{Reference Type}: Journal Article
{Title}: A Web-Based Decision Aid for Caregivers of Persons With Dementia With Firearm Access (Safe at Home Study): Protocol for a Randomized Controlled Trial.
{Author}: McCarthy V;Portz J;Fischer SM;Greenway E;Johnson RL;Knoepke CE;Matlock DD;Omeragic F;Peterson RA;Ranney ML;Betz ME;
{Journal}: JMIR Res Protoc
{Volume}: 12
{Issue}: 0
{Year}: Jan 2023 31
暂无{DOI}: 10.2196/43702
{Abstract}: <B>BACKGROUND: </B>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.<BR><B>OBJECTIVE: </B>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.<BR><B>METHODS: </B>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.<BR><B>RESULTS: </B>The study enrollment began in May 2022. As of December 2022, a total of 117 participants had enrolled.<BR><B>CONCLUSIONS: </B>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.<BR><B>BACKGROUND: </B>ClinicalTrials.gov NCT05173922; https://clinicaltrials.gov/ct2/show/NCT05173922.<BR><B>UNASSIGNED: </B>DERR1-10.2196/43702.