Evidence map›Paper›PMID 41120130›Full record

ArticleTranslational behavioral medicine2025

The adaptation of meaning centered psychotherapy to develop RELOAD-C: a web-based tool to reduce loneliness in caregivers of persons with Alzheimer's disease and related dementias.

Allison Marziliano, Huma Babar, Priya Patel, Marzena Gieniusz, Jessica Mongelli, Edith Burns, Allison J Applebaum, Hayley Pessin, William Breitbart, Liron Sinvani and 2 more

Abstract read
In one paragraph

Article in Translational behavioral medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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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

12 authors.

Allison MarzilianoInstitute of Health System Science, The Feinstein Institutes for Medical Research, Northwell Health, Manhasset, NY, United States.ORCID 0000-0002-4762-1416
Huma BabarInstitute of Health System Science, The Feinstein Institutes for Medical Research, Northwell Health, Manhasset, NY, United States.
Priya PatelInstitute of Health System Science, The Feinstein Institutes for Medical Research, Northwell Health, Manhasset, NY, United States.
Marzena GieniuszDepartment of Medicine, Northwell Health, The Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, United States.
Jessica MongelliThe Alzheimer's and Dementia Care Program, Northwell Health, Manhasset, NY, United States.
Edith BurnsInstitute of Health System Science, The Feinstein Institutes for Medical Research, Northwell Health, Manhasset, NY, United States.
Allison J ApplebaumDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, United States.
Hayley PessinDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, United States.ORCID 0000-0001-6767-5860
William BreitbartDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, United States.
Liron SinvaniInstitute of Health System Science, The Feinstein Institutes for Medical Research, Northwell Health, Manhasset, NY, United States.
Carla PerissinottoDepartment of Medicine, Division of Geriatrics, University of California, San Francisco, CA, United States.
Michael A DiefenbachInstitute of Health System Science, The Feinstein Institutes for Medical Research, Northwell Health, Manhasset, NY, United States.ORCID 0000-0003-2821-1507

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
Increasing Meaning to Reduce Loneliness in Care Partners of Persons with AD/ADRDK01AG076888 · NIA · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI Allison Marziliano · 2022 to 2026
$616k
National Institute on Aging (NIA) of the National Institutes of Health (NIH) K01AG076888NCI NIH HHS P30 CA008748NIA NIH HHS K01 AG076888
6 · The paper itself

Abstract

backgroundMore than 60% of caregivers of persons with Alzheimer's disease and related dementias (AD/ADRD) are lonely. Meaning and purpose in life is associated with reduced feelings of loneliness, but has not yet been systematically fostered among caregivers of patients with AD/ADRD. Adapting meaning-centered psychotherapy (MCP), an evidence-based treatment for increasing meaning and purpose in life in cancer caregivers, might decrease loneliness in the dementia caregiver population. PURPOSE: The purpose of this manuscript is to report on the development, usability, and acceptability testing of REducing LOneliness in Alzeheimer's Disease-Care Partners (RELOAD-C), a web-based platform that features six brief videos and aims to reduce loneliness in caregivers of patients with dementia through introducing major concepts and principles adapted from meaning centered psychotherapy.

methodWithin 12 months, RELOAD-C was developed through two rounds of one-on-one interviews with 15 dementia caregivers to obtain feedback on video scripts, recording of videos, and placement of videos and written content (e.g. thought exercises) on the website. Following this, RELOAD-C underwent rigorous usability and acceptability testing by another 16 dementia caregivers.

resultsQuantitative assessments show that RELOAD-C is deemed usable by caregivers (mean = 1.69 on system usability scale, where possible range is 1-5 and lower scores indicate more favorable views of the website; and more than 90% of the usability sample correctly engaged in ≥8 of 10 discreet tasks). Qualitative data indicate acceptability of the intervention with feedback such as "love that the videos are clear and load fast."

conclusionsRELOAD-C is a web-based intervention focused on reducing loneliness in dementia caregivers. It contains six therapist-narrated videos and written content, reinforcing MCP principles. It is currently undergoing pilot testing in preparation for a large-scale randomized controlled clinical trial evaluating its efficacy in reducing loneliness in dementia caregivers.

Indexed as

Alzheimer DiseaseCaregiversDementiaLonelinessPsychotherapyAgedFemaleHumansInternetInternet-Based InterventionMaleMiddle Agedcaregiverdementiainterventionlonelinessmeaningpurpose

Identifiers

PMID41120130
PMCPMC13397014

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.