Using Community Health Workers to Support Rural Care Partners of Seriously Ill Older Veterans
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorVA Office of Research and Development
About this trial
The investigators aim to support care partner's well-being and satisfaction with VA care and decrease their work burden by offering extra support from a trained Community Health Worker who will help connect the care partner to helpful resources in their communities and in the VA. The investigators also hope to help Veterans well-being and satisfaction with VA care by supporting their care partner more sufficiently allowing the care partner to focus on caregiving tasks.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
A relative, friend, or partner (18 years of age) with whom Veteran patient has a personal relationship who assists Veteran regularly with care and/or care coordination as defined under "Veterans" below
Residing in a rural area based on RUCC or Rural-Urban Continuum Codes 83
Must be enrolled in Caregiver Support Program (CSP) Program of General Caregiver Support Services
Can live with or separately from the Veteran; able to communicate in English by phone
Disqualifiers
Flag or social work note indicating suspected Caregiver abuse
Unable to communicate in English by phone for assessments
Trial design
Design model
Parallel
Treatments tested in this trial
Remote Community Health Worker support
Other interventionTrained/certified community health worker supporting care partner remotely
Treatment groups
480 Participants
are divided into 2 treatment groupsGroup A: Community Health Worker supportExperimental treatment 1 intervention
Group B: Regular supportNo intervention 0 interventions
Trial outcomes
Primary outcomes
1
Zarit-12 Cargiver Burden Interview
Care partners randomized to intervention will have lower mean Zarit-12 scores at 6 months compared to the control group. Each question is scored on a five-point Likert scale from 0 to 4, with higher scores representing a greater feeling of burden. The total ZBI-12 score is the summation of 12 items, with a total score range from 0 to 484. Higher indicates more burden. A cut-off score of 13 points on the ZBI-12 is suggested for screening burden in community-dwelling older caregivers, but should not be assumed as normative data. 5 categories: health, psychological well-being, finances, social life, relationship with impaired person. 12 item, α=0.88-0.91
Time frame
baseline and 6 monthsSecondary outcomes
1
1-item CAHPS Global Satisfaction Measure
Care partners and Veterans randomized to intervention will have higher mean 1-item CAHPS Global Satisfaction scores at 6 months compared to the control group. Scale of 0 to 10 to measure respondents' overall assessments of a provider, care, and/or healthcare organization. Higher score means a more satisfied.
Time frame
baseline and 6 months2
Warwick Edinburgh Mental Well-Being Scale
Veterans randomized to intervention will have higher mean Warwick Edinburgh Mental Well-Being Scale scores at 6 months compared to the control group. 14 item scale (scored 1-5) of mental well-being covering subjective well-being and psychological functioning, in which all items are worded positively and address aspects of positive mental health. The minimum scale score is 14 and the maximum is 70, higher is more positive well-being. α=0.89-0.91
Time frame
baseline and 6 months3
Connection Measure
1. At baseline and 6 months. "When I need services at the VA, I was connected to those services" Strongly Agree-Agree-Disagree-Strongly Disagree Scale o At 6 months only: In what ways has connecting to services at VA changed for you since the beginning of the study? Open-ended response 2. At baseline and 6 months. "When I need services in my community, I was connected to those services" Strongly Agree-Agree-Disagree-Strongly Disagree Scale * At 6 months only: In what ways has connecting to services in the community changed for you since the beginning of the study? Open-ended response
Time frame
baseline and 6 monthsSponsors and contacts
Click on the lead sponsor to view all of their trials.
VA Office of Research and Development
Lead sponsor
Durham VA Medical Center
Collaborator
Source ClinicalTrials.gov
This trial is not recruiting at the moment. You can still explore other options: