Clinical trial NCT06632275: Family Participation in Bangladesh Hospital Care
Official title: Family Caregiver Participation in Hospital Care in a Tertiary Hospital in Bangladesh: a Mixed Methods Study
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Hospitalized Patients
Keywords: Family caregivers
Hospital
Adult
Bangladesh
Family
Care
Mixed method
Observational
Cohort
Prospective
Qualitative
Time and Motion
Lead sponsor: Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
Sponsor class: OTHER
Collaborators: name: Chattogram Medical College Hospital
name: Asian University for Women
name: Mahidol Oxford Tropical Medicine Research Unit
name: Amsterdam UMC, location AMC
First posted: 2024-10-09
Enrollment: 353
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: This study includes the patients, family caregivers, nurses, doctors, ward assistants, and hospital administrators admitted/caring/working on the general medicine wards of Chattogram Medical College Hospital.

Brief summary: This mixed methods study aims to understand family care participation in the adult medicine wards of Chattogram Medical College Hospital, Bangladesh. The main questions it aims to answer, from the perspective of the patient, family caregiver, nurse, doctor, ward assistant, and hospital administrator, are:

1. What is the role of the family caregiver in hospital care?
2. What is the perceived effect of family participation in hospital care?
3. What are the barriers and facilitators experienced in family participation?
4. What are suggestions for family participation interventions?

These questions will be answered with three study arms:

1. A prospective observational cohort (population: patients and family caregivers)
2. A time and motion study (population: nurses and doctors)
3. Interviews and focus group discussions (population: patients, family caregivers, nurses, doctors, ward assistants, and hospital administrators)


Eligibility criteria: Prospective Observational Cohort

* Inclusion Criteria

  * Population
  * Patient: Admitted to the ward (in-patient)
  * Family caregiver: caregiver providing care at the bedside of the patient on the ward
  * Environment: Admitted to medicine wards 13, 14 or 16 of Chattogram Medical College Hospital
  * Admission time: Admitted in the last 48 hours
  * Adult: ≥18 years
* Exclusion criteria

  * Admission time: Planned discharge or transfer within the first 24 hours of admission
  * Child: \<18 years
  * Previously enrolled in this study arm
  * No consent given

Time and Motion

* Inclusion Criteria

  * Population: Nurses and doctors
  * Environment: Working in the medicine wards 13, 14 or 16 of Chattogram Medical College Hospital
* Exclusion Criteria

  * Population: \<6 months work experience on wards 13, 14 or 16 of CMCH
  * Previously enrolled in this study arm
  * No consent given

Qualitative (interviews and focus group discussions)

* Inclusion Criteria

  * Population
  * Patient: Admitted to the ward (in-patient)
  * Family caregiver: Caregiver providing care at the bedside of the patient on the ward
  * Health workers: Nurses, doctors and ward assistants
  * Hospital administrator: Managers and professors
  * Environment
  * Patient: Admitted to medicine wards 13, 14 or 16 of CMCH
  * Family caregiver: Caring for their relative on wards 13, 14 or 16 of CMCH
  * Health worker: Working on wards 13, 14 or 16 of CMCH
  * Hospital administrator: Responsible for care delivery on wards 13, 14 or 16 of CMCH
* Exclusion Criteria

  * Population
  * Patient: Unconscious or unable to participate in a conversation
  * Family caregiver: Unable to leave the patient for reasons of safety
  * Health worker: \<6 months of work experience on wards 13, 14 or 16 of CMCH
  * Hospital administrator: \&amp;lt;6 months in a management role for wards 13, 14 or 16 of CMCH
  * Admission time
  * Patient: Admitted \<48 hours
  * Family caregiver: \<8 cumulative hours present at patient bedside in last 48 hours
  * Child: \<18 years
  * Previously enrolled in this study arm
  * No consent given

Primary outcomes:
measure: The role of family participation in hospital care
timeFrame: During admission to the general medicine ward
measure: The perceived effect of family participation in hospital care
timeFrame: During admission to the general medicine ward
measure: The barriers and facilitators of family participation in hospital care
timeFrame: During admission to the general medicine ward
measure: The intervention suggestions for family participation in hospital care
timeFrame: During admission to the general medicine ward
Secondary outcomes:
Other outcomes:
Locations:
city: Chattogram
country: Bangladesh
facility: Chattogram Medical College Hospital
Study officials:
References: