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NCT06854718NARecruitingAccepts Healthy Volunteers

Pain With Dementia

Duke University

Start Date

8/13/2025

Completion Date

12/1/2026

Summary

The purpose of the study is to develop a caregiver-assisted pain coping skills training program for older adults who have pain and mild to moderate dementia and are living at home with a family caregiver. The investigators are planning to recruit 30 patient-caregiver dyads (60 individuals).

Detailed Description

Involving caregivers in a pain coping skills protocol is likely to optimize treatment outcomes in several ways. First, people with dementia (PWD) are likely to have difficulty learning and remembering pain coping skills; training the caregiver to coach the patient in the use of the skills is likely to improve the patients' acquisition and ongoing use of learned skills. Second, caregiver involvement in pain coping skills training may increase their understanding of how to gauge how much pain the PWD is experiencing and the impact of pain management strategies. This understanding is increasingly important as the patient's disease progresses, and s/he is less able to report pain verbally. Third, caregiver-assisted pain management training may enhance caregivers' self-confidence for managing the patient's pain. Finally, by participating in the pain coping skills training protocol, caregivers may learn coping skills (such as relaxation) that can help them manage the stress associated with caring for a PWD and pain which can be significant.

Eligibility Criteria

Age Range: 50 years to No maximum

Inclusion Criteria: Patients: * Mild or moderate dementia * Pain on most days for at least 3 months that interferes with function * Living at home (non-institutional) * Age ≥ 50 * English Speaking Caregivers: * Provides on average at least 4 hours/day of care/assistance to the patient * Age ≥ 18 * English Speaking Exclusion Criteria: Patient and caregivers * Lacking capacity for interview or unable to provide informed consent/assent. * Visual or hearing impairments or severe behavioral problems that preclude participation. * Too sick to participate.

Interventions

BEHAVIORAL

Caregiver-Assisted Pain Coping Skills Training (CG-PCST)

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Conditions

PainDementia, MildDementia, Moderate

Locations

Duke University Medical Center

Durham, North Carolina 27705

United States