Stroke Circulatory System Stroke
Conditions
Interventions
Participating Stroke Association services across England, Wales and Northern Ireland form independent clusters (N=36) to be randomised to either intervention or control in a 1:1 allocation ratio. Rand
it is a carer-led, practitioner-facilitated framework for how individualised support should be provided. CSNAT-Stroke training and intervention covers: initial contact with carers
the use of a needs assessment tool
an assessment conversation
a shared action and review plan.
Carers will receive support from Stroke Association as per cluster allocation and will be invited to enrol in OSCARSS after the first face-to-face sup
Sponsors
University of Manchester
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Clusters/Staff: OSCARSS involves Stroke Association services and staff within those services whom: 1. Offer at least one face to face contact with carers as part of their service; 2. Have capacity to participate in the research; 3. For whom it would be meaningful and useful to perform a holistic carer needs assessment (some services only deliver a specific type of support) 4. Are likely to have at least five new client referrals per month. 'Clients' include both stroke survivors (who are likely to have associated carers ) and carers directly; 5. Are considered ‘independent’ of other clusters. Some Stroke Association staff across several services work closely in terms of geography and shared client caseload. To reduce between-group contamination, these services will be aggregated to form one ‘cluster’ for OSCARSS. Carers of stroke survivors: 1. Referred to participating Stroke Association clusters (either research intervention or control, as per randomisation); 2. Able to communicate in English; 3. ‘Active’ in their caring role at the time of study entry i.e. the stroke survivor being cared-for is alive 4. Aged 18 years and over
Exclusion criteria
Exclusion criteria: Not meeting inclusion criteria
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Caregiver Strain is measured by the Caregiver Strain subscale of the Family Appraisal of Caregiving Questionnaire (FACQ) at 3 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| All of the following relate to the cluster randomised controlled trial component of OSCARSS and are completed by carer self-report collected through postal questionnaires: 1. Caregiver Strain is measured by the Caregiver Strain subscale of the FACQ 6 months 2. Carergiver burden is measured using the Caregiver distress subscale of FACQ at 3 and 6 months 3. Positive impact of caring is measured using the Positive caregiving appraisals subscale of FACQ at 3 and 6 months 4. Satisfaction with stroke services provided is measured using the Pound Carer Satisfaction with Stroke Services Scale at 3 and 6 months 5. Mood is measured by the Hospital Anxiety and Depression Scale (HADS) at 3 and 6 months 6. Health is measured by the EQ-5D 5L questionnaire at 3 and 6 months 7. Economic burden of caring (for Health Economics evaluation), is measured using an adapted Service Receipt Inventory completed by carers to record healthcare services used and time spent caring at 3 and 6 months | — |
Countries
England, United Kingdom
Contacts
Public ContactEmma Patchwood (née Patchick)
Outcome results
None listed