Connecting Caregivers With Community Services: The Care Buddy Platform
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 210
- 试验地点
- 1
- 主要终点
- Caregiver Psychological well-being
研究概览
简要总结
The study aims to develop a mobile-app (Care Buddy) which will be a one-stop integrated source of information and technology-based solutions for caregivers of people with dementia (PWDs). Study aims to bring caregivers into closer partnerships with the wider ecosystem (e.g., healthcare practitioners, community services, peer support, and care service providers) which will ultimately improve outcomes for both PWDs and their caregivers.
详细描述
This is a 5-year study with various stages: 1) proof-of-concept stage to design and develop the Care buddy intervention, 2) proof-of-value stage to assess the feasibility, acceptability and satisfaction with the Care buddy intervention among informal caregivers of PWDs, 3) test-bedding stage to assess the efficacy and cost-effectiveness of the Care buddy intervention versus usual care among informal caregivers of PWDs with help of a multi-centre 2-arm RCT and 4) deployment stage to scale up the intervention at multiple centres across Singapore, monitor its adoption and outcomes and assess any organizational and individual barriers to adoption.
By the end of the proposed five-year project, investigators aim to develop and evaluate the technology as well as achieve widespread adoption among caregivers of PWDs. Investigators want to enable easy access to information, provide decisional and social support, improve the reach and uptake of existing community service providers, and assist with coordination among multiple informal and professional caregivers through the journey of dementia caregiving and into the bereavement phase.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 21 Years 至 80 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •The inclusion criteria for patients are
- •Singaporean/Permanent residents
- •Age 21 years of age or older
- •Main person or one of the main persons involved in making decisions regarding treatment patient receives or responsible for ensuring the well-being of the patient
- •An active primary caregiver for at least 6 months, and planning to remain the primary caregiver for the next 2 years
- •Is a family member of the patient with dementia
- •Can read and write in English
- •Accessible by telephone to schedule interviews
- •Has familiarity with use of technology (e.g., computers, tablets, or internet) and is able to complete surveys, forms using digital technology
- •Intact cognition determined through the Abbreviated Mental Test (AMT) for those who are ≥ 65 years old.
- •Caregivers who score >=9 on the 6-item Zarit Burden scale
排除标准
- •Caregivers of patients staying in nursing home or other long-term care facility with no intention of being discharged will not be eligible however, if the patient is admitted to respite care for short/long term duration after being recruited, caregivers can continue to participate.
研究组 & 干预措施
CareBuddy
Caregivers of person with dementia who will be randomized in this arm will have access to the CareBuddy mobile app on their phone. They will be using this app for 1 year and will be followed up every 2 months.
干预措施: Care Buddy (Device)
Usual care
Caregivers of person with dementia who will be randomized in this arm will continue usual care for their loved one. They will be enrolled for 1 year and will be followed up every 2 months.
结局指标
主要结局
Caregiver Psychological well-being
时间窗: 1 year from data collection
Flourish - range - 8 - 56, high score represents a person with many psychological resources and strengths
Caregiver social scale
时间窗: 1 year from data collection
Friendship scale - The score range is 0-24. A high score represents social connectedness and a score of "0" complete social isolation
Caregiver Dementia Knowledge
时间窗: 1 year from data collection
The Dementia Knowledge Assessment Tool - range - 0-21. High score equals to higher knowledge of dementia.
Caregiver Impact
时间窗: 1 year from data collection
Revised Memory \& Behavior Problem checklist - range - 0-96 Higher score indicates increased impact.
Caregiver Burden
时间窗: 1 year from data collection
Zarit Burden scale - range 0-88. 0 - 21 little or no burden, 21 - 40 mild to moderate burden, 41 - 60 moderate to severe burden, 61 - 88 severe burden \>34 - clinically significant burden.
Caregiver Stress
时间窗: 1 year from data collection
Perceived Stress Scale: Scoring: PSS scores are obtained by reversing responses (e.g., 0 = 4, 1 = 3, 2 = 2, 3 = 1 \& 4 = 0) to the four positively stated items (items 4, 5, 7, \& 8) and then summing across all scale items.
次要结局
未报告次要终点
研究者
Chetna Malhotra
Associate Professor
Duke-NUS Graduate Medical School
