CAREGIVER2, Caregiver's Health Assessment : Clinical and Biological Markers
Study Details
Study Description
Brief Summary
Providing care for a disabled elderly may represent a risk for the health of the caregiver. The objective of the study is to assess the impact of caregiving in terms of clinical and biological markers in relation to disability and cognitive impairment.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
The investigators hypothesize that an accumulation of stressful events related to care giving may induce a stress response to the caregiver. This stress response can be measured by biological markers (inflammation, transcription and immunity) and also by clinical markers (frailty, physical performance, nutrition). This stress response can be influenced by the subjective burden of the caregiver and by the severity of the disease of the care receiver (Activity of daily life capabilities, cognitive function, behavioral disturbance).
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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caregivers someone who takes care and lives with a disabled elderly |
Other: Research questionnaires, blood sample
assessment of health (frailty, nutrition, physical performance, depression, burden, sense of coherence, caregiver reaction)
|
controls someone who lives with an healthy elderly |
Other: Research questionnaires, blood sample
assessment of health (frailty, nutrition, physical performance, depression, burden, sense of coherence, caregiver reaction)
|
Outcome Measures
Primary Outcome Measures
- Levels of biomarkers across groups [at baseline]
biomarkers of inflammation (cortisol, high sensitive C-Reactive Protein,Interleukin-6), immunity (TRECS, telomere length) and transcriptomics/epigenetics
Secondary Outcome Measures
- Relation between biomarkers, subjective burden and the care receiver situation [at baseline]
biomarkers of inflammation (cortisol, high sensitive C-Reactive Protein,Interleukin-6), immunity (TRECS, telomere length) and transcriptomics/epigenetics and their relations with the Zarit burden, the caregiver reaction assessment, the depression scale and the sense of coherence scale and with the situation of the care receiver ( Katz index, cognitive impairment, behavioral disturbance)
Other Outcome Measures
- Relation between biomarkers, subjective burden and the care receiver situation [at baseline]
biomarkers of inflammation (cortisol, high sensitive C-Reactive Protein,Interleukin-6), immunity (TRECS, telomere length) and transcriptomics/epigenetics and their relations with the Zarit burden, the caregiver reaction assessment, the depression scale and the sense of coherence scale and with the situation of the care receiver ( Katz index, cognitive impairment, behavioral disturbance)
- comparison of health events [after 12 month]
Institutionalization, increase of formal home help services, hospitalisations
- relation between biomarkers at baseline and functional decline [after 12 month]
- Levels of clinical markers across groups [at baseline and after 12 month]
frailty, physical performance, nutrition, depression
- relation between biomarkers at baseline and burden [after 12 month]
Eligibility Criteria
Criteria
Inclusion Criteria:
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living with the care-receiver ( or with a healthy elderly for the controls)
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care-receiver dependent for at least one Activity of the daily living ( Katz index) or having cognitive disorder ( >2 Global Deterioration Scale)
Exclusion Criteria:
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institutionalised elderly
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inability to understand and speak french
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Acute disease within the past month
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Anti-inflammatory or immuno-suppressive treatment
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End-of-life care
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | CHU Dinant-Godinne | Mont-Godinne | Yvoir | Belgium | 5530 |
Sponsors and Collaborators
- Centre Hospitalier Universitaire Dinant Godinne - UCL Namur
- University of Liege
- University of Namur
Investigators
- Study Chair: Marie de Saint-Hubert, MD, PhD, CHUDinant-Godinne
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 1318184