Jockey Club Stand-by-U Caregivers Community Support Project: In-home Respite for Caregivers of Older Adults
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorThe University of Hong Kong
About this trial
The goal of this study is to investigate whether the in-home respite service model is effective in relieving caregiver's burden and improving their mental wellbeing. Caregivers are triaged into four levels of needs using a self-developed screening tool. Those screened as mild and moderate levels are admitted to the study, while those in low or high-needs levels are referred to other services.
Caregivers admitted in this study will receive either 12 or 36 hours of in-home respite services as the intervention. Trained volunteers or substitute caregivers will visit their home to take care the older adults, providing several hours of free time for the caregivers.
Assessments are conducted before and immediate after the intervention, and 3, 6, 12 months after the completion of intervention, to measure the changes in mental wellbeing of the caregivers.
A control group with no respite service provided is recruited to compare the effects in the changes of mental wellbeing.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
aged 18 or above
provide care to at least one homebound older adult (aged 60 or above)
provide no less than 6 hours of caregiving per week
able to communicate in either Cantonese, Mandarin or English
Disqualifiers
Care recipient is receiving long-term care service
Trial design
Design model
Parallel
Treatments tested in this trial
12 hr Respite Service
Other intervention12 hours of respite service within 3 months will be provided by volunteers. Volunteers will provide elderly-sitting service (accompany the care recipient) during the service session, and provide cognitive training or physical training to the care recipient if situation allows.
36 hr Respite Service
Other intervention36 hours of respite service within 3 months will be provided by substitute caregivers. Substitute caregivers will provide elderly-sitting service (accompany the care recipient) during the service session, and provide cognitive training or physical training to the care recipient if situation allows.
Treatment groups
5,166 Participants
are divided into 3 treatment groupsGroup A: Caregivers - Mild NeedsExperimental treatment 1 intervention
Group B: Caregivers - Moderate NeedsExperimental treatment 1 intervention
Group C: Control GroupNo intervention 0 interventions
Trial outcomes
Primary outcomes
1
Change from baseline in score in caregiving needs measured by Multidimensional screening tool after the intervention
The Multidimensional screening tool is a self-developed tool that measures different aspects of caregiving needs over the past 1 week period. It is a 22-item scale, with 8 items that determines the overall needs level and the others for four aspects of needs: physical health, mental health, social support and care needs. Possible score is from 8 to 32 with lower score indicates lower caregivers' needs. Change in score = Immediate after intervention - baseline
Time frame
Baseline and Immediate after intervention2
Change from baseline in score in mental wellbeing measured by DASS-21 scale after intervention
The DASS-21 comprises 21 items that assess symptoms of depression, anxiety, and stress over the past week. Each item is rated on a 4-point Likert scale, with higher scores indicating greater symptom severity. The total scores for each subscale (Depression, Anxiety, Stress) are calculated by summing the relevant item scores. Possible score for each subscale ranged from 0 to 42, with 0 indicates best outcome and 42 the worst outcome. Reductions in DASS-21 scores indicate improvements in symptoms of depression, anxiety, and stress following the intervention. Change in score = Immediate after intervention- baseline
Time frame
Baseline and Immediate after intervention3
Change in score from baseline in caregiving burden measured by CZBI after intervention
The Chinese version of Zarit Caregiver Burden Inventory (CZBI) is a widely used tool designed to assess caregiver burden and distress experienced by individuals caring for a loved one with a chronic illness or disability. It comprises of 12 items, and each item is rated on a 5-point Likert scale. Possible score ranged from 0 to 48, with higher scores indicating greater levels of caregiver burden. Change in score= Immediate after intervention - baseline
Time frame
Baseline and Immediate after intervention4
Change in score from baseline in quality of life measured by EQ-5D-5L after intervention
The EQ-5D-5L is a standardized instrument used to assess health-related quality of life across five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. The responses are converted into a single index value representing overall health status using Hong Kong's normative value. The primary outcome measure in this study is the change in EQ-5D-5L index scores from baseline to post-intervention/follow-up assessments. 1 equals to perfect health and more negative numbers indicates worse health. Change in health index = Immediate after intervention - baseline
Time frame
Baseline and Immediate after interventionOther outcomes
1
Respite service details in each session, including the duration and content
Volunteer and Substitute Caregivers will provide a service record after each respite session, detailing the activities in each session and any potential problems observed. Measurements include the time of each respite session and the type of activities the caregivers and care recipient do in each session.
Time frame
After each respite sessionSponsors and contacts
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Source ClinicalTrials.gov