Interdisciplinary Psychoeducational Intervention Programme for Caregivers of Dependent Older Adults
- Conditions
- Dependent Older PeopleFamily CaregiverInterdisciplinaryInterventionPsychoeducationalOccupational TherapyPsychology
- Interventions
- Behavioral: Interdisciplinary Psychoeducational ProgrammeBehavioral: Health Education Programme
- Registration Number
- NCT06326151
- Lead Sponsor
- University of Salamanca
- Brief Summary
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.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 70
- 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.
- Lack of literacy or significant deficits in language comprehension and being a formal carer -
- Receiving financial remuneration for caring for the sick person.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Interdisciplinary Psychoeducational Programme 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. Health Education Programme 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.
- Primary Outcome Measures
Name Time Method Mini Mental State Examination (MMSE) 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 Baseline; "3 months follow up"; "up to 24 weeks" degree of dependency in activities of daily living
Caregiver Burden Interview Baseline; "3 months follow up"; "up to 24 weeks" perceived overload
- Secondary Outcome Measures
Name Time Method World Health Organization Assessment of Quality of Life - AGE (WHOQOL-AGE) Baseline; "3 months follow up"; "up to 24 weeks" Quality of Life
The Bayer-Activities of Daily Living Scale (B-ADL) Baseline; "3 months follow up"; "up to 24 weeks" functional disabilities in elderly patients with mild to moderate dementia or cognitive impairment
Adaptation of the Psychosocial Support Questionnaire Baseline; "3 months follow up"; "up to 24 weeks" perceived psychosocial support
General Health Questionnaire Baseline; "3 months follow up"; "up to 24 weeks" perceived health
Centre for Epidemiological Studies Depression Scale Baseline; "3 months follow up"; "up to 24 weeks" depressive symptoms
Trial Locations
- Locations (1)
Eduardo Jose Fernandez Rodriguez
🇪🇸Salamanca, Castilla Y Leon, Spain