symptoms of Dementia
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Depression
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Quality of Life
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Condition category
Condition code
Neurological
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Dementias
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Neurological
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Alzheimer's disease
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Mental Health
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Other mental health disorders
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Cardiovascular
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Diseases of the vasculature and circulation including the lymphatic system
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Other interventions - Music Intervention
Other interventions - Reading Intervention
Experimental: Music Intervention - The music intervention will be provided to participant dyads (people with dementia and their cohabiting family caregivers) allocated to the first intervention. Caregivers will be trained to use the music intervention in three 2-hour training sessions with an intervention trainer (a music therapist). Training will take place at the dyad's home. The caregiver will then be asked to deliver the music intervention to the person with dementia at least 5x per week for 30 minutes.
Active comparator: Reading Intervention - The reading intervention will be provided to participant dyads (people with dementia and their cohabiting caregivers) allocated to the second intervention. Caregivers will be trained to use the reading intervention in three 2-hour training sessions with an intervention trainer. Training will take place at the dyad's home. The caregiver will then be asked to deliver the reading intervention to the person with dementia at least 5x per week for 30 minutes.
No intervention: Standard Care - Participant dyads (people with dementia and their cohabiting caregivers) allocated to the standard care group will not receive any training or be asked to deliver an intervention.
Other interventions: Music Intervention
After training, caregivers will deliver the music intervention to the person with dementia whom they care for. The music intervention will include: a) singing familiar/preferred music followed by discussions facilitated by the caregiver about any associated meanings or memories; b) movement to music (e.g. upper body and arms imitating familiar dance movements to music); c) instrument playing; and d) listening to familiar/preferred relaxing or enlivening music (dependent upon symptoms present in the moment). These methods are known to assist in emotion regulation and increase cognitive reserve (e.g. attention and perceptual-motor function).
Other interventions: Reading Intervention
After training, caregivers will deliver the reading intervention to the person with dementia whom they care for. The reading intervention will include: a) the caregiver reading aloud to the person they are caring for; b) the person with dementia reading aloud to their caregiver; and c) discussion of the text and personal responses. Strategies to engage the person with dementia and to create opportunities for meaningful dialogue will be provided, as well as guidance on selecting reading material that is accessible to the person's level of cognitive impairment.
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Intervention code [1]
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Other interventions
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Change from baseline of behavioural and psychological symptoms of participants with dementia at post-intervention and 6-month follow-up
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Assessment method [1]
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Measured by the Neuropsychiatric Inventory Questionnaire (NPI-Q). Severity scores range from 0-36, where higher scores indicate more severe behavioural and psychological symptoms of dementia. Distress scores range from 0-60, where higher values represent higher levels of distress due to symptoms.
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Timepoint [1]
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baseline, 12-weeks (primary time-point), and 6-months after intervention commencement (follow-up)
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Secondary outcome [1]
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Change from baseline of depression in participants with dementia at post-intervention and 6-month follow-up
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Assessment method [1]
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Measured by the Montgomery Asberg Depression Rating Scale (MADRS). Scale scores range from 0-60, where higher scores indicate more severe depression.
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Timepoint [1]
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baseline, 12-weeks (primary time-point), and 6-months after intervention commencement (follow-up)
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Secondary outcome [2]
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Change from baseline of quality of life of participants with dementia at post-intervention and 6-month follow-up
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Assessment method [2]
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Measured by the Quality of Life - Alzheimer's Disease (QoL-AD) scale. Scale scores range from 13-52, where higher scores indicate higher quality of life.
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Timepoint [2]
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baseline, 12-weeks (primary time-point), and 6-months after intervention commencement (follow-up)
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Secondary outcome [3]
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Change from baseline of depression in caregiver participants at post-intervention and 6-month follow-up
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Assessment method [3]
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Measured by the Patient Health Questionnaire-9 (PHQ-9). Scale scores range from 0-27, where scores greater than 20 indicate severe depression.
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Timepoint [3]
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baseline, 12-weeks (primary time-point), and 6-months after intervention commencement (follow-up)
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Secondary outcome [4]
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Change from baseline of resilience in caregiver participants at post-intervention and 6-month follow-up
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Assessment method [4]
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Measured by the Resilience Scale-14 (RS-14). Scale scores range from 14-98, where higher scores indicate higher resilience.
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Timepoint [4]
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baseline, 12-weeks (primary time-point), and 6-months after intervention commencement (follow-up)
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Secondary outcome [5]
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Change from baseline in caregiver competence of caregiver participants at post-intervention and 6-month follow-up
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Assessment method [5]
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Measured by the Short Sense of Competence Questionnaire (SSCQ). Scale scores range from 7-35, where higher scores indicate higher sense of competence.
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Timepoint [5]
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baseline, 12-weeks (primary time-point), and 6-months after intervention commencement (follow-up)
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Secondary outcome [6]
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Change from baseline in quality of life of caregiver participants at post-intervention and 6-month follow-up
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Assessment method [6]
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Measured by the Assessment of Quality of Life-6D (AQOL-6D).
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Timepoint [6]
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baseline, 12-weeks (primary time-point), and 6-months after intervention commencement (follow-up)
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Secondary outcome [7]
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Change from baseline in quality of the relationship between caregiver and person with dementia at post-intervention and 6-month follow-up
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Assessment method [7]
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Measured by the Quality of Caregiver-Patient Relationship (QCPR). Scale scores range from 14-70, where higher scores indicate a higher quality of relationship.
