Nurse-Led Caregiver Support Program in Home Palliative Care
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorKutahya Health Sciences University
About this trial
This randomized controlled trial aims to evaluate the effect of a nurse-led caregiver support program on caregiver competency and healthcare utilization among family caregivers of patients receiving home palliative care. Family caregivers in the intervention group will receive a structured 6-week nurse-led support program including face-to-face education, weekly telephone coaching, caregiver guidance materials, and decision support for symptom management and healthcare utilization. The control group will continue to receive routine home palliative care services. Primary outcome is caregiver competency. Secondary outcomes include caregiver burden, self-efficacy, patient symptom burden, emergency department visits, and hospitalizations.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adult family caregivers of patients receiving home palliative care services
Age 18 years or older
Being the primary caregiver responsible for the patient's daily care
Ability to communicate in Turkish
Disqualifiers
Professional or paid caregivers
Caregivers with severe cognitive impairment or severe psychiatric disorders
Inability to participate in follow-up assessments
Trial design
Design model
Parallel
Treatments tested in this trial
Nurse-Led Caregiver Support Program
BehavioralParticipants in the intervention group will receive a structured 6-week nurse-led caregiver support program including face-to-face education, weekly telephone coaching, caregiver guidance materials, symptom management support, medication management education, stress management strategies, and healthcare utilization decision support in addition to routine home palliative care services.
Treatment groups
150 Participants
are divided into 2 treatment groupsGroup A: Nurse-Led Caregiver Support ProgramExperimental treatment 1 intervention
Group B: Routine Home Palliative CareNo intervention 0 interventions
Trial outcomes
Primary outcomes
1
Care Competency Scale for Family Caregivers in Home Palliative Care
Caregiver competency will be assessed using the Care Competency Scale for Family Caregivers in Home Palliative Care. The scale includes 29 items scored on a 1-5 Likert scale. Total scores range from 29 to 145, with higher scores indicating greater caregiver competency.
Time frame
Baseline, post-intervention at 6 weeks, and 3-month follow-upSecondary outcomes
1
Zarit Burden Interview
Caregiver burden will be assessed using the Zarit Burden Interview. Total scores range from 0 to 88, with higher scores indicating greater caregiver burden.
Time frame
Baseline, post-intervention at 6 weeks, and 3-month follow-up2
General Self-Efficacy Scale
Caregiver self-efficacy will be assessed using the General Self-Efficacy Scale. Total scores range from 10 to 40, with higher scores indicating greater self-efficacy.
Time frame
Baseline, post-intervention at 6 weeks, and 3-month follow-up3
Integrated Palliative Care Outcome Scale
Patient symptom burden will be assessed using the Integrated Palliative Care Outcome Scale proxy version. Total scores range from 0 to 68, with higher scores indicating greater symptom burden and unmet needs.
Time frame
Baseline, post-intervention at 6 weeks, and 3-month follow-up4
Emergency Department Visits
Emergency department visits will be assessed as the number of emergency department visits during the follow-up period. Higher values indicate greater emergency healthcare utilization.
Time frame
Baseline, post-intervention at 6 weeks, and 3-month follow-upSponsors and contacts
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Source ClinicalTrials.gov