Effectiveness of Calgary Family Intervention Model in Caregivers

NCT ID: NCT06004622

Last Updated: 2024-12-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

64 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-01-03

Study Completion Date

2024-10-14

Brief Summary

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Effectiveness of Calgary family intervention model improving on uncertainty, family functioning, and resilience in caregivers of infants and toddlers undergoing open-heart surgery.Research hypothesis is The experimental group of caregivers for infants and toddlers undergoing open-heart surgery showed significant differences in uncertainty, family functioning, and family resilience before surgery, prior to transferring out of the intensive care unit, and before discharge.

Detailed Description

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Background: For caregivers of infants and toddlers with congenital heart disease, the experience of their young children undergoing open-heart surgery brings about uncertainty, including waiting for the child's recovery, providing care in the intensive care unit, and the possibility of death. These uncertainties can significantly impact the caregivers' physical and mental well-being, as well as their ability to provide subsequent care and nurture for the child. Therefore, it is crucial to implement intervention measures that focus on caring for the caregivers, reducing their sense of uncertainty, and implementing effective nursing strategies to enhance family functioning and resilience.

Purpose: This study aims to investigate the effectiveness of implementing the Calgary Family Intervention Model on caregivers of infants and toddlers undergoing open-heart surgery in terms of reducing their uncertainty, improving family functioning, and enhancing resilience.

Methods: This study adopts a quasi-experimental research design and will be conducted at a medical center in northern Taiwan. A total of 96 caregivers of infants and toddlers undergoing open-heart surgery will be recruited, and a pre- and post-test design will be employed with two groups. The control group will receive routine nursing care, while the experimental group will receive routine nursing care supplemented with the Calgary Family Intervention Model, which encompasses cognitive, emotional, and behavioral domains. The experimental group will participate in two therapeutic sessions: 1. The day after surgery and before visiting the child, and 2. Prior to transferring out of the intensive care unit. Both groups will be assessed using the parental uncertainty perception scale, APGAR family function assessment scale, and the family resilience scale as outcome measures. Data will be collected before surgery, prior to transferring out of the intensive care unit, and before discharge. Interviews will be conducted with the experimental group, and data analysis will involve Generalized Estimating Equations (GEE) for quantitative data and content analysis for qualitative data.

Expected contributions: In future clinical practice, this study aims to provide valuable insights into the use of family nursing intervention for caregivers of infants and toddlers undergoing open-heart surgery, specifically in managing the uncertainties associated with the illness context. Through therapeutic conversations, this intervention can help identify family strengths and resources, thereby serving as an important reference strategy for enhancing family resilience.

Conditions

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Nursing

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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control group

The control group receives care according to the standard intensive care unit nursing guidelines.

Group Type NO_INTERVENTION

No interventions assigned to this group

experimental group

The experimental group, in addition to following the standard guidelines, undergoes two brief therapeutic sessions using the Calgary Family Intervention Model. Each session lasts approximately 20 minutes. Both groups complete three questionnaires during the study period. Furthermore, after the study concludes, the experimental group participates in an interview lasting approximately 15 minutes before returning home.

Group Type EXPERIMENTAL

Calgary Family Intervention Model

Intervention Type OTHER

under two brief therapeutic sessions using the Calgary Family Intervention Model. Each session lasted about 20 minutes and was conducted by a single researcher to maintain consistency. The scheduling of these sessions took into consideration the physiological and emotional stability of the participants. If any issues or difficulties arose during the course of the sessions, they could be paused. The confidentiality and privacy of the discussion content were ensured. The intervention took place in a dedicated room within the intensive care unit, providing sufficient space and privacy.

