Quality of Life
Conditions
Keywords
Nursing intervention, Primary Health care, caregiver, strain
Brief summary
The purpose of this study is to evaluate the effectiveness of a structured nursing intervention (PCE), including two types of intervention defined in the literature (coping strategies promoting social support and empowerment through health education), which has an effect on the perceived quality of life for the caregiver, when compared with conventional intervention or non-support.
Detailed description
Aim: to compare the effectiveness of a standardized care plan (SCP) compared to the usual nursing intervention to improve the quality of life for primary caregivers over 65 years old measured through points change with the EuroQol-5D (EQ-5D) scale. Secondary objectives: Evaluate the influence of prognostic variables on quality of life of caregiver. Describe the level of caregiver burden. Describe the socio-demographic profile of the dependent person and caregiver. Method: Design: cluster randomized trial. Setting: study in Health Centers Primary Care of Area of Madrid Health Service. Subjects: unit of randomization: primary healthcare centres. Analysis unit: caregivers over 65 years old. Intervention: The SCP in the treatment group and the usual intervention in the control group. Sample size adjusted for design effect= 218 (109 in each arm). Main response variable: perceived quality of life (EQ-5D). Secondary response variables: nursing diagnosis, Zarit Caregiver Burden Interview, objective overload level. Prognostic variables:Dependent person-related: dependence level (Barthel, Lawton-Brody), cognitive dysfunction (Pfeiffer). Caregiver-related: depression scale (Yesavage), anxiety level (Goldberg), family function (family Apgar). Sociodemographic variables. Data Analysis: Analysis of main effectiveness by intention to treat, comparing the difference in units on the EQ-5D scale before and post- intervention in both groups at 0, 6, 12 and 18 months. The estimation adjusted, using logistic regression with aleatory effects, those data that can act as confounding factors or change the effect.
Interventions
BEHAVIORALCuidaCare Intervention
Nursing intervention address to Caregiver Standardized care plan (PCE) Coping strategies promoting social support and empowerment through health education
OTHERControl Group/Usual Care:
Control Group/Usual Care: Standardized care plan (PCE) Coping strategies promoting social support and empowerment through health education
Sponsors
Instituto de Salud Carlos III
Fondo de Investigacion Sanitaria
Gerencia de Atención Primaria, Madrid
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Not psychological treatment or social support during the study period. * Be able to follow the trial's demands. * Experience of caring for at least 6 months in a year. * Caregivers who consent to take part.
Exclusion criteria
* Caregivers of patients hospitalized during the initial data collection. * Caregivers of institutionalized patients. * Severe psychiatric conditions including depression and major affective pictures. * Paid caregivers. * Experience as a caregiver for less than a month.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Perceived quality of life | Change from baseline in quality of life at 18 months after the intervention | Perceived quality of life: Quality of life measured by EuroQol (EQ5D) Scale Change from baseline in quality of life at 18 months after the intervention |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Nursing diagnosis | Change from Baseline in Nursing diagnosis at 18 months after the intervention | Use NANDA International Classification to measure: caregiver role strain or caregiver role (risk for) or stress(overload). Change from Baseline in Nursing diagnosis at 18 months after the intervention |
| Caregiver Burden | Change from Baseline in Caregiver Burden at 18 months after the intervention | Zarit Caregiver Burden Interview. Change from Baseline in Nursing diagnosis at 18 months after the intervention. |
| Depression scale | Change from Baseline in Depression scale at 18 months after the intervention | Yesavage Depression scale. Change from Baseline in Depression scale at 18 months of the intervention. |
| Anxiety level | Change from Baseline in Anxiety level at 18 months after the intervention | Goldberg scale. Change from Baseline in Anxiety level at 18 months after the intervention |
| Family function | Change from Baseline in Family function at 18 months after the intervention | Family Apgar test. Change from Baseline in Family function at 18 months after the intervention |
Countries
Spain
Outcome results
None listed