Supporting Older Spousal Caregivers Who Care for a Partner With Multimorbidity at Home

Condition(s) studied

Investigational drug(s) / intervention(s)

The Carer Support Needs Assessment Tool Intervention (CSNAT-I): The CSNAT tool The tool includes 16 questions about the need for more support. The five-stage person-centered approach In the present study, the CSNAT-I consist of at least two meetings between the older spousal caregiver and the district nurse,1-4 weeks apart, following 5 stages: 1. Introduction of the CSNAT tool as a conversation starter. 2. Time for the spousal caregiver to consider the questions in which more support is needed. 3. An assessment conversation takes place. 4. A shared action plan is formed based on the assessment conversation. 5. Continuous shared review of the action plan.

Study summary

Research problem and specific questions:

This project aims to evaluate the person-centred Carer Support Needs Assessment Tool Intervention (C SNAT-I), in Swedish "Ditt behov av stöd". The project goal is to promote preparedness, quality of life and health for older spousal caregivers (≥65 years) who care for a partner (≥65years) with multimorbidity at home.

Data, method and plan for realisation:

With a cluster randomised controlled design in a primary health care context the C SNAT-I will be tested. The intervention consists of two parts, an evidence-based tool and a personcentred five stage process to proactively identify and address caregivers needs: 1) introduction of the CSNAT tool comprising 16 questions about the need for support, 2) caregiver consideration and reflection on support needs, 3) an assessment conversation between the caregiver and a nurse, 4) a shared action plan is formed and 5) continuous review of support needs and action plan. Primary health care centres will be randomized to intervention or control arm. Multiple research methods for data collection and analyses will be used. In total 180 caregivers will be recruited for one year and data collected at baseline, 8 and 16 weeks later.

Eligibility

Primary outcome measure(s)

• The Preparedness for Caregiving Scale (PCS) — Data will be collected at baseline (before the CSNAT-I) and follow-up, 8 and 16 weeks after completed CSNAT-I.
  The scale will be used to measure changes in caregiver's self-reported predparedness for caregiving. The scale consists of eight items answered on a five-point Likert-type response scale ranging from 'Not at all prepared' (0) to 'Very well prepared' (4). The responses are summed into a total score with a possible range between 0 and 32.

Trial sites (1)

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