None listed
Conditions
Brief summary
Previous research has identified the need for urgent interventions to improve quality of care for people accessing residential respite care (i.e. ‘recipients’) and their carers (Sarris et al., 2020; Temple et al. 2020; Willoughby et al., 2018 ) . The 3C Program aims to respond to these concerns by addressing the following three key areas to improve the quality of residential respite care: Comprehensive assessment that identifies health issues and care needs Care planning that is tailor-made for the needs of the individual (and their carer), (Clinical) Communication during handover/admission to respite care that will be aided by the novel use of user-friendly video technology (These are the "3 Cs"). The objectives of this research project are to develop, implement and evaluate the 3C Program for respite care recipients and their carers who are planning to or accessing residential respite care. The project team anticipates that this form of improved respite planning will lead to better outcomes for respite recipients and their carers, such as: improved quality of life and wellbeing, improved experiences with respite care and the transitions between home/respite, consumers identifying a greater likelihood of using respite care again in the future and reductions in unnecessary hospitalisations during respite care.
Interventions
Whilst not strictly an intervention study in the conventional sense, the project possesses similar qualities. One component of this research project is the implementation of the 3C program. The 3C program is a novel method of assisting the handover of care from the community to residential respite. It involves the undertaking of a comprehensive geriatric assessment (CGA) by a health professional (likely a nurse), which will identify areas of health risk or concern and clinical referrals will be
Whilst not strictly an intervention study in the conventional sense, the project possesses similar qualities. One component of this research project is the implementation of the 3C program. The 3C program is a novel method of assisting the handover of care from the community to residential respite. It involves the undertaking of a comprehensive geriatric assessment (CGA) by a health professional (likely a nurse), which will identify areas of health risk or concern and clinical referrals will be made where necessary. Following this, a care plan will be developed and personalised video vignettes produced, which will be handed over to Residential Aged Care Facility (RACF) staff where a participant is accessing residential respite. Care staff will be trained on how to read and access the 3C Program materials. The research team will not be involved with the provision of care once handover of materials has occurred. RACF staff will provide care to participants in accordance with their standard day-to-day care practices, while referring to the 3C Program resources as needed. Standard day-to-day care is defined as RACFs providing the care they would be providing to any individuals accessing residential respite regardless of whether they are participating in the 3C Program or not. Participants in this project will complete a CGA, and they will be video recorded for the video vignettes. They will also answer some follow up questions after their respite stay has concluded. Adherence and fidelity of RACF staff to the intervention (i.e. referring to and using the 3C Program materials) will not be assessed or monitored during the program implementation but will be collected during the evaluation phase when staff feedback about the 3C Program process and implementation will be collected. Staff will be encouraged to read the care plans and watch the video vignettes for each participant at the start of their residential respite stay. Video vignettes may also be used for reference throughout the participant's respite stay. As we are examining the feasibility of using these video vignettes (and the wider 3C Program) in residential respite care, it is ultimately up to RACF staff to decide when and where it is appropriate to reference them. However, we will encourage staff to consult the video vignettes for a range of purposes. These purposes may include: understanding how to best manage distress or neuropsychiatric symptoms, identifying specific risks and negotiating strategies to minimise them, gaining an understanding of the respite-seeker's personality/likes/interests in order to best carry out day-to-day interactions with them.
Sponsors
National Ageing Research Institute
Study design
Allocation
Non-randomised trial
Primary purpose
Treatment
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Participants must be over 18 years of age. Dyads will consist of a person accessing residential respite and their informal carer. All participants must be accessing respite care from, be the carer of someone accessing residential respite, or be employed by, a Victorian RACF. Participants will not be excluded if they do not have the capacity to provide informed consent; consent by proxy may be provided by their carer.
Exclusion criteria
Participants will not be excluded on the basis of English language proficiency. However, the research project will be conducted in English without the availability of certified translators. Therefore individuals (or their medical decision maker) who lack the ability to provide informed consent based on their English language proficiency or cannot meaningfully engage with the research project will be excluded. There are no other exclusion criteria for participation aside from not meeting the inclusion criteria, or what is described in the above paragraph.
Outcome results
None listed