Interventions

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Calgary Family Intervention Model

under two brief therapeutic sessions using the Calgary Family Intervention Model. Each session lasted about 20 minutes and was conducted by a single researcher to maintain consistency. The scheduling of these sessions took into consideration the physiological and emotional stability of the participants. If any issues or difficulties arose during the course of the sessions, they could be paused. The confidentiality and privacy of the discussion content were ensured. The intervention took place in a dedicated room within the intensive care unit, providing sufficient space and privacy.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Father or mother of infants and toddlers aged from 1 month to 3 years (inclusive) undergoing open-heart surgery.
2. Infants and toddlers diagnosed with congenital heart disease who are undergoing their first open-heart surgery.
3. Caregivers who are proficient in the national or Taiwanese language and have normal cognitive abilities.
4. Caregivers who can read and understand Chinese characters, enabling them to complete the questionnaires.
5. After explanation and reading of the informed consent, caregivers will provide written consent for participation.

Exclusion Criteria

1. Father or mother of newborns who undergoing open-heart surgery within the first month after birth.
2. Caregivers with mental illness or intellectual disabilities.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Taiwan University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Chi-Wen Chen, doctor

Role: STUDY_DIRECTOR

National Yang Ming Chiao Tung University

Locations

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National Taiwan University Hospital

Taipei, , Taiwan

Site Status

Countries

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Taiwan

Related Links

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https://doi.org/10.1016/j.apnu.2022.07.014

The illness beliefs model: Advancing practice knowledge about illness beliefs, family healing, and family interventions.

https://doi.org/10.36660/ijcs.20210194

Family Functioning and Congenital Heart Disease.

https://doi.org/10.1016/j.pedn.2021.02.010

Family resilience and its association with psychosocial adjustment of children with chronic illness: A latent profile analysis.

https://doi.org/10.1186/s12887-020-1972-y

Risk factors for low cardiac output syndrome in children with congenital heart disease undergoing cardiac surgery: A retrospective cohort study.

https://doi.org/10.3389/fpsyg.2018.00666

Family resilience in the oncology setting: Development of an integrative framework.

https://doi.org/10.3389/fpubh.2019.00059

Family-focused public health: Supporting homes and families in policy and practice.

https://doi.org/10.1016/j.pedn.2022.07.017

The resilient process of the family after diagnosis of childhood chronic illness: A qualitative meta-synthesis.

https://doi.org/10.1007/s10995-013-1273-2

A randomized clinical trial of the building on family strengths program: An education program for parents of children with chronic health conditions.

https://doi.org/10.3389/fped.2017.00102

Mental health problems in parents of children with congenital heart disease.

https://doi.org/10.1097/jcn.0000000000000546

Individualized family-centered developmental care: An essential model to address the unique needs of infants with congenital heart disease.

https://doi.org/10.1007/s00383-022-05178-z

How should we treat representative neonatal surgical diseases with congenital heart disease?

https://doi.org/10.1371/journal.pone.0213154

Home care experience and nursing needs of caregivers of children undergoing congenital heart disease operations: A qualitative descriptive study.

https://doi.org/10.3389/fpsyt.2021.646421

Family resilience, parenting styles and psychosocial adjustment of children with chronic illness: A cross-sectional study.

https://doi.org/10.30476/ijcbnm.2021.89691.1630

Resilience and associated factors in mothers of children with congenital heart disease: A cross-sectional study.

https://doi.org/10.1016/j.apnu.2022.07.014

Effects of the family support and psychoeducation program based on the calgary family intervention model on the coping, psychological distress and psychological resilience levels of the family caregivers of chronic psychiatric patients.

https://doi.org/10.1097/CCM.0000000000004450

Interventions in post-intensive care syndrome-family: A systematic literature review.

http://doi.org/10.1097/md.0000000000020593

Incidence and mortality trend of congenital heart disease at the global, regional, and national level, 1990-2017.

http://doi.org/10.1016/j.pedn.2018.07.009

A novel nesting protocol to decrease readmission and increase patient satisfaction following congenital heart surgery.

Other Identifiers

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202306120RINA

Identifier Type: -

Identifier Source: org_study_id