Family Health Partners in Regional Network Structures

Study Overview
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Brief Summary
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Families with children with severe health problems are exposed to particular emotional, social, economic and time burdens. These result in further risks, which often lead to poor living and care situations for the families concerned. This is attributed, among other, to legal regulations that do not do justice to the respective individual life situations and the lack of competent information and counselling services. The overarching objective of the NEST project is to evaluate the effectiveness of a professional support facility for families with children in need of care that operates across sectors and service providers. The network support by so-called Family Health Partners [Familien-Gesundheits-Partner; FGP] aims to provide assistance and need-based individual care for all members in families with children in need of care. The medium-term goal of FGP support is to develop the family as a self-help system, i.e. as a self-competent, independently acting primary resource for the care and support of their children in need of care.

Detailed Description
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The project starts facing the problem that families with children with severe health problems are exposed to strong emotional, social, economic and temporal burdens. This results in further health, social and economic risks, which often lead to poor living and care situations for the families concerned. This is attributed, among other things, to legal regulations that do not do justice to the respective individual life situations and the lack of competent advice and contact points. The overarching objective of the NEST project is the evaluation of an innovative support service that addresses the problem. The network support by so-called Family Health Partners [Familien-Gesundheits-Partner; FGP] aims to provide needs-based, individual care for all members in families with children in need of care, i.e. the best possible physical, psychological and participation-oriented care for children in need of care, thus relieving the relatives who spend much time for care and assistance of their child/children. The intervention to be evaluated here with regard to its effectiveness and to be analyzed with regard to its impact factors (processes and structures) was summarized in the term of FGP. This personalized function, which is anchored in the network, aims to provide holistic support for families with children in need of care. This means that the needs of the families are determined individually and initially independent of sectoral or service provider specific offers (structured assessment). The needs of families not only relate to medical, nursing or therapeutic care, but also to assistance regarding social law, economic and bureaucratic advice as well as social, psychosocial and emotional needs and social participation. Based on the identified need for support, affected families are individually accompanied by FGP over a certain period of time (in the project context: a maximum of 18 months). The medium-term goal of FGP support is to strengthen or maintain the family as a self-help system, i.e. self-efficient, independently acting primary resource for the care and support of their children (preventive).

Official Title
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Strengthening and Relieving the Burden on Families With Children in Need of Care Through Family Health Partners [Familien-Gesundheits-Partner; FGP] in Regional Network Structures

Conditions
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Disabled or Chronically Ill Children in Need of Care

Intervention / Treatment
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* Other: Families with FGP support


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: parents and other guardians with at least one disabled and/or chronically ill child under 18 years in western and southern Germany all genders and ethnicities will be included in the study Exclusion Criteria: caregivers for children in need of care according to § 37 of Germany's Social Security Code V level of care = 1 (i.e. minor impairments of independence or abilities)

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention Group (IG)<br>Families with FGP support (families with disabled and/or chronically children under 18 in the greater area of Mainz, Saarbrucken and Munich (Germany) | Other: Families with FGP support<br>* Non-randomized controlled trial with four points of measurement ( in 18 months)<br>|
| No Intervention: Control Group (CG)<br>Families without FGP support (standard care) under the same conditions | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Family quality of life | Name of the measurement and measurement tools can be seen below (outcome measures 2-9). Unit of measure are both measures of central tendency and measures of variability. | 18 months | 
| Parents' mental and physical health | General Health Questionnaire-28 - GHQ-28 | 18 months | 
| Well-being | WHO-Five Well-being Index - WHO-5 | 18 months | 
| Stress experience | Perceived Stress Scale - PSS-4 | 18 months | 
| Family burden due to illness of the child | Impact-on-Family Scale - IOFS-20 | 18 months | 
| Family cohesion | Resilience Scale for Adults - RSA | 18 months | 
| Resilience | Brief Resilience Scale - BRS | 18 months | 
| Individual stressor exposure | Mainz Inventory of Microstressors - MIMIS | 18 months | 
| Life events | Life History Calendar - LHC | 18 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Resilience factors and associated measures | Name of the measurement and measurement tools can be seen below (outcome measures 11-14). Unit of measure are both measures of central tendency and measures of variability. | 18 months | 
| Optimism / positive thinking | Scale Optimism-Pessimism-2 - SOP-2 | 18 months | 
| Locus of control | Internal and External Locus of Control Scale-4 - IE-4 | 18 months | 
| Self-efficacy | General Self-efficacy Short Scale - ASKU-3 | 18 months | 
| Social support | Oslo Social Support Scale - OSSS-3 | 18 months | 
| Access to care | Operationalization see below (outcome measures 16-18). | 18 months | 
| Satisfaction with health care | Self-developed questionnaire with 13 items | 18 months | 
| Use of support services | Self-developed questionnaire with 21 items | 18 months | 
| Satisfaction with health coordination | Case Management questionnaire with 11 items | 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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children in need of care, family caregivers, Family Health Partner, non-medical care, regional networking