Trial Outcomes & Findings for Improving Outcomes for Care Partners of Persons With Traumatic Brain Injury (NCT NCT04570930)

NCT ID: NCT04570930

Last Updated: 2024-09-19

Results Overview

TBI-CareQOL Caregiver Strain assesses perceived feelings of feeling overwhelmed, stressed and "beat-down" related to the care partner role. Self-reported responses are on a Likert scale. The measure is scored on a T metric with a mean of 50 and a standard deviation of 10. Higher scores indicate more strain.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

257 participants

Primary outcome timeframe

Baseline, Day 180 of intervention

Results posted on

2024-09-19

Participant Flow

Participant milestones

Participant milestones
Measure
Just-in-time Adaptive Intervention (JITAI)
Participants will wear the Fitbit®, provide daily reports of Health- Related Quality of Life (HRQOL) and receive personalized pushes over a six-month (180 day) period. Just-in-time adaptive intervention (JITAI): JITAI is an emerging intervention that incorporates passive mobile sensor data feedback (sleep and activity \[step\] data from a Fitbit ®), and real-time self-reporting of HRQOL via a study specific app called CareQOL to provide personalized feedback via app alert.
Control
Participants will wear the Fitbit® and provide daily reports of HRQOL over a six-month (180 day) period (without the personalized feedback). Control: Participants will wear the Fitbit® and provide daily reports of HRQOL over a six-month (180 day) period.
Overall Study
STARTED
129
128
Overall Study
COMPLETED
122
122
Overall Study
NOT COMPLETED
7
6

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Improving Outcomes for Care Partners of Persons With Traumatic Brain Injury

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Just-in-time Adaptive Intervention (JITAI)
n=129 Participants
Participants will wear the Fitbit®, provide daily reports of Health- Related Quality of Life (HRQOL) and receive personalized pushes over a six-month (180 day) period. Just-in-time adaptive intervention (JITAI): JITAI is an emerging intervention that incorporates passive mobile sensor data feedback (sleep and activity \[step\] data from a Fitbit ®), and real-time self-reporting of HRQOL via a study specific app called CareQOL to provide personalized feedback via app alert.
Control
n=128 Participants
Participants will wear the Fitbit® and provide daily reports of HRQOL over a six-month (180 day) period (without the personalized feedback). Control: Participants will wear the Fitbit® and provide daily reports of HRQOL over a six-month (180 day) period.
Total
n=257 Participants
Total of all reporting groups
Age, Continuous
52 years
STANDARD_DEVIATION 15.3 • n=99 Participants
52 years
STANDARD_DEVIATION 14.3 • n=107 Participants
52 years
STANDARD_DEVIATION 14.8 • n=206 Participants
Sex: Female, Male
Female
101 Participants
n=99 Participants
103 Participants
n=107 Participants
204 Participants
n=206 Participants
Sex: Female, Male
Male
28 Participants
n=99 Participants
25 Participants
n=107 Participants
53 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
22 Participants
n=99 Participants
19 Participants
n=107 Participants
41 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
107 Participants
n=99 Participants
109 Participants
n=107 Participants
216 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=99 Participants
2 Participants
n=107 Participants
3 Participants
n=206 Participants
Race (NIH/OMB)
Asian
4 Participants
n=99 Participants
6 Participants
n=107 Participants
10 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
20 Participants
n=99 Participants
16 Participants
n=107 Participants
36 Participants
n=206 Participants
Race (NIH/OMB)
White
98 Participants
n=99 Participants
100 Participants
n=107 Participants
198 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
5 Participants
n=99 Participants
3 Participants
n=107 Participants
8 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
Region of Enrollment
United States
129 Participants
n=99 Participants
128 Participants
n=107 Participants
257 Participants
n=206 Participants
Self-reported Caregiver Strain Measured by Traumatic Brain Injury Caregiver Quality of Life
51.0 T-score
STANDARD_DEVIATION 8.2 • n=99 Participants
49.3 T-score
STANDARD_DEVIATION 8.6 • n=107 Participants
50.1 T-score
STANDARD_DEVIATION 8.4 • n=206 Participants
Self-reported Anxiety Score Measured by Patient-Reported Outcomes Measurement Information System
57.5 T-score
STANDARD_DEVIATION 7.1 • n=99 Participants
56.1 T-score
STANDARD_DEVIATION 9.3 • n=107 Participants
56.8 T-score
STANDARD_DEVIATION 8.3 • n=206 Participants
Self-reported Depression Score Measured by Patient-Reported Outcomes Measurement Information System
53.5 T-score
STANDARD_DEVIATION 7.3 • n=99 Participants
53.0 T-score
STANDARD_DEVIATION 8.6 • n=107 Participants
53.3 T-score
STANDARD_DEVIATION 8.0 • n=206 Participants

