Caregivers Tracheal Aspiration Training

Study Overview
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Brief Summary
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The aim of this study is to determine the effects of animation-based mobile application and simulation-based training methods on tracheal aspiration knowledge and skills of patient relatives who care for patients with tracheostomy/tracheotomy. Experimental pre-test-post-test control group study design was planned.

Detailed Description
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The study aims to determine the effect of tracheal aspiration training given to caregivers of patients with tracheostomy and tracheotomy. The effects of training given using clinical routine training, animation-based mobile application and simulation-based training methods on the knowledge and skills of caregivers will be evaluated. Experimental pre-test-post-test control group study design was planned. This study will be carried out as a multicenter in Bursa, Turkey.The centers where the study will be conducted are Bursa Uludağ University Health Research and Application Center and Bursa City Hospital. In calculating the sample size, the effect size was determined as 0.4 for 80% power and 5% significance level. In this direction, it is aimed to include 22 patient relatives in each group in order to compare the knowledge and skill levels between the mobile application, simulation training and control groups. A total of 66 patient relatives will be included in the study. The caregivers to be assigned to the groups will be selected using the block randomized method. The plan to be implemented in the research; Pre-Training: Introductory Characteristics Form and Information Evaluation Form will be filled in for caregivers in all groups. Training: An animation-based mobile application will be installed on the phones of the caregivers assigned to the mobile application group and will be introduced and made available to their use by the researcher Yeliz ŞAPULU ALAKAN. Tracheal aspiration training of caregivers assigned to the simulation training group will be given to the same standard by researcher Yeliz ŞAPULU ALAKAN. It will be shown in practice on the tracheostomy care simulator. Caregivers assigned to the control group will not undergo any training other than routine in-clinic training on tracheostomy aspiration. Caregivers in the all group will also undergo routine training of the clinic After the training: Caregivers in all groups will fill out the Training Evaluation Form and Information Evaluation Form. The video of the caregiver taken during the tracheal aspiration procedure will be evaluated by the researchers using the Skill Evaluation Form. One month after the training: Caregivers in all groups will fill in the Information Evaluation Form and Result Evaluation Form.The video of the caregiver taken during the tracheal aspiration procedure will be evaluated by the researchers using the Skill Evaluation Form.

Official Title
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Evaluation of the Effectiveness of the Simulation Model and Mobile Application in Teaching Tracheostomy Aspiration Application to the Caregivers of Patients With Tracheostomy and Tracheotomy

Conditions
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Tracheostomy, Family Caregivers, Aspiration

Intervention / Treatment
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* Other: simulation model training
* Other: mobile app training
* Other: control group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being the primary caregiver of the patient who will undergo a tracheotomy or tracheostomy, which is expected to last at least one month, Primary care will be continued by the same caregiver for a period of one month. Volunteering to participate in the research Being over 18 years old, Absence of a diagnosed psychiatric illness that may interfere with communication Owning and being able to use a smart mobile phone Exclusion Criteria: Not being the primary caregiver of the patient who will undergo tracheostomy or tracheotomy, Change of primary caregiver in less than a month Closing the tracheotomy in less than a month Not volunteering to participate in the research Be under the age of 18, Having a diagnosed psychiatric illness that may interfere with communication Not having or being unable to use a smart mobile phone

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: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Caregivers will be assigned to control, simulation and mobile application groups by block randomization method. An equal number of caregivers from each clinic will be assigned to each group.
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: 1-simulation model training<br>Tracheal aspiration training of caregivers assigned to the simulation training group will be given to the same standard by researcher. It will be shown in practice on the tracheostomy care simulator. They will also receive clinical routine training | Other: simulation model training<br>* Tracheal aspiration training of caregivers assigned to the simulation training group will be given to the same standard by researcher. It will be shown in practice on the tracheostomy care simulator.<br>Other: control group<br>* Clinical routine training will be given to caregivers in this group.<br>|
| Other: 2-mobile app training<br>An animation-based mobile application will be installed on the phones of the caregivers assigned to the mobile application group and will be introduced and made available to their use by the researcher. They will also receive clinical routine training | Other: mobile app training<br>* An animation-based mobile application will be installed on the phones of the caregivers assigned to the mobile application group and will be introduced and made available to their use by the researcher.<br>Other: control group<br>* Clinical routine training will be given to caregivers in this group.<br>|
| Other: 3-control group<br>Clinical routine training will be given to caregivers in this group. | Other: control group<br>* Clinical routine training will be given to caregivers in this group.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| To determine the effects of simulation model, mobile application and routine training methods on the knowledge scores of the caregivers of patients with tracheostomy before the training, after the training and one month after the training. | Getting at least 50 points from each part of the knowledge evaluation form, which includes questions about the procedure. | through study completion, an average of 1 year | 
| To determine the effects of simulation model, mobile application and routine training methods on the skill levels of caregivers of patients with tracheostomy before, after and one month after training. | Caregivers will be evaluated according to the skill evaluation form during the aspiration process from the tracheostomy. | through study completion, an average of 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Satisfaction with different training methods | To be measured using the Satisfaction Evaluation Form | through study completion, an average of 1 year | 
| One month after the different trainings, the effects of caregivers on the aspiration application will be evaluated using the Results Evaluation Form. | The effect of different training methods will be evaluated. | through study completion, an average of 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Family Caregivers, Tracheostomy aspiration, Mobile application, Simulation training