Evidence map›Paper›PMID 31045422›Full record

Trial reportHealth psychology : official journal of the Division of Health Psychology, American Psychological Association2019

Randomized controlled trial of a facilitated online positive emotion regulation intervention for dementia caregivers.

Judith T Moskowitz, Elaine O Cheung, Karin E Snowberg, Alice Verstaen, Jennifer Merrilees, John M Salsman, Glenna A Dowling

3 registry-linked trialsOpen access · hybridAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 65 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 4 pooled it
9.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01825681 nacompletednot on this map

Life Enhancing Activities for Family Caregivers (LEAF)

TypeinterventionalSponsorUniversity of California, San FranciscoRan2013 to 2019Enrolled175ConditionsStress, Dementia, AffectArmsPositive Affect
NCT04367922 nacompletednot on this mapstarted 2020, after this paper: background citation

A Positive Affect Regulation sKills Intervention to Decrease Stress During a Pandemic: A Single Arm, Non-Randomized Trial of a Public Platform

TypeinterventionalSponsorNorthwestern UniversityRan2020 to 2023Enrolled1,000ConditionsAnxiety, Depression, Social IsolationArmsPositive Emotion Skills Course
NCT07021872 narecruitingnot on this mapstarted 2025, after this paper: background citation

Reducing Loneliness Among Older Adults Through Enhancing Positive Affect: A Randomized Controlled Trial With Ecological Momentary Assessments

TypeinterventionalSponsorEducation University of Hong KongRan2025 to 2026Enrolled276ConditionsLonelinessArmsTele-Positive Affect Intervention, Tele-Behavioral Activation Intervention, Tele-Friendly Visit
3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 4 syntheses or guidelines pooled it, 163 citations in OpenAlex.

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5 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Judith T MoskowitzDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine.
Elaine O CheungDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine.
Karin E SnowbergDepartment of Physiological Nursing, University of California, San Francisco.
Alice VerstaenDepartment of Psychology, University of California, Berkeley.
Jennifer MerrileesDepartment of Neurology, University of California, San Francisco.
John M SalsmanDepartment of Social Sciences and Health Policy, Wake Forest School of Medicine.
Glenna A DowlingDepartment of Physiological Nursing, University of California, San Francisco.
University of California, San Francisco · USUniversity of California, Berkeley · USWake Forest University · US

Funding

Life Enhancing Activities for Family Caregivers of People with DementiaR01NR014435 · NINR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DOWLING, GLENNA A, MOSKOWITZ, JUDITH T. · 2013 to 2017
$2.4M
National Institute of Nursing ResearchNINR NIH HHS R01 NR014435
6 · The paper itself

Abstract

objectiveTo test the effects of Life Enhancing Activities for Family Caregivers (LEAF), a 6-week positive emotion regulation intervention, on outcomes of positive emotion, depression, anxiety, and physical health as measured by the Patient-Reported Outcomes Measurement Information System® (PROMIS®).

methodA randomized controlled trial (N = 170) comparing LEAF (N = 86) to an emotion reporting/waitlist condition (N = 84) in dementia caregivers. LEAF was individually delivered online by trained facilitators. Participants in the control condition completed daily online emotion reports and then crossed over into the intervention condition after 6 weeks. The study was registered with Clinicaltrials.gov (NCT01825681) and funded by R01NR014435.

resultsAnalyses of difference in change from baseline to 6 weeks demonstrated significantly greater decreases in PROMIS® depression (d = -.25; p = .02) and Quality of Life in Neurological Disorders (NeuroQOL) anxiety (d = -.33; p < .01), as well as improvements in PROMIS® physical health (d = .24; p = .02) in the intervention condition compared to the emotion reporting/waitlist control. The intervention also showed greater improvements in positive emotion (d = .58; p < .01) and positive aspects of caregiving (d = .36; p < .01). Increases in positive emotion significantly mediated the effect of LEAF on depression over time.

conclusionsThis randomized controlled trial of the online-facilitated positive emotion regulation intervention in dementia caregivers demonstrated small to medium effect sizes on caregiver well-being and shows promise for remotely delivered programs to improve psychological well-being in caregivers of people with dementia and other chronic illnesses. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Indexed as

AdultAgedAged, 80 and overCaregiversDementiaEducation, DistanceEmotionsFemaleHumansMaleMiddle AgedPatient Reported Outcome MeasuresQuality of Life

Identifiers

PMID31045422
PMCPMC6501812
OpenAlexW2943018513

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.