Effects of Peer Mentoring on Caregivers of Patients With Acquired Brain Injury

NCT04851431 | Completed Phase 2

• 1 other identifier: 1543747
• Study Type: interventional
• Target: 41
• Locations: 1 country
• Sites: 1

Brief Summary

Family caregivers often take on the demands of long-term caregiving after ABI. Early efforts to prepare family caregivers for the caregiving role after discharge from acute ABI inpatient rehabilitation may be beneficial in many ways. This study will look at the impact of participation in a one-to-one peer mentor program on the use of family support services and caregivers' emotional health and well-being (depression symptoms, stress). Participants in this study will include caregivers of patient admitted to the Shepherd Center ABI inpatient rehabilitation unit. Caregivers will be randomly selected to participate in the one-to-one mentor program. The program will include visits with a peer mentor who is the caregiver of an individual with an acquired brain injury. Participants will be able to choose a peer mentor that matches their personal situation and preferences. They will meet with the peer mentor about once a week during the patient's stay at Shepherd Center and may continue with phone calls up to 30 days post-discharge. Participants will be asked to complete a brief evaluation after each peer mentor interaction to determine the value of the interactions and their interest in continuing visits. Participants will be asked to take part in three interviews that will last 10-15 minutes. The first will be within the first two weeks at Shepherd Center and the second will be a few days after discharge. A third interview will be conducted by phone about 30 days post discharge.

Conditions

Acquired Brain Injury; Family Members

Keywords

Peer-to-peer mentoring in self management; Acquired Brain Injury; Family Caregivers; Caregiver stress and burden

Outcome Measures

Primary Outcomes (3)

• Participation in family support services

  Number of peer support meetings, family orientation classes, and caregiver self-management classes attended by family caregivers during the inpatient stay.

  Attendance documented for all classes and meetings held during patients' inpatient stay; average inpatient length of stay is 52 days

• Change in Kingston Caregiver Stress Scale (KCSS) scores

  Caregiver stress and burden; scores range from 10-50; higher score reflects higher stress

  1) baseline, at time of enrollment in the study; 2) within 72 hours of discharge to home; 3) 30-days post-discharge

• Change in Patient Health Questionnaire - 9 (PHQ-9) scores

  Caregiver depressive symptoms; scores range from 0-27; higher score reflects higher depression

  1) baseline, at time of enrollment in the study; 2) within 72 hours of discharge to home; 3) 30-days post-discharge

Study Arms (2)

One-to-One Peer Mentoring

EXPERIMENTAL

Caregiver will be matched based on characteristics such as age, date of patient injury, level of patient injury, cause of patient injury, marital status, work status before and after patient injury, interests, and leisure activities. After participant is matched with a peer mentor, they will be required to have at least one weekly one-to-one interaction from time of match until 30 days post- discharge.

Behavioral: one-to-one peer mentoring

Usual Care

ACTIVE COMPARATOR

Participants received the usual discharge planning and family support services offered by the ABI program. These services include nurse instruction in care routines, case management support for discharge, peer support services, referral to family counseling and community services as indicated, and general information resources about brain injury. Participants in both the intervention and usual care groups also had access to the online peer support community created for ABI caregivers (facebook.com/shepherdbi.peers). In addition, usual care participants could request one-to-one visits with peer mentors and, indeed, most usual care participants received at least one peer mentoring visit.

Behavioral: one-to-one peer mentoring

Interventions

one-to-one peer mentoring BEHAVIORAL

Weekly meetings with a peer family caregiver

One-to-One Peer Mentoring; Usual Care

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patient admitted for rehabilitation off acquired brain injury Planned discharge to home Family caregiver aged 18 years or older English-speaking

You may not qualify if:

• Discharge location is not home

Sponsors & Collaborators

• Shepherd Center, Atlanta GA: lead

Study Sites (1)

Shepherd Center

Atlanta, Georgia, 30309, United States

Location

MeSH Terms

Conditions

Brain Injuries; Caregiver Burden

Condition Hierarchy (Ancestors)

Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Craniocerebral Trauma; Trauma, Nervous System; Wounds and Injuries; Stress, Psychological; Behavioral Symptoms; Behavior

Study Design

• Study Type: interventional
• Phase: phase 2
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Director Emeritus, Virginia C Crawford Research Institute

Model Details: randomized controlled trial

Study Record Dates

• First Submitted: April 8, 2021
• First Posted: April 20, 2021
• Study Start: January 8, 2019
• Primary Completion: January 30, 2021
• Study Completion: January 30, 2021
• Last Updated: April 20, 2021

Record last verified: 2021-04

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)