PDF(Pubmed)
Abstract：
BACKGROUND: Firearm safety among individuals with Alzheimer disease and related dementias (ADRD) is an underdiscussed and underresearched concern in the United States, especially given the growing population of community-dwelling adults with ADRD. The \"Safety in Dementia\" (SiD) web-based decision aid was developed to support caregivers in addressing firearm access; the efficacy of SiD is unknown.
OBJECTIVE: Through the SiD decision aid, the Safe at Home (S@H) study aims to support caregivers in making decisions about home safety that align with their goals and values, and behaviors regarding firearm access for persons with ADRD and firearm access.
METHODS: The S@H study is a 2-armed randomized controlled trial to test the effect of the SiD decision aid on caregivers of community-dwelling adults with ADRD who have firearm access. S@H aims to recruit 500 ADRD caregivers (age ≥18 years, fluent in English or Spanish, and in the United States) through online or social media advertisements and through relevant organizations. Participants are randomized to view SiD or a control website at their own pace; all participants complete web-based questionnaires at baseline, 2 weeks, 2 months, and 6 months. The primary outcome is immediate preparation for decision-making; secondary outcomes include longitudinal decision outcomes and self-reported modifications to firearm access. The relative reach and effectiveness of each recruitment method (online/social media and through relevant organizations) will be assessed by examining differences in caregiver participation, retention rates, and relative cost.
RESULTS: The study enrollment began in May 2022. As of December 2022, a total of 117 participants had enrolled.
CONCLUSIONS: The S@H study is the first randomized trial of a firearm safety decision aid for ADRD caregivers. The results from this study will inform how best to support caregivers in decision-making regarding firearm safety. Further, results may guide approaches for recruiting caregivers and for dissemination of resources.
BACKGROUND: ClinicalTrials.gov NCT05173922; https://clinicaltrials.gov/ct2/show/NCT05173922.
UNASSIGNED: DERR1-10.2196/43702.
OBJECTIVE: Through the SiD decision aid, the Safe at Home (S@H) study aims to support caregivers in making decisions about home safety that align with their goals and values, and behaviors regarding firearm access for persons with ADRD and firearm access.
METHODS: The S@H study is a 2-armed randomized controlled trial to test the effect of the SiD decision aid on caregivers of community-dwelling adults with ADRD who have firearm access. S@H aims to recruit 500 ADRD caregivers (age ≥18 years, fluent in English or Spanish, and in the United States) through online or social media advertisements and through relevant organizations. Participants are randomized to view SiD or a control website at their own pace; all participants complete web-based questionnaires at baseline, 2 weeks, 2 months, and 6 months. The primary outcome is immediate preparation for decision-making; secondary outcomes include longitudinal decision outcomes and self-reported modifications to firearm access. The relative reach and effectiveness of each recruitment method (online/social media and through relevant organizations) will be assessed by examining differences in caregiver participation, retention rates, and relative cost.
RESULTS: The study enrollment began in May 2022. As of December 2022, a total of 117 participants had enrolled.
CONCLUSIONS: The S@H study is the first randomized trial of a firearm safety decision aid for ADRD caregivers. The results from this study will inform how best to support caregivers in decision-making regarding firearm safety. Further, results may guide approaches for recruiting caregivers and for dissemination of resources.
BACKGROUND: ClinicalTrials.gov NCT05173922; https://clinicaltrials.gov/ct2/show/NCT05173922.
UNASSIGNED: DERR1-10.2196/43702.
摘要：
背景：在美国，患有阿尔茨海默病和相关痴呆症（ADRD）的个体中的枪支安全是一个未被讨论和研究不足的问题，特别是考虑到居住在ADRD社区的成年人人口不断增长。开发了“痴呆症安全”（SiD）基于网络的决策辅助工具，以支持护理人员解决枪支问题；SiD的功效尚不清楚。
目标：通过SiD决策辅助，家庭安全（S@H）研究旨在支持护理人员做出符合其目标和价值观的家庭安全决策，以及ADRD和枪支出入者的枪支出入行为。
方法：S@H研究是一项由2臂组成的随机对照试验，旨在测试SiD决策辅助对社区居住的ADRD成年人的照顾者的影响。S@H旨在招募500名ADRD护理人员(年龄≥18岁，流利的英语或西班牙语，以及在美国)通过在线或社交媒体广告以及相关组织。参与者按自己的步调随机查看SiD或对照网站;所有参与者在基线时完成基于网络的问卷，2周,2个月,和6个月。主要结果是立即为决策做准备；次要结果包括纵向决策结果和自我报告的枪支准入修改。将通过审查护理人员参与的差异来评估每种招聘方法（在线/社交媒体和通过相关组织）的相对覆盖范围和有效性，保留率，和相对成本。
结果：研究招募于2022年5月开始。截至2022年12月，共有117名参与者报名参加。
结论：S@H研究是第一个针对ADRD护理人员的枪支安全决策辅助的随机试验。这项研究的结果将告知如何最好地支持护理人员进行枪支安全决策。Further,结果可以指导招募护理人员和传播资源的方法。
背景：ClinicalTrials.govNCT05173922;https://clinicaltrials.gov/ct2/show/NCT05173922。
未经批准：DERR1-10.2196/43702。
目标：通过SiD决策辅助，家庭安全（S@H）研究旨在支持护理人员做出符合其目标和价值观的家庭安全决策，以及ADRD和枪支出入者的枪支出入行为。
方法：S@H研究是一项由2臂组成的随机对照试验，旨在测试SiD决策辅助对社区居住的ADRD成年人的照顾者的影响。S@H旨在招募500名ADRD护理人员(年龄≥18岁，流利的英语或西班牙语，以及在美国)通过在线或社交媒体广告以及相关组织。参与者按自己的步调随机查看SiD或对照网站;所有参与者在基线时完成基于网络的问卷，2周,2个月,和6个月。主要结果是立即为决策做准备；次要结果包括纵向决策结果和自我报告的枪支准入修改。将通过审查护理人员参与的差异来评估每种招聘方法（在线/社交媒体和通过相关组织）的相对覆盖范围和有效性，保留率，和相对成本。
结果：研究招募于2022年5月开始。截至2022年12月，共有117名参与者报名参加。
结论：S@H研究是第一个针对ADRD护理人员的枪支安全决策辅助的随机试验。这项研究的结果将告知如何最好地支持护理人员进行枪支安全决策。Further,结果可以指导招募护理人员和传播资源的方法。
背景：ClinicalTrials.govNCT05173922;https://clinicaltrials.gov/ct2/show/NCT05173922。
未经批准：DERR1-10.2196/43702。
