Supporting Older Spousal Caregivers Who Care for a Partner With Multimorbidity at Home

NCT06229431 | Active Not Recruiting

• 1 other identifier: ErstaSUC3
• Study Type: interventional
• Target: 180
• Locations: 1 country
• Sites: 1

Brief Summary

Research problem and specific questions: This project aims to evaluate the person-centred Carer Support Needs Assessment Tool Intervention (C SNAT-I), in Swedish "Ditt behov av stöd". The project goal is to promote preparedness, quality of life and health for older spousal caregivers (≥65 years) who care for a partner (≥65years) with multimorbidity at home. Data, method and plan for realisation: With a cluster randomised controlled design in a primary health care context the C SNAT-I will be tested. The intervention consists of two parts, an evidence-based tool and a personcentred five stage process to proactively identify and address caregivers needs: 1) introduction of the CSNAT tool comprising 16 questions about the need for support, 2) caregiver consideration and reflection on support needs, 3) an assessment conversation between the caregiver and a nurse, 4) a shared action plan is formed and 5) continuous review of support needs and action plan. Primary health care centres will be randomized to intervention or control arm. Multiple research methods for data collection and analyses will be used. In total 180 caregivers will be recruited for one year and data collected at baseline, 8 and 16 weeks later.

Conditions

Family Members; Home Care Services; Support, Family

Outcome Measures

Primary Outcomes (1)

• The Preparedness for Caregiving Scale (PCS)

  The scale will be used to measure changes in caregiver's self-reported predparedness for caregiving. The scale consists of eight items answered on a five-point Likert-type response scale ranging from 'Not at all prepared' (0) to 'Very well prepared' (4). The responses are summed into a total score with a possible range between 0 and 32.

  Data will be collected at baseline (before the CSNAT-I) and follow-up, 8 and 16 weeks after completed CSNAT-I.

Secondary Outcomes (3)

• The Quality of Life in Life-Threatening Illness Family caregiver version (QOLLTI-F)

  Data will be collected at baseline (before the CSNAT-I) and follow-up, 8 and 16 weeks after completed CSNAT-I.

• General health subscale from RAND-36

  Data will be collected at baseline (before the CSNAT-I) and follow-up, 8 and 16 weeks after completed CSNAT-I.

• The Carer Support Needs Assessment Tool (CSNAT)

  Data will be collected at baseline (before the CSNAT-I) and follow-up, 8 and 16 weeks after completed CSNAT-I.

Study Arms (2)

CSNAT intervention

EXPERIMENTAL

District nurses will be trained to use the CSNAT-I on family caregivers to persons with multimorbidity at home.

Other: The Carer Support Needs Assessment Tool Intervention (CSNAT-I)

Control

NO INTERVENTION

Standard support and care.

Interventions

The Carer Support Needs Assessment Tool Intervention (CSNAT-I) OTHER

The CSNAT tool The tool includes 16 questions about the need for more support. The five-stage person-centered approach In the present study, the CSNAT-I consist of at least two meetings between the older spousal caregiver and the district nurse,1-4 weeks apart, following 5 stages: 1. Introduction of the CSNAT tool as a conversation starter. 2. Time for the spousal caregiver to consider the questions in which more support is needed. 3. An assessment conversation takes place. 4. A shared action plan is formed based on the assessment conversation. 5. Continuous shared review of the action plan.

CSNAT intervention

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• Older spousal caregivers, who cares for a partner (≥65 years) diagnosed with multimorbidity and admitted to primary home health care, are to be included in the study. Caregivers should be ≥65 years and understand and speak the Swedish language.

Sponsors & Collaborators

• Ersta Sköndal University College: lead

Study Sites (1)

Marie Cederschiöld University

Stockholm, Sweden

Location

Study Officials

• Anette Alvariza, PhD

  Marie Cedershiöld University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Project coordinator

Model Details: This intervention study has a cluster-randomised design developed in accordance with the CONSORT statement

Study Record Dates

• First Submitted: January 19, 2024
• First Posted: January 29, 2024
• Study Start: January 1, 2024
• Primary Completion: November 30, 2025
• Study Completion (Estimated): December 31, 2026
• Last Updated: February 20, 2024

Record last verified: 2024-02

Data Sharing

• IPD Sharing: Will not share

Locations

SE (1)