The Effects of Integrated Face-to-face Rehabilitation and Telerehabilitation on the Well-being of Family Caregivers

NCT05678946 | Completed

• 1 other identifier: SocialII
• Study Type: observational
• Target: 195
• Locations: 1 country
• Sites: 1

Brief Summary

This controlled, non-randomized study (n=180) explores how participating in rehabilitation services for family caregivers affects the caregivers' mood, perceived quality of life, perceived burden of family care, and overall health. Rehabilitation services for family caregivers funded by the Social Insurance Institution of Finland (Kela) include two 5-day periods of face-to-face rehabilitation and a 12-week telerehabilitation period, which is based on The Own Path internet intervention and takes place between the face-to-face rehabilitation periods. The observed changes are compared to participating in two other services: 1) Social Holidays for family caregivers and 2) Kela's rehabilitation services for family caregivers and the family members they are caring for (care recipients).

Conditions

Caregivers; Family Caregivers; Informal Caregivers

Keywords

rehabilitation; effects; effectiveness; telerehabilitation; family caregivers; informal caregivers; family caregivers burden

Outcome Measures

Primary Outcomes (1)

• Change from baseline in mood at 5 months and 8 months

  assessed with the Beck's Depression Inventory (BDI-21)

  Baseline (pre-intervention), 5 months (after the intervention), 8 months (3-month follow-up)

Secondary Outcomes (5)

• Change from baseline in Quality of life (QoL) at 5 months and 8 months

  Baseline (pre-intervention), 5 months (after the intervention), 8 months (3-month follow-up)

• Change from baseline in perceived burden of family care (I) at 5 months and 8 months

  Baseline (pre-intervention), 5 months (after the intervention), 8 months (3-month follow-up)

• Change from baseline in perceived burden of family care (II) at 5 months and 8 months

  Baseline (pre-intervention), 5 months (after the intervention), 8 months (3-month follow-up)

• Change from baseline in overall health at 5 months and 8 months

  Baseline (pre-intervention), 5 months (after the intervention), 8 months (3-month follow-up)

• Individual goal achievement

  5 months (after the intervention)

Study Arms (3)

Integrated face-to-face rehabilitation and telerehabilitation

Participation in integrated face-to-face rehabilitation and telerehabilitation services for family caregivers organized by the Social Insurance Institution of Finland (Kela)

Other: Integrated face-to-face rehabilitation and telerehabilitation

Social Holidays

Participation in face-to-face Social Holidays for family caregivers organized by Maaseudun Terveys- ja Lomahuolto (MTLH), a non-profit organization

Other: Social Holidays

Face-to-face rehabilitation

Participation in face-to-face rehabilitation services for family caregivers and the care recipients organized by Kela

Other: Face-to-face rehabilitation

Interventions

Integrated face-to-face rehabilitation and telerehabilitation OTHER

Kela´s integrated face-to-face rehabilitation and telerehabilitation services for family caregivers include two 5-day periods of face-to-face rehabilitation and a 12-week telerehabilitation period between them. It is for those over the age of 18 who work as family caregivers on a daily basis and need support, tools, and coaching to understand and overcome the challenges posed by the care situation. Individual goals based on the GAS method are set, evaluated, and adjusted during the rehabilitation. The service, provided free of charge, is carried out in a Finnish rehabilitation centre and online over a period of 8 months, and it is implemented by a multidisciplinary team of rehabilitation experts. During the 12-week telerehabilitation period, the service providers utilise The Own Path, an acceptance and commitment therapy -based guided web intervention found beneficial for older Finnish family caregivers (Lappalainen et al. 2021). Telerehabilitation is independent of time and place.

Integrated face-to-face rehabilitation and telerehabilitation

Social Holidays OTHER

MTLH's Social Holidays for family caregivers are 5-day holidays in a Finnish hotel, spa, sports institute, or rehabilitation centre. The theme, content, and level of available assistance in Social Holidays vary, and the rehabilitation concept is lighter than that of Kela's rehabilitation services. Social Holidays include full-board accommodation and holiday activities, e.g. lectures, group discussions, instructed exercise, and a pampering treatment. MTLH organises Social Holidays for family caregivers as well as family caregivers and care recipients. The participants cover their travel expenses and pay a fixed sum of €125. Other than that, Social Holidays are provided free of charge. Social Holidays are intended for family caregivers who need recreational activities, rest, and peer support.

Social Holidays

Face-to-face rehabilitation OTHER

Kela's rehabilitation services for family caregivers and the care recipients include three 5-day periods of face-to-face rehabilitation, which are carried out in a Finnish rehabilitation centre over a 10-month period and implemented by a multidisciplinary team of rehabilitation experts. The rehabilitation services for family caregivers and the care recipients are provided free of charge. The service is intended for persons over the age of 18 who work as family caregivers on a daily basis with or without family caregiver support and who need support, tools, and coaching to understand and overcome the challenges posed by the care situation. Individual goals based on the GAS method are set, evaluated, and adjusted during the rehabilitation.

Face-to-face rehabilitation

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Those starting in one of the following services during April 2022 and January 2023: 1. the Kela's integrated face-to-face rehabilitation and telerehabilitation service for family caregivers, 2. the MTLH's face-to-face Social Holidays for family caregivers or 3. the Kela's face-to-face rehabilitation services for family caregivers and care recipients

You may qualify if:

• family caregiver
• being 18 years of age or older
• providing daily care for an adult family member
• participating in one of following:
• the Kela's integrated face-to-face rehabilitation and telerehabilitation service for family caregivers,
• the MTLH's face-to-face Social Holidays for family caregivers or
• the Kela's face-to-face rehabilitation services for family caregivers and care recipients
• willingness to participate in the study

Sponsors & Collaborators

• Social Insurance Institution, Finland: lead

Study Sites (1)

The Social Insurance Institution of Finlad

Helsinki, 00250, Finland

Location

Related Publications (1)

• Lappalainen P, Pakkala I, Lappalainen R, Nikander R. Supported Web-Based Acceptance and Commitment Therapy for Older Family Caregivers (CareACT) Compared to Usual Care. Clin Gerontol. 2022 Jul-Sep;45(4):939-955. doi: 10.1080/07317115.2021.1912239. Epub 2021 Apr 15.

  PMID: 33856279 BACKGROUND

MeSH Terms

Interventions

Telerehabilitation

Intervention Hierarchy (Ancestors)

Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Health Services; Health Care Facilities Workforce and Services; Telemedicine; Delivery of Health Care; Patient Care Management; Health Services Administration

Study Officials

• Saija Karinkanta, PhD

  The Social Insurance Institution of Finland (Kela)

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 7, 2012
• First Posted: January 10, 2023
• Study Start: April 11, 2022
• Primary Completion: August 31, 2023
• Study Completion: August 31, 2023
• Last Updated: December 4, 2024

Record last verified: 2024-11

Data Sharing

• IPD Sharing: Will not share

Locations

FI (1)