PRIMARY outcome

Timeframe: Baseline, Day 180 of intervention

TBI-CareQOL Caregiver Strain assesses perceived feelings of feeling overwhelmed, stressed and "beat-down" related to the care partner role. Self-reported responses are on a Likert scale. The measure is scored on a T metric with a mean of 50 and a standard deviation of 10. Higher scores indicate more strain.

Outcome measures

Outcome measures
Measure
Just-in-time Adaptive Intervention (JITAI)
n=122 Participants
Participants will wear the Fitbit®, provide daily reports of Health- Related Quality of Life (HRQOL) and receive personalized pushes over a six-month (180 day) period. Just-in-time adaptive intervention (JITAI): JITAI is an emerging intervention that incorporates passive mobile sensor data feedback (sleep and activity \[step\] data from a Fitbit ®), and real-time self-reporting of HRQOL via a study specific app called CareQOL to provide personalized feedback via app alert.
Control
n=122 Participants
Participants will wear the Fitbit® and provide daily reports of HRQOL over a six-month (180 day) period (without the personalized feedback). Control: Participants will wear the Fitbit® and provide daily reports of HRQOL over a six-month (180 day) period.
Change From Baseline in Self-reported Caregiver Strain as Measured by Traumatic Brain Injury Caregiver Quality of Life (TBI-CareQOL) Caregiver Strain
-1.09 T Score
Standard Deviation 7.76
0.34 T Score
Standard Deviation 6.53

SECONDARY outcome

Timeframe: Baseline, Day 180 of intervention

PROMIS Anxiety assesses self-reported feelings of fear, anxiety and hyper-arousal. Self-reported responses are on a Likert scale. The measure is scored on a T metric with a mean of 50 and a standard deviation of 10. Higher scores indicate more anxiety.

Outcome measures

Outcome measures
Measure
Just-in-time Adaptive Intervention (JITAI)
n=122 Participants
Participants will wear the Fitbit®, provide daily reports of Health- Related Quality of Life (HRQOL) and receive personalized pushes over a six-month (180 day) period. Just-in-time adaptive intervention (JITAI): JITAI is an emerging intervention that incorporates passive mobile sensor data feedback (sleep and activity \[step\] data from a Fitbit ®), and real-time self-reporting of HRQOL via a study specific app called CareQOL to provide personalized feedback via app alert.
Control
n=122 Participants
Participants will wear the Fitbit® and provide daily reports of HRQOL over a six-month (180 day) period (without the personalized feedback). Control: Participants will wear the Fitbit® and provide daily reports of HRQOL over a six-month (180 day) period.
Change From Baseline in Self-reported Anxiety Score as Measured by Patient-Reported Outcomes Measurement Information System (PROMIS) Anxiety
-1.14 T Score
Standard Deviation 7.58
0.60 T Score
Standard Deviation 8.23

SECONDARY outcome

Timeframe: Baseline, Day 180 of intervention

PROMIS Depression assesses self-reported feelings of sadness and worthlessness. Self-reported responses are on a Likert scale. The measure is scored on a T metric with a mean of 50 and a standard deviation of 10. Higher scores indicate more depression.

