Journal article
A Web-Based Decision Aid for Caregivers of Persons With Dementia With Firearm Access (Safe at Home Study): Protocol for a Randomized Controlled Trial
JMIR research protocols, Vol.12, p.e43702
01/31/2023
DOI: 10.2196/43702
PMCID: PMC9929727
PMID: 36719721
Abstract
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.
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.
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.
The study enrollment began in May 2022. As of December 2022, a total of 117 participants had enrolled.
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.
ClinicalTrials.gov NCT05173922; https://clinicaltrials.gov/ct2/show/NCT05173922.
DERR1-10.2196/43702.
Details
- Title: Subtitle
- A Web-Based Decision Aid for Caregivers of Persons With Dementia With Firearm Access (Safe at Home Study): Protocol for a Randomized Controlled Trial
- Creators
- Virginia McCarthy - University of Colorado Anschutz Medical CampusJennifer Portz - University of Colorado Anschutz Medical CampusStacy M Fischer - University of Colorado Anschutz Medical CampusEmily Greenway - University of Colorado Anschutz Medical CampusRachel L Johnson - Colorado School of Public HealthChristopher E Knoepke - University of Colorado Anschutz Medical CampusDaniel D Matlock - VA Eastern Colorado Health Care SystemFaris Omeragic - University of Colorado Anschutz Medical CampusRyan A Peterson - Colorado School of Public HealthMegan L Ranney - Brown UniversityMarian E Betz - Colorado School of Public Health
- Resource Type
- Journal article
- Publication Details
- JMIR research protocols, Vol.12, p.e43702
- DOI
- 10.2196/43702
- PMID
- 36719721
- PMCID
- PMC9929727
- NLM abbreviation
- JMIR Res Protoc
- ISSN
- 1929-0748
- eISSN
- 1929-0748
- Grant note
- R01 AG076364 / NIA NIH HHS
- Language
- English
- Date published
- 01/31/2023
- Academic Unit
- Biostatistics; Internal Medicine
- Record Identifier
- 9984914148802771
Metrics
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