Comparison of Two Interventions for Caregivers of Patients With Acquired Brain Injury
Study Details
Study Description
Brief Summary
The goal of this clinical trial is to compare effectiveness of two interventions for family caregivers of patients with acquired brain injury who are transitioning home after inpatient rehabilitation. The main question it aims to answer is whether these interventions reduce caregiver stress and burden, compared to usual care. Secondary effects include the impact on caregivers' depressive symptoms and perceived self-efficacy as a caregiver. The study will also try to determine if caregivers will engage in these interventions during the acute (inpatient rehabilitation) stage of injury.
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.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
This study will evaluate effectiveness of two problem-solving training interventions on caregivers' emotional health and well-being (stress, depressive symptoms, caregiving self-efficacy). Participants are family members of patients with acquired brain injuries (ABI) admitted for inpatient rehabilitation, with a planned discharge home. Caregivers who agree to participate will be randomly assigned to one of three family support interventions. The Building Better Caregiver program is a peer-led group intervention. Problem Solving Training is an individual clinician-led intervention. Both interventions aim to equip caregivers with problem solving tools. The third intervention is existing support and assistance for family members who will be caregivers for patients discharged home after inpatient rehabilitation. This Usual Care is available to all three groups and 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.
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.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Active Comparator: 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. |
Behavioral: Usual Care
Usual discharge training and support offered to family caregivers of ABI patients
|
Active Comparator: 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. |
Behavioral: Building Better Caregivers
Peer-led, group intervention for caregivers focused on problem-solving
Behavioral: Usual Care
Usual discharge training and support offered to family caregivers of ABI patients
|
Active Comparator: 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. |
Behavioral: Problem Solving Training
Clinician-led, one-to-one intervention for caregivers focused on problem-solving
Behavioral: Usual Care
Usual discharge training and support offered to family caregivers of ABI patients
|
Outcome Measures
Primary Outcome Measures
- Kingston Caregiver Stress Scale (KCSS) [1) baseline, at time of enrollment in the study and prior to randomization; 2) within 72 hours of discharge to home; 3) 30-days post-discharge; 90-days post-discharge]
Caregiver stress and burden; scores range from 10-50; higher score reflects higher stress
Secondary Outcome Measures
- Patient Health Questionnaire - 9 (PHQ-9) [1) baseline, at time of enrollment in the study and prior to randomization; 2) within 72 hours of discharge to home; 3) 30-days post-discharge; 90-days post-discharge]
Caregiver depressive symptoms; scores range from 0-27; higher score reflects higher depression
- Revised Scale for Caregiving Self-Efficacy (SCS-E). [1) baseline, at time of enrollment in the study and prior to randomization; 2) within 72 hours of discharge to home; 3) 30-days post-discharge; 90-days post-discharge]
Contains 15 items within 3 subscales (self-efficacy for obtaining respite, responding to disruptive patient behaviors, and controlling upsetting thoughts about caregiving). Items are rated on a 0-100 scale.
Other Outcome Measures
- Patient unplanned hospital readmissions [Assessed by telephone follow-up interview 30-40 days post-discharge]
Hospital-wide assessment of number and duration of unplanned hospital readmissions in the 30 days post-discharge
Eligibility Criteria
Criteria
Inclusion Criteria:
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Family member of patients admitted to inpatient rehabilitation for acquired brain injury, with a planned discharge to home.
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Able to begin intervention before discharge
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Able to speak and understand English or Spanish
Exclusion Criteria:
- Patient's discharge location is not to home
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Shepherd Center | Atlanta | Georgia | United States | 30309 |
Sponsors and Collaborators
- Shepherd Center, Atlanta GA
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 835