Caregiver Burden, Psychological Resilience, Self-Efficacy
Conditions
Keywords
Home health care, Caregivers, Psychoeducation, Nurse-led intervention, Self-efficacy, Psychological resilience, Randomized controlled trial
Brief summary
This randomized controlled trial aimed to examine the effect of a nurse-led psychoeducation programme on self-efficacy and psychological resilience among caregivers of patients receiving home health care. Caregivers were randomly assigned to either an intervention group receiving a structured psychoeducation programme or a control group receiving usual care. Outcomes were assessed at baseline and one week after completion of the intervention using validated measurement tools.
Detailed description
Caregivers of patients receiving home health care often face physical, emotional, and psychosocial challenges that may negatively affect their well-being and caregiving capacity. Strengthening caregivers' psychological resources, such as self-efficacy and psychological resilience, is essential for improving both caregiver outcomes and the quality of care provided to patients. This study was designed as a randomized controlled trial to evaluate the effectiveness of a structured, nurse-led psychoeducation programme delivered to caregivers of patients receiving home health care. A total of 42 caregivers were randomly allocated to an intervention group or a control group. The intervention group received a six-week psychoeducation programme consisting of weekly individual sessions lasting approximately 45 minutes, delivered in the home setting. The programme included education on caregiving skills, infection control, nutrition and mobilization, pressure injury prevention, urinary catheter care, as well as strategies to enhance self-efficacy and psychological resilience. The control group received routine home health care services without additional psychoeducation. Data were collected using a Personal Information Form, the General Self-Efficacy Scale, and the Adult Psychological Resilience Scale at baseline and one week after completion of the intervention. The primary outcomes of the study were changes in caregivers' self-efficacy and psychological resilience levels following the psychoeducation programme.
Interventions
BEHAVIORALNurse-Led Psychoeducation Programme
The nurse-led psychoeducation programme was delivered individually to caregivers of patients receiving home health care. The programme consisted of six weekly sessions, each lasting approximately 45 minutes, conducted in the patient's home. The content included education and practical training on home health care services, infection control, nutrition and mobilization, pressure injury prevention, urinary catheter care, and strategies to enhance caregivers' self-efficacy and psychological resilience.
OTHERroutine follow-up
the control group received usual care only
Sponsors
Karabuk University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
This study used a parallel-group randomized controlled design. Eligible caregivers were randomly assigned to either an intervention group receiving a nurse-led psychoeducation programme or a control group receiving usual care. The intervention and control conditions were implemented concurrently, and outcomes were assessed at baseline and after completion of the intervention.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Aged 18 years or older * Providing care to a patient receiving home health care for at least two months * Able to read and write * No communication barriers * Actively receiving home health care services for the patient * No diagnosed psychiatric disorder * Informal caregiver (not a formal caregiver such as a paid caregiver or nurse) * Willing to participate in the study and provide informed consent
Exclusion criteria
* Formal caregivers (e.g., paid caregivers, nurses) * Individuals with communication impairments * Caregivers who did not meet the inclusion criteria * Withdrawal from the study during the intervention period
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Self-Efficacy | Baseline and 1 week after completion of the intervention | Self-efficacy levels of caregivers were assessed using the General Self-Efficacy Scale, a validated self-report instrument measuring individuals' perceived ability to cope with challenging situations. |
| Psychological Resilience | Baseline and 1 week after completion of the intervention | Psychological resilience levels of caregivers were assessed using the Adult Psychological Resilience Scale, a validated self-report instrument evaluating individuals' capacity to adapt positively to stress and adversity. |
Countries
Turkey (Türkiye)
Contacts
PRINCIPAL_INVESTIGATORSakine Fırıncık, PhD
Karabuk University
Outcome results
None listed