Digital Support for Quality Assurance in 24-hour Caregiving at Home

NCT04581538 | Completed

• 1 other identifier: AAL01
• Study Type: interventional
• Target: 72
• Locations: 1 country
• Sites: 4

Brief Summary

Due to the demographic change, there is a growing demand for professional and institutional care, as well as the need for 24-hour home care. Care receivers range from elderly people, in need of assistance with household activities only, to those with a comprehensive need for round-the-clock care. Caregivers commute between Austria and their respective home country (mainly Slovakia, Hungary and Romania) in a two or more weeks cycle. Burdensome working conditions arise mainly due to language problems, isolated coexistence with a person affected by e.g. dementia, in combination with limited professional education and quality control. The aim of the project is the development and evaluation of a software solution for the support and quality assurance of 24-hour home care. The application software contains:

1. 1.an information and education portal (e-learning platform)
2. 2.a comprehensive electronic care documentation
3. 3.an integrated emergency management
4. 4.links to translation pages or networking opportunities with members and relatives

Conditions

Age Problem

Keywords

elderly; 24-hour home care; e-learning; digital care documentation; emergency management; active and assisted living

Outcome Measures

Primary Outcomes (3)

• ASCOT (Adult Social Care Outcome Toolkit) SCT4 value - Summary Score of eight ASCOT Domain Scores related to Care Receivers

  Metric scale. Standardized metric score ranging from -0.17 to 1, where "0" is equivalent to dead and "1" is ideal.

  Baseline

• ASCOT (Adult Social Care Outcome Toolkit) SCT4 value - Summary Score of eight ASCOT Domain Scores related to Care Receivers

  Metric scale. Standardized metric score ranging from -0.17 to 1, where "0" is equivalent to dead and "1" is ideal.ASCOT Domain Scores related to Care Receivers

  3 Month Follow-Up

• ASCOT (Adult Social Care Outcome Toolkit) SCT4 value - Summary Score of eight ASCOT Domain Scores related to Care Receivers

  Metric scale. Standardized metric score ranging from -0.17 to 1, where "0" is equivalent to dead and "1" is ideal.ASCOT Domain Scores related to Care Receivers

  12 Month Follow-Up

Secondary Outcomes (19)

• ASCOT (Adult Social Care Outcome Toolkit) SCT4 value - Summary Score of seven ASCOT Instrument for Caregivers Scores

  Baseline, 3 Month Follow-Up, 12 Month Follow-Up

• Project specific self-rated satisfaction and usefulness related to electronic care documentation, professional skills and qualification, and interconnectedness and communication - Summary Score of 14 project specific questions for Caregivers

  Baseline, 3 Month Follow-Up, 12 Month Follow-Up

• Project specific self-rated satisfaction and usefulness related to electronic care documentation, care quality and conditions, and interconnectedness and communication - Summary Score of 7 project specific questions for Relatives of Care Receivers

  Baseline, 3 Month Follow-Up, 12 Month Follow-Up

• Project specific self-rated satisfaction and usefulness related to electronic care documentation, and interconnectedness and communication - Summary Score of 4 project specific questions for Nurses

  Baseline, 3 Month Follow-Up, 12 Month Follow-Up

• ASCOT (Adult Social Care Outcome Toolkit) SCT4 - Domain Score for Personal Cleanliness and Comfort related to Care Receivers

  Baseline, 3 Month Follow-Up, 12 Month Follow-Up

Other Outcomes (3)

• Self-perceived health of Care Receivers as specified by the European Core Health Indicators (ECHI short list)

  Baseline, 3 Month Follow-Up, 12 Month Follow-Up

• Frequency of change of Caregivers

  Metric scale. Annualized rate, recorded by investigator.

• Geriatric Depression Scale (GDS) Geriatric Depression Scale (GDS) of Care Receivers

  Baseline, 3 Month Follow-Up, 12 Month Follow-Up

Study Arms (3)

Control group

NO INTERVENTION

This arm is being provided with continued home care as it was before

E-learning platform & networking platform

EXPERIMENTAL

This arm is being provided with the e-learning platform and networking platform as components of the 24-h-quAALity package

Device: Intervention of parallel arm 2

Entire intervention

EXPERIMENTAL

This arm is being provided with the entire intervention (e-learning platform, networking platform and digital care documentation)

Device: Intervention of parallel arm 3

Interventions

Intervention of parallel arm 2 DEVICE

This intervention consists of the e-learning platform and the networking platform from the newly developed client-server software solution "24-h-QuAALity". The e-learning platform offers concise evidence-based information on common clinical patterns, as well as examples of assistance, physical activity, nutrition and daily routine provided in the caregivers' mother tongues.The caregivers use the e-learning content according to the needs of their clients and their caring skills. After completing the e-learning courses they do a test to prove their knowledge. The networking platform supports caregivers in communicating with other caregivers and relatives of the care receiver, with special consideration of language barriers. The caregivers use the networking platform primarily to get information or exchange it, if there are uncertainties in the care.

