The Association Between Assistive Device Approval, Rental or Purchase Types, Long-Term Care Service Utilization, and Family Caregiver Burden in Taiwan: A Secondary Data Analysis of the Long-Term Care Service Database
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 161,771
- 试验地点
- 1
- 主要终点
- Assistive Device Approval Status
研究概览
简要总结
The goal of this observational study is to examine the associations between assistive device approval and acquisition modality (rental or purchase), long-term care service utilization, and family caregiver burden among individuals receiving long-term care services in Taiwan. The study will use de-identified nationwide long-term care administrative data from 2021 to 2022.
The main questions it aims to answer are:
- What individual, disability-related, socioeconomic, residential, and caregiving factors are associated with assistive device approval, the number and type of approved devices, and rental or purchase modality?
- Are assistive device approval and utilization patterns associated with the use of formal long-term care services and with family caregiver burden?
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Individuals with a valid long-term care case record (CA100) in Taiwan's long-term care database between 2021 and
- •Individuals with at least one valid assessment or care plan record (CA110) that can be linked to the corresponding CA100 record.
- •Availability of interpretable key study variables, including individual and assessment/care plan identifiers, care plan status, and Case-Mix System (CMS) level or other core disability-related information.
- •For analyses of assistive device utilization, the presence or absence of an assistive device record (QD113) and its approval status must be identifiable.
排除标准
- •Records with missing key linkage variables that prevent establishment of relationships among individuals, care plans, assistive device records, or service utilization records.
- •Records identified as invalid, cancelled, test records, or records whose validity cannot be determined.
- •Records in which primary study variables cannot be interpreted.
- •Records with clearly implausible values for variables such as individual age, caregiver age, CMS level, number of assistive devices, or service utilization that cannot be corrected according to prespecified data-cleaning rules.
- •Records with inconsistent or contradictory date information that prevents valid determination of an index date or observation period.
结局指标
主要结局
Assistive Device Approval Status
时间窗: During the 2021-2022 observation period
Whether an individual had an approved assistive device record, determined using the approval status recorded in the Assistive Technology File (QD113). Associations with disability severity, sociodemographic characteristics, residential characteristics, and caregiving conditions will be examined.
Formal Long-Term Care Service Utilization
时间窗: During the 2021-2022 observation period
Utilization of formal long-term care services, including total service utilization and category-specific utilization of care services, professional services, transportation, respite care, meal services, and other long-term care services. Associations with assistive device approval, number of devices, acquisition modality, and device category will be examined.
Family Caregiver Burden
时间窗: During the 2021-2022 observation period
Family caregiver burden will be assessed using available administrative-record indicators, including sleep disturbance, physical burden, competing caregiving demands, distress related to care-recipient behaviors, and inability to cope with caregiving stress. A cumulative caregiver burden indicator will also be derived from the number of burden items endorsed.
次要结局
- Assistive Device Acquisition Modality(During the 2021-2022 observation period)
- Number and Category of Approved Assistive Devices(During the 2021-2022 observation period)