Effect of a tailored multidimensional intervention on the care burden among family caregivers of stroke survivors: study protocol for a randomised controlled trial
Autor: | Mostafa Amr, Mahmoud Ahmed Elsheikh, Maha Hazem Khalil, Michiko Moriyama, Mohamed Zoromba, Mayumi Kako, Hamada Zehry, Ahmed Hashem El-Monshed, Moshiur Rahman |
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Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
medicine.medical_treatment Nursing Peer support quality in health care law.invention 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Randomized controlled trial law Intervention (counseling) Psychoeducation medicine Humans Prospective Studies Survivors 030212 general & internal medicine Randomized Controlled Trials as Topic Research ethics Family caregivers business.industry public health Repeated measures design General Medicine Stroke Caregivers Family medicine stroke medicine Quality of Life Medicine Egypt business 030217 neurology & neurosurgery |
Zdroj: | BMJ Open, Vol 10, Iss 12 (2020) BMJ Open |
ISSN: | 2044-6055 |
DOI: | 10.1136/bmjopen-2020-041637 |
Popis: | IntroductionCaring for stroke survivors creates high levels of care burden among family caregivers. Previous initiatives at alleviating the care burden have been unsuccessful. The proposed study aims to evaluate the effect of a tailored multidimensional intervention on the care burden among family caregivers of stroke survivors. Based on the perceived needs of family caregivers, this intervention takes into account scientific recommendations to combine three different approaches: skill-building, psychoeducation and peer support.Methods and analysisUsing a prospective, randomised, open-label, parallel-group design, 110 family caregivers will be enrolled from Dakahlia Governorate, Egypt between December 2019 and May 2020, and randomly assigned to either the intervention group or the control group. The tailored multidimensional intervention will be administered for 6 months, including three home visits, six home-based telephone calls and one peer support session. The primary outcome is the care burden as measured using the Zarit Burden Interview. Secondary outcomes include changes in the family caregivers’ perceived needs (Family Needs Questionnaire-Revised), coping strategies (Brief-Coping Orientation to Problems Experienced) and quality of life (WHO Quality of Life-BREF). Outcomes evaluation will be conducted at baseline (T0), month 3 (T1) and month 6 (T2). Independent t-test will be performed to compare the mean values of study variables between the two groups at both T1 and T2. After adjusting for confounding variables, analysis of covariance will be used to assess the effect of the intervention. In addition, repeated measures analysis of variance will be conducted to assess changes in effect over time.Ethics and disseminationThis study was approved by the Research Ethics Committee of the Faculty of Nursing, Mansoura University, Mansoura, Egypt (P.0195). The results will be published in a scientific peer-reviewed journal, and findings will be disseminated at the local and international levels.Trial registration numberNCT04211662. |
Databáze: | OpenAIRE |
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