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Timepoint [7]
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baseline, 12-weeks (primary time-point), and 6-months after intervention commencement (follow-up)
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Secondary outcome [8]
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Change from baseline in quality of adjusted life-years of caregiver and person with dementia at post-intervention and 6-month follow-up
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Assessment method [8]
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Measured by the EuroQoL Instrument (EQ-5D-5L).
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Timepoint [8]
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baseline, 12-weeks (primary time-point), and 6-months after intervention commencement (follow-up)
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Secondary outcome [9]
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Change from baseline in resource use of both caregiver and person with dementia (cost-effectiveness) at post-intervention and 6-month follow-up
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Assessment method [9]
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Measured by the Resource Utilization in Dementia (RUD).
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Timepoint [9]
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baseline, 12-weeks (primary time-point), and 6-months after intervention commencement (follow-up)
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Eligibility
Key inclusion criteria
* Dyads (cohabiting) who are close in relationship and where one member has a diagnosis of dementia according to ICD-10 criteria (Alzheimer's Disease [AD], Frontotemporal Dementia, Vascular Dementia [VD], Lewy Body Disease, or mixed dementia) as determined by a clinician experienced in diagnosing dementia. Close in relationship refers to a caregiver who may be a sibling, spouse, adult child, friend, niece or nephew or any person who has a close relationship to the person with dementia, that is, anyone who is not a formal paid caregiver.
* Dyads where the person with dementia has a Neuropsychiatric Inventory-Questionnaire (NPI-Q) Score of =6 (from a maximum score of 36)
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Dyads where either or both the caregiver or person with dementia have significant hearing impairments that are not resolved through the use of a hearing aid device and limit their capacity to enjoy musical experiences
* There will be no further exclusions
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Study design
Purpose of the study
Other
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
20/11/2019
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
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Actual
23/12/2022
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Sample size
Target
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Accrual to date
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Final
864
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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The University of Melbourne - Melbourne
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Recruitment postcode(s) [1]
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3006 - Melbourne
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Recruitment outside Australia
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Germany
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State/province [1]
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Würzburg
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Norway
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State/province [2]
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Oslo
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Poland
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State/province [3]
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Kraków
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Country [4]
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United Kingdom
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State/province [4]
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Cambridgeshire
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Funding & Sponsors
Primary sponsor type
Other
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Name
Anglia Ruskin University
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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University of Melbourne
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Address [1]
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Other collaborator category [2]
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Other
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Name [2]
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Norwegian Academy of Music
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Address [2]
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Other collaborator category [3]
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Other
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Name [3]
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University of Applied Sciences Würzburg-Schweinfurt
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Address [3]
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Other collaborator category [4]
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Other
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Name [4]
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University School of Physical Education, Krakow, Poland
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Address [4]
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Other collaborator category [5]
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Other
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Name [5]
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Alzheimer's Society
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Address [5]
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Other collaborator category [6]
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Other
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Name [6]
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Methodist Homes for the Aged
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Address [6]
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Other collaborator category [7]
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Other
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Name [7]
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Saffron Hall Trust
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Address [7]
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Other collaborator category [8]
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Other
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Name [8]
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Cambridgeshire and Peterborough NHS Foundation Trust
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Ethics approval
Ethics application status
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Summary
Brief summary
This international study evaluates the impact of home-based caregiver-delivered music and reading interventions for people with dementia. The project aims to address the need for improved informal dementia care by training family caregivers to utilise a music or reading intervention with the person they are caring for. The interventions aim to decrease behavioural and psychological symptoms of dementia as well as improve quality of life and well being of both people living with dementia and their caregivers. Participants will be allocated into a music intervention group, a reading intervention group or standard care group. In addition, the researchers will seek to determine the cost-effectiveness of using the music intervention.
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Trial website
https://clinicaltrials.gov/study/NCT03907748
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Trial related presentations / publications
Baker FA, Bloska J, Braat S, Bukowska A, Clark I, Hsu MH, Kvamme T, Lautenschlager N, Lee YC, Smrokowska-Reichmann A, Sousa TV, Stensaeth KA, Tamplin J, Wosch T, Odell-Miller H. HOMESIDE: home-based family caregiver-delivered music and reading interventions for people living with dementia: protocol of a randomised controlled trial. BMJ Open. 2019 Nov 19;9(11):e031332. doi: 10.1136/bmjopen-2019-031332.
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Public notes
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Contacts
Principal investigator
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Felicity Baker, Professor
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Address
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University of Melbourne
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Contact person for public queries
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
In accordance with the Australian Code for Responsible Conduct of Research (Universities Australia, 2018), all data will be retained for retrieval and re-use in future research where participant permission is granted. Data made available will include individual-level deidentified participant data, reports on adverse events, and deidentified interview transcripts.
Supporting document/s available: Study protocol
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When will data be available (start and end dates)?
Following project completion, de-identified anonymised data will be made available (with participant consent). According to the GDPR, the consortium have agreed for reused for 10 years after the project has been completed.
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Available to whom?
Data will be made available on the Australian Data Archive https://ada.edu.au and listed on Research Australia's https://researchaustralia.org website to facilitate access for future research.
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Available for what types of analyses?
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How or where can data be obtained?
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03907748