Clinical trial NCT05901909: Training Given to Caregivers of Stroke Home Care Patients.
Official title: The Effect of the Education Program Based on the Precede-Proceed Model to the Caregivers of Stroke Home Care Patients on Care Giving Response, Perceived Social Support Level, and Patient Outcomes.
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Stroke
Keywords: Stroke
Home Care Services
Caregivers
Social Support
Patient-Relevant Outcome
Lead sponsor: Mustafa Kemal University
Sponsor class: OTHER
First posted: 2023-06-13
Enrollment: 70
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Intervention model description: two groups
Primary purpose: SUPPORTIVE_CARE

Brief summary: Although stroke home care patients receive various treatments, they generally continue their lives as semi-dependent or fully dependent. Considering that stroke patients are especially elderly individuals, it is seen that they receive home health services and need a caregiver. The caregiver feels themselves under a heavy burden due to the lack of knowledge and insufficient experience. In addition, the lack of social support levels and the lack of training in patient care cause negative effects on patient outcomes.

Detailed description: The research will be carried out face-to-face with 70 stroke patients who receive health care from the home health services unit of a State Hospital and 70 individuals who care for these patients between July 2023 and December 2023. This study is a single-sample study with its own control group. During the implementation phase of the research, home visits will be made to the patients and training based on the Precede-Proceed model will be given to the individuals who care for the patients in the meeting room of the hospital where the research will be conducted. The collection of research data will take place in three stages. In the research, pre-education evaluation will be collected at the hospital before the training for the caregivers and home visits for the patients. In the second stage, the training program planned for the caregivers will be implemented in the meeting room of the hospital. After the training program reaches all of the caregivers in the determined number, the first evaluation will be made for the caregivers and the patient in the 8th week after the training is over. The third stage is the 16th week after the completion of the training, and the final evaluation will be made for the patients and caregivers. In the study, data will be collected using the individual caregiver personal information form, the caregiver response rating scale and the multidimensional perceived social support scale, and the patient personal information form for the patients. Statistical significance level will be accepted as p\<0.05.

Eligibility criteria: Inclusion Criteria:

* Individuals who care for semi-dependent or fully dependent stroke home care patients who agree to participate in the study,
* No communication problems,
* Do not have any psychiatric disorders that will reduce the ability to comprehend and understand,
* Caregivers over the age of 18.
* Semi-dependent or fully dependent stroke home care patients,
* Adult patients,
* Patients whose legal guardians or who have agreed to participate in the research themselves,

Exclusion Criteria:

* The refusal of caregivers or patients to participate in the study,
* The caregiver ceases to provide care or the patient dies during the research,

Primary outcomes:
measure: Patient Evaluation Form
timeFrame: In the first week after the start of the study, home visits will be made and the patients will be evaluated through the patient evaluation form.
measure: Patient Evaluation Form
timeFrame: After the training program reaches all of the caregivers in the determined number and the training is completed, the first evaluation will be made for the patient in the 8th week.
measure: Patient Evaluation Form
timeFrame: It is the 16th week after the completion of the training, and the final evaluation will be made for the patients.
Secondary outcomes:
measure: Caregiver Response Rating Scale
timeFrame: The caregivers will be evaluated by using the Caregiver Response Evaluation Scale within the first week before the individuals who care for stroke home care patients are given training.
measure: Caregiver Response Rating Scale
timeFrame: After the training based on the Precede-Proceed Model is given to the caregivers of stroke home care patients, the caregivers will be evaluated using the Caregiver Response Evaluation Scale at the end of the 8th week.
measure: Caregiver Response Rating Scale
timeFrame: After the training based on the Precede-Proceed Model is given to the caregivers of stroke home care patients, the caregivers will be evaluated using the Caregiver Response Evaluation Scale at the end of the 16th week.
measure: Multidimensional Scale of Perceived Social Support
timeFrame: Individuals who care for stroke home care patients will be evaluated by using the Multidimensional Scale of Perceived Social Support in the first week without training.
measure: Multidimensional Scale of Perceived Social Support
timeFrame: After the training based on the Precede-Proceed Model is given to the caregivers of stroke home care patients, the caregivers will be evaluated using the Multidimensional Scale of Perceived Social Support at the end of the 8th week.
measure: Multidimensional Scale of Perceived Social Support
timeFrame: After the training based on the Precede-Proceed Model is given to the caregivers of stroke home care patients, the caregivers will be evaluated using the Multidimensional Scale of Perceived Social Support at the end of the 16th week.
Other outcomes:
Locations:
city: Hatay
country: Turkey
facility: Hatay Mustafa Kemal University
Study officials:
affiliation: Mustafa Kemal University
name: SÜMEYYE AKÇOBAN
role: PRINCIPAL_INVESTIGATOR
References:
citation: Akcoban S, Eskimez Z. Homecare patients' quality of life and the burden of family caregivers: a descriptive cross-sectional study. Home Health Care Serv Q. 2023 Jul-Sep;42(3):216-229. doi: 10.1080/01621424.2023.2177224. Epub 2023 Feb 12.
citation: Langhorne P, Ramachandra S; Stroke Unit Trialists' Collaboration. Organised inpatient (stroke unit) care for stroke: network meta-analysis. Cochrane Database Syst Rev. 2020 Apr 23;4(4):CD000197. doi: 10.1002/14651858.CD000197.pub4.
citation: Sezgin D, Esin MN. Effects of a PRECEDE-PROCEED model based ergonomic risk management programme to reduce musculoskeletal symptoms of ICU nurses. Intensive Crit Care Nurs. 2018 Aug;47:89-97. doi: 10.1016/j.iccn.2018.02.007. Epub 2018 Mar 31.