TALKING TIME: A pilot randomized controlled trial investigating social support for informal caregivers via the telephone.

Autor: Dichter MN; German Center for Neurodegenerative Diseases (DZNE), Witten, Stockumer Straße 12, 58453, Witten, Germany. Martin.Dichter@dzne.de.; School of Nursing Science, Witten/Herdecke University, Stockumer Straße 12, 58453, Witten, Germany. Martin.Dichter@dzne.de.; Institute of Nursing Science, Medical Faculty, University of Cologne, Cologne, Germany. Martin.Dichter@dzne.de., Albers B; German Center for Neurodegenerative Diseases (DZNE), Witten, Stockumer Straße 12, 58453, Witten, Germany.; School of Nursing Science, Witten/Herdecke University, Stockumer Straße 12, 58453, Witten, Germany., Trutschel D; German Center for Neurodegenerative Diseases (DZNE), Witten, Stockumer Straße 12, 58453, Witten, Germany., Ströbel AM; German Center for Neurodegenerative Diseases (DZNE), Witten, Stockumer Straße 12, 58453, Witten, Germany., Seismann-Petersen S; German Center for Neurodegenerative Diseases (DZNE), Witten, Stockumer Straße 12, 58453, Witten, Germany.; Institute of Nursing Science, Medical Faculty, University of Cologne, Cologne, Germany., Wermke K; Clinic and Policlinic for Psychiatry and Psychotherapy, Leipzig University, Semmelweisstraße 10, 04103, Leipzig, Germany., Halek M; German Center for Neurodegenerative Diseases (DZNE), Witten, Stockumer Straße 12, 58453, Witten, Germany.; School of Nursing Science, Witten/Herdecke University, Stockumer Straße 12, 58453, Witten, Germany., Berwig M; German Center for Neurodegenerative Diseases (DZNE), Witten, Stockumer Straße 12, 58453, Witten, Germany.; School of Nursing Science, Witten/Herdecke University, Stockumer Straße 12, 58453, Witten, Germany.; Clinic and Policlinic for Psychiatry and Psychotherapy, Leipzig University, Semmelweisstraße 10, 04103, Leipzig, Germany.
Jazyk: angličtina
Zdroj: BMC health services research [BMC Health Serv Res] 2020 Aug 25; Vol. 20 (1), pp. 788. Date of Electronic Publication: 2020 Aug 25.
DOI: 10.1186/s12913-020-05523-9
Abstrakt: Background: Caring for people with dementia at home requires considerable time, organization and commitment. Therefore, informal caregivers of people with dementia are often overburdened. This study examined the effects of the telephone-based Talking Time intervention, which is an approach used to strengthen the psychological health-related quality of life (HRQoL) and social support of informal caregivers of people with dementia living at home.
Methods: This study was a Medical Research Council framework phase two randomized controlled trial. The intervention consisted of a preliminary talk, information booklet, six structured telephone-based support group meetings and a structured written self-evaluation of each support group meeting. The control participants performed their usual individual self-organized care. After completing the data collection, the control group received the Talking Time intervention for fidelity reasons. The primary outcome was the self-rated psychological HRQoL of the informal caregivers, which was measured with the mental component summary of the General Health Survey Questionnaire Short Form 12 (SF-12).
Results: Thirty-eight informal caregivers and their relatives were included and allocated to the intervention or control groups (n = 19 each). After 3 months, the Talking Time intervention group demonstrated an increase in the self-rated psychological HRQoL scores, whereas the scores decreased in the control group. However, the standardized effect size of 1.65 (95% Confidence Interval, - 0.44 - 3.75) was not significant. Additionally, the secondary outcomes demonstrated no significant results. The differences between the groups in most outcomes were in the expected direction. No adverse effects were identified due to the intervention.
Conclusions: The Talking Time intervention is feasible and shows nonsignificant promising results with regard to the self-rated psychological HRQoL. After further adjustment, the intervention needs to be evaluated in a full trial.
Trial Registration: Clinical Trials: NCT02806583 , June 9, 2016 (retrospectively registered).
Databáze: MEDLINE
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