Tai Po Hidden Carers Support and Home-Based Respite Project
- Conditions
- Caregiver Wellbeing
- Registration Number
- NCT07004855
- Lead Sponsor
- The University of Hong Kong
- Brief Summary
The primary objective of this study is to identify and support hidden caregivers of older adults. Caregivers are assessed before the intervention on their mental well-being and social connectedness. Caregivers are triaged into four levels: low, mild, moderate and high. They will receive different types of services (intervention) accordingly. At the end of the service period (or 6-months after the baseline), caregivers and care recipients will complete the assessment again to measure the changes of the primary outcomes.
- Detailed Description
"All participants will provide informed consent at the time of enrolment. Both caregivers and their care recipients will complete an assessment. Caregivers are screened for their physical health, mental well-being, social engagement, and social connectedness. Care recipients are screened for their physical health and capacity in activities of daily living and instrumental activities of daily living.
Caregivers are triaged into four levels: low, mild, moderate and high. Caregivers in low level will receive case follow-up service, those in mild level will receive regular phone check-in, those in moderate level will receive a maximal of 30 hours of respite service within 6 month, and those in high level will receive professional counselling. At the end of the service period (or 6-months after the baseline), caregivers and care recipients will complete the assessment again to measure the changes of the primary outcomes.
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 380
- Provide ADL/IADL assistance to at least one older adult (aged 60+),
- Not currently using any types of respite service,
- Able to communicate in either Cantonese, English or Mandarin
- Voluntarily participate
- The care recipient is not living in the community
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Change from baseline in score in caregiving needs on the Carer Needs Screening Tool (CNST-11) after the intervention Baseline and Immediate after intervention The Carer Needs Screening Tool (CNST-11) is a self-developed tool that measures different aspects of caregiving needs over the past 1 week period. It is a 11-item scale, with 8 items that determines the overall needs level and the others for four aspects of needs: physical health, mental health, social support and care needs. Possible score is from 8 to 32 with lower score indicates lower caregivers' needs.
Change in score = Immediate after intervention - baselineChange from baseline in score in social support on MOS Social Support Survey after the intervention Baseline and Immediate after intervention The MOS Social Support Survey (MOSSSS) is a widely used tool that consists of 6 questions designed to measure the amount of support one needs. The total score ranges from 6 to 30, with higher scores indicating more support received.
Change in score = Immediate after intervention - baselineChange from baseline in score in the severity and disturbance of symptoms of care recipient on Neuropsychiatric Inventory after the intervention Baseline and Immediate after intervention The Neuropsychiatric Inventory measures the severity and disturbance to caregiver of 13 common symtoms (e.g., dellusion, sleeping problem) of the care recipient. Severity is rated from 0 to 3, with 0 indicates no symptom and 3 indicates severe problem. Disturbance to caregiver is rated from 0 to 5, with 0 being not affected at all and 5 being extremely affected. The higher score in both subscales indicate worse problem.
Change in score = Immediate after intervention - baselineChange from baseline in score in social connectedness on Social Connectedness Scale after the intervention Baseline and Immediate after intervention The Social Connectedness Scale consists of 6 items that measures how closely one feel that they are connected to the community. The total score on the scale can range from 8 to 48, with higher scores indicating a higher level of connectedness.
Change in score = Immediate after intervention - baselineChange from baseline in score in the view on gender role on Gender Role Attitude Scale after the intervention Baseline and Immediate after intervention The Gender Role Attitude Scale consists of 3 items that measure the view on traditional gender role. The total score range from 3 to 15, with lower score indicate more traditional value.
Change in score = Immediate after intervention - baselineChange in score from baseline in quality of life measured by EQ-5D-5L after intervention Baseline and Immediate after intervention The EQ-5D-5L is a standardized instrument used to assess health-related quality of life across five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. The responses are converted into a single index value representing overall health status using Hong Kong's normative value. The primary outcome measure in this study is the change in EQ-5D-5L index scores from baseline to post-intervention/follow-up assessments. 1 equals to perfect health and more negative numbers indicates worse health. Change in health index = Immediate after intervention - baseline
Changes in score from baseline in perception of caregiving measured by Positive Aspect of Caregiving scale after intervention Baseline and Immediate after intervention The Positive Aspect of Caregiving scale is a 11-item scale that measures how the caregiver perceive caregiving experience, specifically in a positive aspect (e.g., caregiving makes me feel useful). It is rated in a 5-point Likert scale from "very disagree" to "very agree", with potential score from 0 to 44. A higher score indicates caregiving perceiving it in a more positive way.
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
University of Hong Kong
🇭🇰Hong Kong, Hong Kong