E-learning platform & networking platform

Intervention of parallel arm 3 DEVICE

Intervention Description: This interventions represents the entire 24-h-QuAALity package consisting of the e-learning platform and networknig platform as specified under "intervention 1" and the digital care documentation from the newly developed client-server software solution "24-h-QuAALity". The digital care documentation aims at supporting caregivers in managing their daily tasks and facilitates exchange with other health professionals and palliative supply. The caregivers use the care documentation every day. They describe the caring and household activities they have done by their clients. The integrated emergency management empowers caregivers with lifesaving first aid skills and knowledge including an integrated voice communication and emergency call system. The emergency management system is used by caregivers when an emergency happens in which life-threatening diseases have to be managed.

Entire intervention

Eligibility Criteria

• Age: 55 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Household with 24-hour-care service
• Household located in the federal territory of Austria
• Caregiver able and willing to comply with all study related procedures and giving informed consent
• Age 55+ years for care receivers

You may not qualify if:

• Death of care receiver
• Termination of 24-hour-care, due to other reasons than death of care receiver
• Interruption of 24-hour-care for at least 8 weeks

Sponsors & Collaborators

• Peter Putz: lead
• NOUS Wissensmanagement GmbH: collaborator
• Johanniter Österreich Ausbildung und Forschung gem. GmbH: collaborator
• CARITAS Rundum zu Hause betreut: collaborator
• Österreichischer Gesundheits- und Krankenpflegeverband: collaborator
• ipb - Institut für Personenbetreuung: collaborator
• Home-Care-Management ALEXANDER WINTER e.U.: collaborator

Study Sites (4)

Home-Care-Management ALEXANDER WINTER e.U.

Breitstetten, 2285, Austria

Location

CARITAS Rundum zu Hause betreut

Vienna, 1040, Austria

Location

ipb - Institut für Personenbetreuung

Vienna, 1090, Austria

Location

Johanniter Österreich Ausbildung und Forschung gem. GmbH

Vienna, 1210, Austria

Location

Related Publications (1)

• Haslinger-Baumann E, Putz P, Hauser C, Kupka-Klepsch E, Sturm N, Werner F. Digital support for quality assurance in 24-hour caregiving at home: a randomized controlled trial investigating the effects on quality of life and professional skills of paid 24h-caregivers. BMC Geriatr. 2023 Nov 17;23(1):750. doi: 10.1186/s12877-023-04454-4.

  PMID: 37974112 DERIVED

Related Links

• Project description of funding organization

MeSH Terms

Conditions

Motor Activity

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Elisabeth Haslinger-Bauman, PhD

  FH Campus Wien, University of Applied Sciences

  PRINCIPAL INVESTIGATOR

• Franz Werner, PhD

  FH Campus Wien, University of Applied Sciences

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Research & Development

Model Details: Three parallel arms investigate 1) the control group, where home care is being continued as before, 2) combined effects of the e-learning platform and the networking platform, and 3) effects of the entire intervention (e-learning platform, networking platform, digital care documentation). The interventions last 12 months, with effects being investigated in two follow-ups after three and 12 months. The main one-sided alternative hypothesis, assumes a positive trend from 1 ) towards 3) in the outcomes studied. Planned contrasts are: 1. control vs. experimental arm 3 (indicating effects of the entire experimental intervention) 2. arm 2 vs. arm 3 (indicating whether arm 3 has additional effects as compared to arm 2) Planned contrasts are ignored, if the overall null hypothesis is not rejected in the ANOVA.

Study Record Dates

• First Submitted: September 28, 2020
• First Posted: October 9, 2020
• Study Start: October 5, 2020
• Primary Completion: October 31, 2021
• Study Completion: October 31, 2021
• Last Updated: March 17, 2022

Record last verified: 2022-03

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, ANALYTIC CODE
• Time Frame: Starting 6 months after publication
• Access Criteria: Researchers for non-commercial purposes

Locations

AU (4)