Feasibility Study of Project Carer Matters for Family Caregivers of Persons With Dementia

NCT05205135 | Unknown

• 1 other identifier: GERI1626
• Study Type: observational
• Target: 55
• Locations: 1 country
• Sites: 1

Brief Summary

The study uses the Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework to assess the Carer Matters programme for dementia caregivers in Singapore. A parallel mixed-methods study design is applied to assess the programme's feasibility and effectiveness.

Conditions

Caregivers; Caregiver Burden; Caregiver Burnout; Dementia

Keywords

Feasibility studies; Caregiver; Nursing; Older person; Singapore

Outcome Measures

Primary Outcomes (4)

• Number of participants recruited into programme

  Reach of Carer Matters - Whether Carer Matters Programme affects target population of caregivers. Data collected from programme logs of caregivers recruited not programme and sign-up rates for programmes recommended to participants

  Data will be collected over one year, the duration of the first year of the intervention.

• Self-reported anxiety scores of CARERS programme participants

  Whether Carer Matters Programme brings about the desired effects in caregiver participants - Reduced anxiety. Data collected through HADS tool administered to caregivers attending CARERS programme.

  Data will be collected over one year, the duration of the first year of the intervention.

• Self-reported depression scores of CARERS programme participants

  Whether Carer Matters Programme brings about the desired effects in caregiver participants - Reduced depressive symptoms. Data collected through HADS tool administered to caregivers attending CARERS programme.

  Data will be collected over one year, the duration of the first year of the intervention.

• Self-reported dementia knowledge scores of dementia programme participants

  Whether Carer Matters Programme brings about the desired effects in caregiver participants - Increased dementia knowledge. Data collected through dementia knowledge test designed by team, administered to caregivers attending dementia programme.

  Data will be collected over one year, the duration of the first year of the intervention.

Study Arms (6)

Caregivers

Caregivers of persons with dementia supported by the Carer Matters programme

Behavioral: SHARE Programme

Nurses

Ward nurses who collaborate with the Carer Matters team

Behavioral: SHARE Programme

Programme facilitators

Facilitators of programmes organised through Carer Matters

Behavioral: SHARE Programme

Care Support Nurses

Nurses trained to deliver support and assistance as part of Carer Matters Programme

Behavioral: SHARE Programme

Community partners and hospital leaders

Key policy makers and community leaders who partner with the Carer Matters programme to ensure its success

Behavioral: SHARE Programme

Other clinicians (e.g. Social workers, Physiotherapists, doctors)

Other clinicians who refer caregivers to the Carer Matters programme

Behavioral: SHARE Programme

Interventions

SHARE Programme BEHAVIORAL

SHARE is Singapore's first 'Hospital-to-Home' programme to screen, identify and provide targeted interventions for caregivers at-risk of caregiver burden. Our interventions include psychosocial and emotional preparation of caregivers' mental resilience, and long-term engagement initiatives to connect caregivers into an integrated network of peers and community support services, delivered by programme facilitators and care support nurses. Key stakeholders essential for the success of share include ward nurses and clinicians who refer caregivers to SHARE and community partners and hospital leaders. This study seeks to recruit all of these individuals to better understand their experience of SHARE and the facilitators and barriers to its successful rollout to better evaluate the feasibility of SHARE in the hospital to home setting.

Care Support Nurses; Caregivers; Community partners and hospital leaders; Nurses; Other clinicians (e.g. Social workers, Physiotherapists, doctors); Programme facilitators

Eligibility Criteria

• Age: 21 Years - 99 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

All eligible caregivers whose person with dementia are admitted into the pilot wards and receive the SHARE programme will be invited to participate All eligible ward nurses and clinicians who work in pilot wards where SHARE is ongoing will be invited to participate. All eligible care support nurses and programme facilitators will be invited to participate, as they are all involved in SHARE. Eligible hospital leaders and community leaders who have worked with the SHARE programme will be invited to participate.

You may qualify if:

• For family caregivers: (1) Above 21 years of age, (2) The main family caregiver of the PwD receiving home-based care, (3) Able to converse in English language, and (4) Willing to have their interviews audio-recorded.
• For ward nurses: (1) Above 21 years of age, (2) Working as a nurse at one of the inpatient wards piloting SHARE, (3) Referred family caregivers to complete the brief screening tool, and (4) Willing to have their interviews audio-recorded.
• For care support nurses: (1) Above 21 years of age, (2) Involved in either providing direct or indirect patient care to a PwD and their caregiver through SHARE, and (3) Willing to have their interviews audio-recorded.
• For community leaders and hospital leaders: (1) Above 21 years of age, (2) Key decision makers or in leadership positions within the hospital or Working in institutions where there are ongoing or potentially future partnerships with TTSH to provide care services , and (3) Willing to have their interviews audio-recorded.
• For other clinicians: (1) Above 21 years of age, (2) Working as a clinicians at one of the inpatient wards piloting SHARE, (3) Referred family caregivers to complete the brief screening tool, and (4) Willing to have their interviews audio-recorded.

Sponsors & Collaborators

• Tan Tock Seng Hospital: lead
• Geriatric Education and Research Institute: collaborator

Study Sites (1)

Tan Tock Seng Hospital

Singapore, Singapore

Location

Related Publications (2)

• Wu LT, Glass GF Jr, Chew EYH, Ng EJY, Chan EY. Developing a theory of change to guide the design and implementation of a caregiver-centric support service. BMC Health Serv Res. 2024 Dec 18;24(1):1620. doi: 10.1186/s12913-024-11931-y.

  PMID: 39695613 DERIVED

• Chan EY, Wu LT, Ng EJY, Glass GF Jr, Tan RHT. Applying the RE-AIM framework to evaluate a holistic caregiver-centric hospital-to-home programme: a feasibility study on Carer Matters. BMC Health Serv Res. 2022 Jul 19;22(1):933. doi: 10.1186/s12913-022-08317-3.

  PMID: 35854296 DERIVED

MeSH Terms

Conditions

Caregiver Burden; Dementia

Condition Hierarchy (Ancestors)

Stress, Psychological; Behavioral Symptoms; Behavior; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurocognitive Disorders; Mental Disorders

Study Officials

• Ee Yuee Chan, PhD

  Tan Tock Seng Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 29, 2021
• First Posted: January 24, 2022
• Study Start: March 1, 2021
• Primary Completion: November 30, 2021
• Study Completion: February 1, 2022
• Last Updated: January 24, 2022

Record last verified: 2022-01

Data Sharing

• IPD Sharing: Will not share

Locations

SG (1)