Study for a Randomised Controlled Trial: Effect of an Interdisciplinary Psycho-educational Intervention Programme on Caregivers of Dependent Older Adults
试验速览
- 阶段
- 不适用
- 入组人数
- 70
- 试验地点
- 1
- 主要终点
- Mini Mental State Examination (MMSE)
研究概览
简要总结
Background: Caring for an older dependent adult with cognitive impairment can have negative consequences for the family caregiver. Interdisciplinary interventions are necessary to address their needs jointly and comprehensively. While attempts have been made to improve their situation from different disciplines in isolation, a collaborative approach is required to ensure the best possible outcome.
Methods: A parallel, randomized, controlled clinical trial with two arms will be conducted at the Occupational Therapy Teaching and Care Unit (UDATO) and the Municipal Psychosocial Support Unit for the Elderly (UMAPS), both of which belong to the University of Salamanca and are in agreement with the City Council of Salamanca, Spain. The trial will also be conducted at the University Care Centre of Salamanca (CAUSA). People aged 60 years or older will be recruited as family caregivers of dependent older adults with cognitive impairment in a chronic situation. Participants will be divided into two groups: the intervention group (IG) will carry out an interdisciplinary psychoeducational programme from the perspective of psychology and occupational therapy, and the control group (CG) will carry out a controlled follow-up. Participants will complete 12 sessions over a period of 3 months, followed by three monthly reinforcement sessions after the intervention. At the beginning and end of the intervention, participants will be assessed and socio-demographic data will be collected along with the following scales: the Spanish version of the Caregiver Burden Interview (CBI), the Spanish version of the Center for Epidemiologic Studies-Depression Scale (CES-D), the Psychosocial Support Questionnaire adaptation (PSQ), the General Health Questionnaire (GHQ), the World Health Organization Quality of Life Assessment - AGE (WHOQOL-AGE) and the Bayer-Activities of Daily Living Scale (B-ADL).
Discussion: The objective of this study is to enhance conventional clinical practice for family caregivers of dependent older adults. This will be achieved through an interdisciplinary psychoeducational intervention that aims to reduce overload and depressive symptomatology, increase social support, improve health and perceived quality of life, and enhance understanding of the syndrome/illness. The intervention will also focus on managing difficult situations associated with day-to-day caregiving, managing emotions and associated erroneous beliefs, and promoting self-care. Additionally, the study aims to improve the functionality of the cared-for person.
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)
盲法说明
The work of sequencing, randomisation, recruitment and allocation of the trial sample will be carried out by research staff who are not involved in the assessments or interventions of each group, thus avoiding any potential bias in the trial.
Participants will also be blinded and will not know which group they have been allocated to and therefore which intervention they will receive. In order to minimise any contamination between groups, the assessment process will be carried out by external research staff who will perform the measurements and who have been previously trained and educated to avoid subjective bias in the process, as they will be unaware of the intervention group to which they have been assigned, thus masking the blinded assessment by third parties in the clinical trial. In addition, the researchers responsible for the statistical analysis of the trial will be blinded in order to increase the rigour of the trial process and thus the scientific quality.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Be the primary family caregiver of a person with cognitive impairment (Mini Mental State Examination (MMSE) < 24 points in a situation of moderate or severe dependency (Barthel) ≤ 55
- •Be aged 60 years or older; have been the primary family caregiver for one year or more
- •Voluntarily sign the consent form to participate and complete the initial assessment.
排除标准
- •Lack of literacy or significant deficits in language comprehension and being a formal carer -
- •Receiving financial remuneration for caring for the sick person.
研究组 & 干预措施
Health Education Programme
Why: Upon discharge from the hospital, at the end of the baseline assessment, caregivers will receive instructions and recommendations for maintaining an active and healthy lifestyle. This will be done by encouraging self-care and good practices in caring for their dependent family member, as part of a health education programme. The benefits of an active lifestyle and general guidelines are emphasized.
What (materials): Instructions and recommendations for a health education programme.
What (procedures): Participants will receive instructions and recommendations on how to maintain an active and healthy lifestyle, promoting self-care and good practices in caring for their dependent family member.
How: The caregiver will receive the material individually at the time of referral, before being discharged from the hospital.
When and for how long: The intervention consists of a single session and details of the time and duration will be provided to participants.
干预措施: Health Education Programme (Behavioral)
Interdisciplinary Psychoeducational Programme
Why: The programme is based on an interdisciplinary psychoeducational intervention from the fields of occupational therapy and psychology.
What (materials): projector, computer, screen, presentation of content, stationery, chairs, tables and self-recording of home tasks.
What (procedures): Patients assigned to the experimental group will follow an interdisciplinary psychoeducational programme structured and supervised at the University of Salamanca, consisting of a health education programme combined with an interdisciplinary psychoeducational programme from the perspective of psychology and occupational therapy.
Who will carry out the interventions: modules: (I) understanding the syndrome or disease and managing difficult everyday caring situations or behaviours, (II) emotions and misconceptions about caring, and (III) self-care (Table 1).
When and for how long: Each participant will receive 4 sessions per month for 3 months, for a total of 12 sessions.
干预措施: Interdisciplinary Psychoeducational Programme (Behavioral)
结局指标
主要结局
Mini Mental State Examination (MMSE)
时间窗: Baseline; "3 months follow up"; "up to 24 weeks"
temporal and spatial orientation, fixation, attention and arithmetic, memory, nomination, repetition, comprehension, reading, writing and drawing.
Barthel Index
时间窗: Baseline; "3 months follow up"; "up to 24 weeks"
degree of dependency in activities of daily living
Caregiver Burden Interview
时间窗: Baseline; "3 months follow up"; "up to 24 weeks"
perceived overload
次要结局
- World Health Organization Assessment of Quality of Life - AGE (WHOQOL-AGE)(Baseline; "3 months follow up"; "up to 24 weeks")
- The Bayer-Activities of Daily Living Scale (B-ADL)(Baseline; "3 months follow up"; "up to 24 weeks")
- Adaptation of the Psychosocial Support Questionnaire(Baseline; "3 months follow up"; "up to 24 weeks")
- General Health Questionnaire(Baseline; "3 months follow up"; "up to 24 weeks")
- Centre for Epidemiological Studies Depression Scale(Baseline; "3 months follow up"; "up to 24 weeks")
研究者
Prof. Dr. Eduardo J Fernández Rodríguez
Professor
University of Salamanca