Cerquera Córdoba 2021.
| Study characteristics | |
| Methods |
Study design: RCT Duration of study: the study was conducted from February 2019 to February 2020. Country: Colombia Income classification: upper‐middle‐income country in 2019‐2020 Geographical scope: Bucaramanga and its metropolitan area Healthcare setting: patient's homes (home‐care companies with nursing assistants) |
| Participants | 1. Age: average age of caregivers 55.1 years 2. Gender: both 3. Socioeconomic background: median socioeconomic level (64%) 4. Educational background: secondary education level or less (58%) Inclusion criteria: a. being a relative of the patient; b. living in the same home; c. performing the role of caregiver for at least 8 hours a day for more than 3 months; d. receiving no remuneration. Exclusion criteria: ceasing to be the main caregiver, unpaid, for reasons such as prolonged hospitalization (more than 20 days), institutionalization, or death of the patient Note: at baseline, the total sample score for the Zarit Burden Interview (ZBI) at baseline was 45 (16.8). Stated purpose: to evaluate the efficacy of a multicomponent programme with transdisciplinary intervention to reduce the burden and improve social support of caregivers of patients with Alzheimer's |
| Interventions |
Name: respite care group; multicomponent plus respite care group Title/name of PW and number Intervention 1: transdisciplinary work of 6 psychologists, 4 physiotherapists, 4 speech therapists Intervention 2: nursing assistants (for respite group) 1. Selection: home care provider company 2. Educational background: not specified 3. Training: for respite group nursing assistants trained in the proper handling of patients and support in the execution of activities of daily living—8 hours transdisciplinary team (6 psychologists, 4 physiotherapists, 4 speech therapists) 4. Supervision: not specified 5. Incentives/remuneration: not specified Prevention type: selective prevention – participants were included based upon the presence of a risk factor (being caregivers of patients with Alzheimers) and presented distress levels at baseline well below the cut‐off for the measure. Intervention details Respite care group: relay “breathing”. Respite care was carried out for 8 weeks, once a week with a duration of 4 hours per day, by nursing assistants through a home care provider company. Multicomponent plus respite care group: multicomponent, integrated by the components of psychoeducation, systemic communication, and physiotherapy, with the objectives of favouring the management of body posture, movements, and physical activity, as well as promoting assertive communication where the quality of communication and affectivity was recognized, through the transdisciplinary work of 6 psychologists, 4 physiotherapists, and 4 speech therapists, who had academic sufficiency in the subject. The multicomponent intervention was carried out for 8 weeks. This intervention group also received the “relay breathing” intervention. Control: waiting list – no intervention (delivery of respite intervention at the end of the study) |
| Outcomes |
Participants’outcomes of interest for this review
Note: we included data from the respite care group intervention and control. Carers’ outcomes of interest for this review Nil Economic outcomes Nil Time points: baseline, post‐intervention (< 1 month post‐intervention; 7‐24 months post‐intervention) |
| Notes |
Source of funding: Ministry of Science, Technology and Innovation (MINCIENCIAS) Notes on validation of instruments (screening and outcomes): for the ZBI, the version by Martín‐Carrasco and colleagues was used. This tool presents good reliability and validity for the Colombian population. The MOS has a reliability evaluation for Colombia (Cronbach's alpha between 0.921 to 0.736). Additional information: none Handling the data: not applicable Prospective trial registration number: not specified |