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Randomized Controlled Trial
. 2025 Oct;21(10):e70690.
doi: 10.1002/alz.70690.

A randomized trial of two online platforms for dementia family caregivers: GamePlan4Care and Resources4Care

Alan B Stevens  1   2   3 , Jinmyoung Cho  1   3   4 , Thomas Birchfield  1 , Jordan Reese  1 , Gang Han  5 , Jennifer L Thorud  1 , Marcia G Ory  3
Affiliations
Randomized Controlled Trial

A randomized trial of two online platforms for dementia family caregivers: GamePlan4Care and Resources4Care

Alan B Stevens et al. Alzheimers Dement. 2025 Oct.

Abstract

Introduction: Digital technologies can increase the accessibility of evidence-based caregiver programs.

Methods: A 6-month, phase I, exploratory, randomized-controlled trial of two dementia caregiver support platforms, GamePlan4Care (GP4C) and Resources4Care (R4C), each enrolling 120 community-based family caregivers. Outcome measures included burden, positive aspects of caregiving, social support, and depression.

Results: Caregivers showed significant follow-up improvements in burden (GP4C: effect size [ES] = 0.50, p < 0.001; R4C: ES = 0.47, p < 0.001), positive aspects of caregiving (GP4C: ES = 0.26, p = 0.022; R4C: ES = 0.23, p = 0.030), social support (GP4C: ES = 0.21, p = 0.035), and distress (GP4C: ES = 0.30, p = 0.010). Caregivers engaged more in GP4C (GP4C: mean 5.5 h, SD = 0.61; R4C: mean 1.9 h, SD = 0.20) and set more goals for the safety domain (mean 8.9 goals, SD = 7.60).

Discussion: GP4C was not superior to R4C; however, both platforms demonstrated improved outcomes. Findings highlight a health system's successful development and implementation of online dementia caregiver platforms. Improving digital technology for caregivers requires studies with larger populations and longitudinal outcomes.

Trial registration number: ClinicalTrials.gov Identifier: NCT04540198 HIGHLIGHTS: Online platforms can be useful in the goal of supporting family caregivers with educational and skills-training material to reduce the negative consequences of caregiving and to improve positive feelings of caregiving. Rules-based conditional logic was successfully integrated into a Web-based platform to tailor evidence-based strategies to an individual's unique caregiving context and needs. Health systems are in an ideal position to adopt online technologies that provide education, skills training, and support for family caregivers of persons living with dementia.

Keywords: REACH II; caregiver burden; caregiving support; cognitive impairment; digital technology; evidence‐based programs; online platform; skills training.

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Conflict of interest statement

The authors declare no conflict of interest. Author disclosures are available in the Supporting Information.

Figures

FIGURE 1
FIGURE 1
Recruitment, enrollment, assignment to treatment group, and follow‐up. Consort diagram. GP4C, GamePlan4Care; PLWD, persons living with dementia; R4C, Resources4Care
FIGURE 2
FIGURE 2
GamePlan4Care platform tailoring algorithm based on caregiver risk assessment and caregiving context. The GamePlan4Care rules‐based conditional logic algorithm tailored content for each family caregiver based on the caregiver's responses to the risk assessments and their specific caregiving situation. The figure shows the algorithm's tailoring using the safety domain and driving risk as an example. CG, caregiver; PLWD, persons living with dementia
See this image and copyright information in PMC

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