Caring Other
Conditions
Interventions
Participants are randomised after consent is obtained and baseline data collection to one of two groups using an internet randomization service for clinical trials.
Control group: Patients will recei
Sponsors
Western University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Family Member/Friend Caregiver (FMFC): 1. Aged 18 years of age or older 2. A self-reported caregiver to an adult who is 65 years old or older, who requires home care services, and who is assessed by home care service providers to be at risk for higher levels of care. A caregiver can be a spouse, partner, child, sibling, other family relation or friend who helps care for the patient at home. 3. Willing and able to receive the remote monitoring sensor notifications using a cell phone, or a regular phone (i.e., land line) 4. Able to read and write in either English or French. Patient: 1. Aged 65 years old or older 2. Requires home care 3. At risk for higher levels of care as determined by the home care provider who makes these decisions 4. Have a family member/friend who is willing and able to receive the remote monitoring sensor notifications using a cell phone, or a regular phone (i.e., land line) 5. Able to read and write in English 6. Have the decisional capacity to consent or have a substitute decision-maker consent on his/her behalf to participate in the study Health Care Provider: 1. Aged 18 years old or older 2. Caring for a home care patient who has consented to be part of this study 3. Able to read and write in English 4. Have the decisional capacity to consent to participate in the study
Exclusion criteria
Exclusion criteria: Family member/friend: 1. Individuals who are not caregivers to an adult 65 years old or older who requires home care and is at risk for higher levels of care as determined by home care service providers 2. Unable to read and write in English or French Patient: 1. Under the age of 65 2. Do not require home care 3. Do not have a family member/friend who is willing and able to receive remote monitoring notification 4. Not at risk for higher levels of care 5. Unable to read and write in English Health Care Provider: 1. Under the age of 18 2. Not caring for a patient who has consented to participate in this study 3. Unable to read and write in English
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patient’s Delay/Avoidance of higher levels of care as measured by number of days at home at baseline, 6 and 12 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Patient’s Functional Status as measured by HARP (Hospital Admission Risk Profile) at baseline, 6 and 12 months 2. Patient’s Quality of Life as measured by Older People’s Quality of Life Questionnaire at baseline, 6 and 12 months 3. Patient Satisfaction with Care as measured by researcher developed tool at baseline, 6 and 12 months 4. Patient Satisfaction with Technology as measured by researcher developed tool at baseline, 6 and 12 months 5. Patient Perception of Safety as measured by researcher developed tool at baseline, 6 and 12 months 6. Caregiver Functional Health Status, Caregiver Stress, Caregiver Information Needs, effect of Caregiver burden on Caregiver’s work as measured by California Caregiver Resource Centers Uniform Assessment tools and Stanford Presenteeism Scale at baseline, 6 and 12 months 7. Caregiver Positive Aspects of Care as measured by Positive Aspects of Caring at baseline, 6 and 12 months 8. Caregiver Satisfaction with Care as measured by researcher developed tool at baseline, 6 and 12 months 9. Caregiver Satisfaction with Technology as measured by researcher developed tool at baseline, 6 and 12 months 10. Caregiver Perception of Patient Safety as measured by researcher developed tool at baseline, 6 and 12 months 11. Healthcare costs will be measured by undertaking an economic analysis using administrative databases, provincial and regional health authority databases at 12 months | — |
Countries
Canada
Outcome results
None listed