Evaluating the provision of Further Enabling Care at Home (FECH+) for informal caregivers of older adults discharged home from hospital: protocol for a multicentre randomised controlled trial
Introduction There are personal and societal benefits from caregiving; however, caregiving can jeopardise caregivers’ health. The Further Enabling Care at Home (FECH+) programme provides structured nurse support, through telephone outreach, to informal caregivers of older adults following discharge...
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BMJ Publishing Group
2021-06-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/11/6/e046600.full |
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| author | Susan Slatyer Rachael Moorin Mary Bronson Max K Bulsara Keith Hill Nicholas Waldron Sean Maher Samar Aoun Anne-Marie Hill Wendy Moyle Cindy Jones Laurie Grealish Christina Bryant Ami Kamdar Caroline Reberger Tracey Claverie |
| author_facet | Susan Slatyer Rachael Moorin Mary Bronson Max K Bulsara Keith Hill Nicholas Waldron Sean Maher Samar Aoun Anne-Marie Hill Wendy Moyle Cindy Jones Laurie Grealish Christina Bryant Ami Kamdar Caroline Reberger Tracey Claverie |
| author_sort | Susan Slatyer |
| collection | DOAJ |
| description | Introduction There are personal and societal benefits from caregiving; however, caregiving can jeopardise caregivers’ health. The Further Enabling Care at Home (FECH+) programme provides structured nurse support, through telephone outreach, to informal caregivers of older adults following discharge from acute hospital care to home. The trial aims to evaluate the efficacy of the FECH+ programme on caregivers’ health-related quality of life (HRQOL) after care recipients’ hospital discharge.Methods and analysis A multisite, parallel-group, randomised controlled trial with blinded baseline and outcome assessment and intention-to-treat analysis, adhering to Consolidated Standards of Reporting Trials guidelines will be conducted. Participants (N=925 dyads) comprising informal home caregiver (18 years or older) and care recipient (70 years or older) will be recruited when the care recipient is discharged from hospital. Caregivers of patients discharged from wards in three hospitals in Australia (one in Western Australia and two in Queensland) are eligible for inclusion. Participants will be randomly assigned to one of the two groups. The intervention group receive the FECH+ programme, which provides structured support and problem-solving for the caregiver after the care recipient’s discharge, in addition to usual care. The control group receives usual care. The programme is delivered by a registered nurse and comprises six 30–45 min telephone support sessions over 6 months. The primary outcome is caregivers’ HRQOL measured using the Assessment of Quality of Life—eight dimensions. Secondary outcomes include caregiver preparedness, strain and distress and use of healthcare services. Changes in HRQOL between groups will be compared using a mixed regression model that accounts for the correlation between repeated measurements.Ethics and dissemination Participants will provide written informed consent. Ethics approvals have been obtained from Sir Charles Gairdner and Osborne Park Health Care Group, Curtin University, Griffith University, Gold Coast Health Service and government health data linkage services. Findings will be disseminated through presentations, peer-reviewed journals and conferences.Trial registration number ACTRN12620000060943. |
| format | Article |
| id | doaj-art-6c180660b39342b2adf51b9de275baba |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2021-06-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-6c180660b39342b2adf51b9de275baba2024-11-19T00:20:17ZengBMJ Publishing GroupBMJ Open2044-60552021-06-0111610.1136/bmjopen-2020-046600Evaluating the provision of Further Enabling Care at Home (FECH+) for informal caregivers of older adults discharged home from hospital: protocol for a multicentre randomised controlled trialSusan Slatyer0Rachael Moorin1Mary Bronson2Max K Bulsara3Keith Hill4Nicholas Waldron5Sean Maher6Samar Aoun7Anne-Marie Hill8Wendy Moyle9Cindy Jones10Laurie Grealish11Christina Bryant12Ami Kamdar13Caroline Reberger14Tracey Claverie15Discipline of School of Nursing, Murdoch University, Murdoch, Western Australia, AustraliaSchool of Population Health, Faculty of Health Sciences, Curtin University, Perth, Western Australia, AustraliaMedical Division, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia6 Biostatistics, University of Notre Dame, Fremantle, Western Australia, AustraliaRehabilitation Ageing and Independent Living Research Centre, Monash University, Melbourne, Victoria, AustraliaUniversity of Auckland, Auckland, New ZealandRoyal College of Surgeons in Ireland, Dublin, IrelandSchool of Psychology and Public Health, La Trobe University, Melbourne, Victoria, AustraliaSchool