Explore the Sharing Model Intervene to Improve the Knowledge, Attitudes, Service Intentions and Service Start-up Effects of the Eight Major Non-cancer Disease End-stage Caregivers on Well-being and Palliative Care

NCT05407272 | Completed

• 1 other identifier: WSPan
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Since September 1st, 2009, Taiwan has begun to pay attention to the care of patients with organ failure, dementia and the elderly, and brought eight of non-cancer terminal patients into health insurance subsidies to implement the goal of universal palliative care and local aging. Taiwan has entered the aged society since March 2018, become the heavy burden of expenditure in Taiwan because of the health care needs and costs associated with the rapid aging of the population. With advanced medical technology, when facing inevitable death situation, should not use too much medical treatment on terminally ill patients. The waste of medical resources and bring both patients and family members so much pain. In Taiwan, people have misconception about tranquil palliative care. The low rate of home palliative care for non-terminal cancer patients. The purpose of this study is investigating the eight non-cancer terminal caregivers' knowledge, attitudes and service intentions of palliative care, and getting the result by research intervention. In this study, a randomized experimental research design was applied by two-group pre-and post-test. The targets are the eight non-cancer terminal caregivers in a home care institution of a regional teaching hospital located in Yilan. Targets' ID end with odd numbers are in experimental group received shared mode intervention, and even numbers are in control group received home routine care. The experimental group was implementing measures of weekly shared mode intervention in 20 to 60 minutes for six weeks; the control group started to implement measures of home care medical instructions booklet in the third week. The content of the outcome measurement questionnaire includes: basic information of the eight non-cancer terminal caregivers, the palliative care knowledge scale, the palliative care attitude scale, and palliative care service initiation intention scale. Data were analyzed by statistical methods such as descriptive analysis, independent sample t-test, paired-samples t-test, Pearson correlation analysis and one-way ANOVA.

Conditions

Alzheimer Disease, Late Onset; Stroke; Heart Failure; Pulmonary Disease, Chronic Obstructive; Cystic Fibrosis Pulmonary Exacerbation; Chronic Liver Disease and Cirrhosis; Kidney Failure, Acute; Kidney Failure, Chronic

Keywords

knowledge of palliative care service; attitude of palliative care service; intention of palliative care service; initiation of palliative care service; home care

Outcome Measures

Primary Outcomes (1)

• the knowledge, attitudes, service intentions and service start-up effects of the eight major non-cancer disease end-stage caregivers on well-being and palliative care

  The content of the outcome measurement questionnaire includes: basic information of the eight non-cancer terminal caregivers, the palliative care knowledge scale, the palliative care attitude scale, and palliative care service initiation intention scale. Data were analyzed by statistical methods such as descriptive analysis, independent sample t-test, paired-samples t-test, Pearson correlation analysis and one-way ANOVA.

  six weeks

Study Arms (2)

Shared mode intervention group (experimental group)

EXPERIMENTAL

Methods of collecting cases The subjects whose identity card numbers last in odd numbers are in the experimental group and even numbers are in the control group. They are randomly divided into two groups - the shared mode intervention group (experimental group) and the home care routine care group (control group). The experimental group was given a weekly sharing mode intervention for six weeks, 20-60 minutes per week; the control group was given the home health education manual in the third week.

Other: Health Education Manual

home care routine care group (control group)

ACTIVE COMPARATOR

Methods of collecting cases The subjects whose identity card numbers last in odd numbers are in the experimental group and even numbers are in the control group. They are randomly divided into two groups - the shared mode intervention group (experimental group) and the home care routine care group (control group). The experimental group was given a weekly sharing mode intervention for six weeks, 20-60 minutes per week; the control group was given the home health education manual in the third week.

Other: manual

Interventions

Health Education Manual OTHER

A health education manual based on a shared model

Shared mode intervention group (experimental group)

manual OTHER

routine care

home care routine care group (control group)

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Caregivers of terminally ill patients with eight major non-cancer diseases diagnosed by a physician.
• The caregiver must be at least 18 years old and literate.
• The caregiver has a clear awareness and can communicate in Mandarin or Taiwanese

You may not qualify if:

• Diagnosed by a physician as a terminally ill patient with eight major non-cancer diseases.
• Clear awareness and able to communicate in Mandarin or Taiwanese.

Sponsors & Collaborators

• Wen-Shiou Pan: lead

Study Sites (1)

Wen-Shiou Pan

Yilan, 260, Taiwan

Location

MeSH Terms

Conditions

Alzheimer Disease; Stroke; Heart Failure; Pulmonary Disease, Chronic Obstructive; Fibrosis; Acute Kidney Injury; Kidney Failure, Chronic

Condition Hierarchy (Ancestors)

Dementia; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Tauopathies; Neurodegenerative Diseases; Neurocognitive Disorders; Mental Disorders; Cerebrovascular Disorders; Vascular Diseases; Cardiovascular Diseases; Heart Diseases; Lung Diseases, Obstructive; Lung Diseases; Respiratory Tract Diseases; Chronic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Renal Insufficiency; Kidney Diseases; Urologic Diseases; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Male Urogenital Diseases; Renal Insufficiency, Chronic

Study Officials

• WEN-SHIOU PAN

  National Taipei University of Nursing and Health

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SEQUENTIAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: National Taipei University of Nursing and Health Sciences

Study Record Dates

• First Submitted: May 30, 2022
• First Posted: June 7, 2022
• Study Start: September 14, 2021
• Primary Completion: February 14, 2022
• Study Completion: May 30, 2022
• Last Updated: June 8, 2022

Record last verified: 2022-06

Data Sharing

• IPD Sharing: Will not share

Locations

TW (1)