About this trial
The primary objective of this study is to identify and support hidden caregivers of older adults. Caregivers are assessed before the intervention on their mental well-being and social connectedness. Caregivers are triaged into four levels: low, mild, moderate and high. They will receive different types of services (intervention) accordingly. At the end of the service period (or 6-months after the baseline), caregivers and care recipients will complete the assessment again to measure the changes of the primary outcomes.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Provide ADL/IADL assistance to at least one older adult (aged 60+),
Not currently using any types of respite service,
Able to communicate in either Cantonese, English or Mandarin
Voluntarily participate
Disqualifiers
The care recipient is not living in the community
Trial design
Parallel
Treatments tested in this trial
30 hr Respite Service
Other interventionCaregivers will be provided with 30 hours of respite service within 6 months. Trained substitute caregivers will provide in-home elderly-sitting service.
Case follow-up
Other interventionCase follow-up service provided by social workers. Social workers will call the caregiver regularly to see if situation changes.
Crisis management
Other interventionCrisis management and councelling provided by social workers and professionals.
Phone Check-in
Other interventionRegular phone check-in and on-demand services (e.g., escort to hospital) provided by volunteers.
Treatment groups
Trial outcomes
Primary outcomes
Change from baseline in score in caregiving needs on the Carer Needs Screening Tool (CNST-11) after the intervention
The Carer Needs Screening Tool (CNST-11) is a self-developed tool that measures different aspects of caregiving needs over the past 1 week period. It is a 11-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
Change from baseline in score in social support on MOS Social Support Survey after the intervention
The MOS Social Support Survey (MOSSSS) is a widely used tool that consists of 6 questions designed to measure the amount of support one needs. The total score ranges from 6 to 30, with higher scores indicating more support received. Change in score = Immediate after intervention - baseline
Change from baseline in score in the severity and disturbance of symptoms of care recipient on Neuropsychiatric Inventory after the intervention
The Neuropsychiatric Inventory measures the severity and disturbance to caregiver of 13 common symtoms (e.g., dellusion, sleeping problem) of the care recipient. Severity is rated from 0 to 3, with 0 indicates no symptom and 3 indicates severe problem. Disturbance to caregiver is rated from 0 to 5, with 0 being not affected at all and 5 being extremely affected. The higher score in both subscales indicate worse problem. Change in score = Immediate after intervention - baseline
Change from baseline in score in social connectedness on Social Connectedness Scale after the intervention
The Social Connectedness Scale consists of 6 items that measures how closely one feel that they are connected to the community. The total score on the scale can range from 8 to 48, with higher scores indicating a higher level of connectedness. Change in score = Immediate after intervention - baseline
Sponsors and contacts
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