of Nursing, Midwifery and Paramedicine, Curtin University, Perth, Western Australia, AustraliaSchool of Nursing and Midwifery Nathan and Gold Coast, Griffith University, Brisbane, Queensland, AustraliaFaculty of Health Sciences and Medicine, Bond University, Robina, Queensland, AustraliaGold Coast Hospital and Health Services, Gold Coast, Queensland, AustraliaMelbourne School of Psychological Sciences, University of Melbourne, Melbourne, Victoria, AustraliaDepartment of General Medicine, Sir Charles Gairdner Hospital, Nedlands, Western Australia, AustraliaDepartment of Rehabilitation and Aged Care, Sir Charles Gairdner Hospital, Nedlands, Western Australia, AustraliaGold Coast Hospital and Health Services, Gold Coast, Queensland, AustraliaIntroduction There are personal and societal benefits from caregiving; however, caregiving can jeopardise caregivers’ health. The Further Enabling Care at Home (FECH+) programme provides structured nurse support, through telephone outreach, to informal caregivers of older adults following discharge from acute hospital care to home. The trial aims to evaluate the efficacy of the FECH+ programme on caregivers’ health-related quality of life (HRQOL) after care recipients’ hospital discharge.Methods and analysis A multisite, parallel-group, randomised controlled trial with blinded baseline and outcome assessment and intention-to-treat analysis, adhering to Consolidated Standards of Reporting Trials guidelines will be conducted. Participants (N=925 dyads) comprising informal home caregiver (18 years or older) and care recipient (70 years or older) will be recruited when the care recipient is discharged from hospital. Caregivers of patients discharged from wards in three hospitals in Australia (one in Western Australia and two in Queensland) are eligible for inclusion. Participants will be randomly assigned to one of the two groups. The intervention group receive the FECH+ programme, which provides structured support and problem-solving for the caregiver after the care recipient’s discharge, in addition to usual care. The control group receives usual care. The programme is delivered by a registered nurse and comprises six 30–45 min telephone support sessions over 6 months. The primary outcome is caregivers’ HRQOL measured using the Assessment of Quality of Life—eight dimensions. Secondary outcomes include caregiver preparedness, strain and distress and use of healthcare services. Changes in HRQOL between groups will be compared using a mixed regression model that accounts for the correlation between repeated measurements.Ethics and dissemination Participants will provide written informed consent. Ethics approvals have been obtained from Sir Charles Gairdner and Osborne Park Health Care Group, Curtin University, Griffith University, Gold Coast Health Service and government health data linkage services. Findings will be disseminated through presentations, peer-reviewed journals and conferences.Trial registration number ACTRN12620000060943.https://bmjopen.bmj.com/content/11/6/e046600.full |
| spellingShingle | Susan Slatyer Rachael Moorin Mary Bronson Max K Bulsara Keith Hill Nicholas Waldron Sean Maher Samar Aoun Anne-Marie Hill Wendy Moyle Cindy Jones Laurie Grealish Christina Bryant Ami Kamdar Caroline Reberger Tracey Claverie Evaluating the provision of Further Enabling Care at Home (FECH+) for informal caregivers of older adults discharged home from hospital: protocol for a multicentre randomised controlled trial BMJ Open |
| title | Evaluating the provision of Further Enabling Care at Home (FECH+) for informal caregivers of older adults discharged home from hospital: protocol for a multicentre randomised controlled trial |
| title_full | Evaluating the provision of Further Enabling Care at Home (FECH+) for informal caregivers of older adults discharged home from hospital: protocol for a multicentre randomised controlled trial |
| title_fullStr | Evaluating the provision of Further Enabling Care at Home (FECH+) for informal caregivers of older adults discharged home from hospital: protocol for a multicentre randomised controlled trial |
| title_full_unstemmed | Evaluating the provision of Further Enabling Care at Home (FECH+) for informal caregivers of older adults discharged home from hospital: protocol for a multicentre randomised controlled trial |
| title_short | Evaluating the provision of Further Enabling Care at Home (FECH+) for informal caregivers of older adults discharged home from hospital: protocol for a multicentre randomised controlled trial |
| title_sort | evaluating the provision of further enabling care at home fech for informal caregivers of older adults discharged home from hospital protocol for a multicentre randomised controlled trial |
| url | https://bmjopen.bmj.com/content/11/6/e046600.full |
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