Comparison of Two Interventions for Caregivers of Patients With Acquired Brain Injury
NCT ID: NCT06126549
Last Updated: 2023-11-15
Study Results
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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COMPLETED
NA
169 participants
INTERVENTIONAL
2021-02-16
2022-12-15
Brief Summary
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Participants in the study are family members of the ABI patient, aged 18 year or older, who will be responsible for the patient's care and supervision once discharged home from inpatient rehabilitation. The two interventions, one clinician-led and one peer-led, will be compared to usual care.
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Detailed Description
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Caregiver-reported outcome measures (CROs) will be collected in three domains: 1) caregiver stress/burden and emotional health, 2) caregiver perceived self-efficacy in managing their loved-one's care needs, and 3) healthcare utilization by patient and caregiver. We will use three standardized outcome measures: 1) Kingston Caregiver Stress Scale (KCSS), 2) Patient Health Questionnaire (PHQ-9), and 3) Revised Scale for Caregiving Self-Efficacy (SCS-E). The measures will be collected at four timepoints: upon enrollment in the study ("Pre"), within 72 hours of discharge (D/C), and 30 and 90 days post-discharge. The impact of each intervention on the rate of patients' 30-day, unplanned hospital readmissions will also be examined.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
NONE
Study Groups
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Usual Care
Usual Care (UC) consists of nurse instruction in care routines, case management family support for discharge, referral to family counseling and community services as indicated, and general information resources about brain injury. Usual Care participants also have access to peer support services, including peer mentoring, brain injury education classes, and workshops for caregivers.
Usual Care
Usual discharge training and support offered to family caregivers of ABI patients
Building Better Caregivers
Building Better Caregivers (BBC) was developed for caregivers of patients with Alzheimers' Disease and has been adapted for caregivers of patients with ABI. BBC is a peer-led, problem-solving intervention delivered in 6 group workshop sessions. Key components include problem-solving; making an action plan; managing stress and fatigue, difficult care partner behavior, and difficult thoughts/emotions. Each of the workshops last 60 minutes and usually take place once a week over a 6-8 week span of time.
Building Better Caregivers
Peer-led, group intervention for caregivers focused on problem-solving
Usual Care
Usual discharge training and support offered to family caregivers of ABI patients
Problem Solving Training
Problem Solving Training (PST) is a clinician-led intervention, administered one-on-one via phone calls, assigned readings, and practice assignments between calls. PST teaches caregivers how to address problems and apply a specific problem-solving technique that calls for brainstorming, consideration, development, and evaluation to address current problems the caregiver may be facing. The training aims to teach the strategy, so caregivers can apply it in the present, as well as the future. Each of the 6 Problem Solving Training Sessions last from 30-60 minutes and usually take place once a week over a 6-week span of time.
Problem Solving Training
Clinician-led, one-to-one intervention for caregivers focused on problem-solving
Usual Care
Usual discharge training and support offered to family caregivers of ABI patients
Interventions
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Building Better Caregivers
Peer-led, group intervention for caregivers focused on problem-solving
Problem Solving Training
Clinician-led, one-to-one intervention for caregivers focused on problem-solving
Usual Care
Usual discharge training and support offered to family caregivers of ABI patients
Eligibility Criteria
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Inclusion Criteria
* Able to begin intervention before discharge
* Able to speak and understand English or Spanish
Exclusion Criteria
18 Years
ALL
Yes
Sponsors
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Shepherd Center, Atlanta GA
OTHER
Responsible Party
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Michael Jones
Director Emeritus, Virginia C Crawford Research Institute
Locations
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Shepherd Center
Atlanta, Georgia, United States
Countries
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Other Identifiers
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835
Identifier Type: -
Identifier Source: org_study_id
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