Stroke, Stroke Hemorrhagic, Stroke, Ischemic
Conditions
Keywords
Stroke, Geriatrics, Family caregivers, Needs assessment, Nursing, Home care
Brief summary
The main intention of the study is to understand the need and feasibility of transitional care training program among family caregivers of geriatric stroke survivors in Pakistan
Detailed description
The purpose of the study is to explore the training needs of family caregivers of caring their elderly stroke patients at homes in Pakistan. Secondly the study aims to develop transitional care training program based on the identified needs for family caregivers of geriatric stroke survivors. Furthermore; the study intends to evaluate the feasibility/efficacy of transitional care training program among family caregivers of geriatric stroke survivors.
Interventions
BEHAVIORALTransitional Care Training Program
A nursing based transitional care training intervention would be carried out to prepare the family caregivers to take care of their elderly stroke survivors at home. The intervention would be carried out for a tentative time of 2 to 3 hours to educate the family caregivers at their homes after hospitalization. The study participants would be evaluated after 8 weeks of the intervention. A structured, validated and literature based assessment checklist will be devised to assess the usefulness and feasibility of the intervention. Assistance of senior nurses and health professionals, specialized in stroke care will be taken during the training part of the program.
Sponsors
Khyber Medical University Peshawar
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Caregiver, Outcomes Assessor)
Masking description
The study participants would not be informed of what group they are in. Independent outcome assessors would be utilized for the assessment. Further outcomes assessors and data analysts' would be kept unaware of intervention or group allocations to carry out their assessment after inclusion of participants into the study. This study which includes three research sites will be taken as preliminary strata via the simple random sampling technique. Lottery method as one of the oldest and commonly used approach would then be followed to recruit the sample size. Screening of the participants would be taken place in the first round based on the inclusion and exclusion criteria. The eligible participants would be assigned with a code in the second round before recruiting the participant into the study. Lottery method (law of chance) would then be follow to allocate the participants randomly into treatment or control groups in the study sites.
Intervention model description
The most commonly two armed parallel study design would be used to conduct the current study. The study participants in an intervention group would be compared with that of a control group. Equal number of Participants would be allocated with random assignment in the two groups.
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
* Family caregivers of both genders geriatric stroke survivors will be included * Family caregivers who care patients both with the Ischemic/hemorrhagic stroke * Caregivers who have taken care of the patient at least with 1-time hospitalization * Family caregivers who have taken care for at least 1-weeks at home.
Exclusion criteria
* Family Caregivers who are not willing to participate in the study * Caregivers who has taken with any training regarding the stroke transitional care
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Physical care measured via Training Evaluation Assessment Checklist (TEAC) Questionnaire | Upto 7 months | Physical care of the geriatric population having a stroke will be evaluated using the physical care section of the standardized Training evaluation assessment checklist (TEAC) questionnaire developed from the qualitative work package of the protocol. This part of the questionnaire includes Hygiene care, range of motion, Bedsore prevention, falls prevention, medication administration, dietary care and elimination care etc. The mean scores will be calculated for the overall population to find the effectiveness of the training program for the geriatric stroke population as compared to the control group. |
| Psychological care measured via Training Evaluation Assessment Checklist (TEAC) Questionnaire | Upto 7 months | Psychological care of the geriatric with stroke will be assessed using a psychological section of the standardized Training Evaluation Assessment Checklist (TEAC) questionnaire developed from the qualitative work package of the protocol. This part of the questionnaire includes evaluation of the psychological needs and stress management activities. The mean scores will be calculated for the overall population to find the effectiveness of the training program for the geriatric stroke population as compared to the control group. |
| Social Care measured via Training Evaluation Assessment Checklist (TEAC) | Upto 7 months | Social care of the geriatric population with stroke will be assessed using a social care section of the standardized Training Evaluation Assessment Checklist (TEAC) questionnaire developed from the qualitative work package of the protocol. In this domain, TEAC questionnaire includes questions related to social care and spiritual care. The mean scores will be calculated for the overall population to find the effectiveness of the training program for the geriatric stroke population as compared to the control group. |
| Training Need Assessment | Upto 2 months | To explore the training needs of family caregivers of caring their elderly stroke patients at homes in Pakistan. (Qualitative Exploration). Training needs of the study participants would be explored qualitatively with the study guided questions. |
| Training Program Development | Upto 2 months | To develop transitional care training program based on the identified needs for family caregivers of geriatric stroke survivors. (Based on qualitative parameters during need assessment). A nursing based transitional care training intervention would be planned to prepare family care givers of geriatric stroke survivors. |
Countries
Pakistan
Outcome results
None listed