Outcome measures

Outcome measures
Measure
Just-in-time Adaptive Intervention (JITAI)
n=122 Participants
Participants will wear the Fitbit®, provide daily reports of Health- Related Quality of Life (HRQOL) and receive personalized pushes over a six-month (180 day) period. Just-in-time adaptive intervention (JITAI): JITAI is an emerging intervention that incorporates passive mobile sensor data feedback (sleep and activity \[step\] data from a Fitbit ®), and real-time self-reporting of HRQOL via a study specific app called CareQOL to provide personalized feedback via app alert.
Control
n=122 Participants
Participants will wear the Fitbit® and provide daily reports of HRQOL over a six-month (180 day) period (without the personalized feedback). Control: Participants will wear the Fitbit® and provide daily reports of HRQOL over a six-month (180 day) period.
Change From Baseline in Self-reported Depression Score as Measured by Patient-Reported Outcomes Measurement Information System (PROMIS) Depression
-1.01 T Score
Standard Deviation 7.12
0.61 T Score
Standard Deviation 7.75

Adverse Events

Just-in-time Adaptive Intervention (JITAI)

Serious events: 1 serious events
Other events: 17 other events
Deaths: 0 deaths

Control

Serious events: 1 serious events
Other events: 32 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Just-in-time Adaptive Intervention (JITAI)
n=129 participants at risk
Participants will wear the Fitbit®, provide daily reports of Health- Related Quality of Life (HRQOL) and receive personalized pushes over a six-month (180 day) period. Just-in-time adaptive intervention (JITAI): JITAI is an emerging intervention that incorporates passive mobile sensor data feedback (sleep and activity \[step\] data from a Fitbit ®), and real-time self-reporting of HRQOL via a study specific app called CareQOL to provide personalized feedback via app alert.
Control
n=128 participants at risk
Participants will wear the Fitbit® and provide daily reports of HRQOL over a six-month (180 day) period (without the personalized feedback). Control: Participants will wear the Fitbit® and provide daily reports of HRQOL over a six-month (180 day) period.
Infections and infestations
COVID-19
0.78%
1/129 • Number of events 1 • Baseline to Day 360
0.00%
0/128 • Baseline to Day 360
Endocrine disorders
Pancreatitis
0.00%
0/129 • Baseline to Day 360
0.78%
1/128 • Number of events 3 • Baseline to Day 360

Other adverse events

Other adverse events
Measure
Just-in-time Adaptive Intervention (JITAI)
n=129 participants at risk
Participants will wear the Fitbit®, provide daily reports of Health- Related Quality of Life (HRQOL) and receive personalized pushes over a six-month (180 day) period. Just-in-time adaptive intervention (JITAI): JITAI is an emerging intervention that incorporates passive mobile sensor data feedback (sleep and activity \[step\] data from a Fitbit ®), and real-time self-reporting of HRQOL via a study specific app called CareQOL to provide personalized feedback via app alert.
Control
n=128 participants at risk
Participants will wear the Fitbit® and provide daily reports of HRQOL over a six-month (180 day) period (without the personalized feedback). Control: Participants will wear the Fitbit® and provide daily reports of HRQOL over a six-month (180 day) period.
Infections and infestations
COVID-19
4.7%
6/129 • Number of events 6 • Baseline to Day 360
7.0%
9/128 • Number of events 9 • Baseline to Day 360
Skin and subcutaneous tissue disorders
Skin irritation from Fitbit wristband
5.4%
7/129 • Number of events 8 • Baseline to Day 360
7.8%
10/128 • Number of events 10 • Baseline to Day 360
Social circumstances
Increased mental health problems
7.0%
9/129 • Number of events 13 • Baseline to Day 360
11.7%
15/128 • Number of events 22 • Baseline to Day 360

Additional Information

Dr. Noelle E Carlozzi

University of Michigan

Phone: 734-764-0644

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place