TY - JOUR
T1 - The effect of the Carer Support Needs Assessment Tool intervention (CSNAT-I) in the Danish specialised palliative care setting: a stepped wedge cluster randomised controlled trial
AU - Lund, Line
AU - Ross, Lone
AU - Aagaard Petersen, Morten
AU - Blach, Annemette
AU - Rosted, Elizabeth
AU - Bollig, Georg
AU - Juhl, Gitte Irene
AU - Fahrholt, Hanne
AU - Winther, Helen
AU - Laursen, Louise
AU - Hasse, Marianne
AU - Weensgaard, Signe
AU - Guldin, Mai-Britt
AU - Ewing, Gail
AU - Grande, Gunn
AU - Groenvold, Mogens
PY - 2020/9/24
Y1 - 2020/9/24
N2 - Background: The Carer Support Needs Assessment Tool intervention (CSNAT-I) has been shown to improve end-of-life care support for informal caregivers. This study investigated the impact of the CSNAT-I on caregivers of patients recently enrolled in specialised palliative care (SPC) at home in Denmark.
Methods: A stepped-wedge cluster randomised controlled trial with nine clusters (i.e., SPC teams). Outcome measures were collected using caregiver questionnaires at baseline (T0) and two (T1) and four (T2) weeks follow-up. ClinicalTrials.gov ID: NCT03466580.
Results: A total of 437 caregivers were enrolled (control group, n=255; intervention group, n=182). No intervention effect was found on the primary outcome, caregiver strain at T1 (p = 0.1865). However, positive effects were found at T1 and T2 on attention to caregivers’ wellbeing (p < 0.0001), quality of information and communication (p < 0.0001), amount of information (T1: p = 0.0002; T2: p < 0.0001), involvement (T1: p = 0.0045; T2: p < 0.0001), talking about greatest burdens (p < 0.0001) and assistance in managing greatest burdens (p < 0.0001). The effect sizes of these differences were medium or large and seemed to increase from T1 to T2. At T1, positive effects were found on distress (p = 0.0178) and home care responsibility (p = 0.0024). No effect was found on the remaining outcomes.
Conclusion: Although no effect was found on caregiver strain, the CSNAT-I showed positive effects on caregiver distress, home care responsibility and key outcomes regarding caregivers’ experience of the interaction with health care professionals.
AB - Background: The Carer Support Needs Assessment Tool intervention (CSNAT-I) has been shown to improve end-of-life care support for informal caregivers. This study investigated the impact of the CSNAT-I on caregivers of patients recently enrolled in specialised palliative care (SPC) at home in Denmark.
Methods: A stepped-wedge cluster randomised controlled trial with nine clusters (i.e., SPC teams). Outcome measures were collected using caregiver questionnaires at baseline (T0) and two (T1) and four (T2) weeks follow-up. ClinicalTrials.gov ID: NCT03466580.
Results: A total of 437 caregivers were enrolled (control group, n=255; intervention group, n=182). No intervention effect was found on the primary outcome, caregiver strain at T1 (p = 0.1865). However, positive effects were found at T1 and T2 on attention to caregivers’ wellbeing (p < 0.0001), quality of information and communication (p < 0.0001), amount of information (T1: p = 0.0002; T2: p < 0.0001), involvement (T1: p = 0.0045; T2: p < 0.0001), talking about greatest burdens (p < 0.0001) and assistance in managing greatest burdens (p < 0.0001). The effect sizes of these differences were medium or large and seemed to increase from T1 to T2. At T1, positive effects were found on distress (p = 0.0178) and home care responsibility (p = 0.0024). No effect was found on the remaining outcomes.
Conclusion: Although no effect was found on caregiver strain, the CSNAT-I showed positive effects on caregiver distress, home care responsibility and key outcomes regarding caregivers’ experience of the interaction with health care professionals.
M3 - Article
SN - 2045-435X
JO - BMJ Supportive & Palliative Care
JF - BMJ Supportive & Palliative Care
ER -