Quality of LifeCuidaCareNCT01478295
Effectiveness of Nursing Intervention on Caregivers
A study testing CuidaCare Intervention in people with Quality of Life, run by Gerencia de Atención Primaria, Madrid at 1 site in Spain.
Trial summary
The purpose of this study is to evaluate the effectiveness of a structured nursing intervention (PCE), including two types of intervention defined in the literature (coping strategies promoting social support and empowerment through health education), which has an effect on the perceived quality of life for the… Read more about this study
- Who is it for?
- Ages 65 years and older
- Conditions the study is for
- Quality of Life
- What is being tested?
- CuidaCare Intervention
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 266 participants
- Where
- 1 siteSpain
- Study dates
- Jun 2013to Dec 2015
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 65 years and older
- All sexes
- No healthy volunteers
- Older adult
Who may be able to join
- Not psychological treatment or social support during the study period.
- Be able to follow the trial's demands.
- Experience of caring for at least 6 months in a year.
- Caregivers who consent to take part.
Who cannot join
- Caregivers of patients hospitalized during the initial data collection.
- Caregivers of institutionalized patients.
- Severe psychiatric conditions including depression and major affective pictures.
- Paid caregivers.
- Experience as a caregiver for less than a month.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Effectiveness of Nursing Intervention on Quality of Life of Older Caregivers: Clinical Trial Randomised by Clusters
The purpose of this study is to evaluate the effectiveness of a structured nursing intervention (PCE), including two types of intervention defined in the literature (coping strategies promoting social support and empowerment through health education), which has an effect on the perceived quality of life for the caregiver, when compared with conventional intervention or non-support.
Read the detailed description
Aim: to compare the effectiveness of a standardized care plan (SCP) compared to the usual nursing intervention to improve the quality of life for primary caregivers over 65 years old measured through points change with the EuroQol-5D (EQ-5D) scale.
Secondary objectives:
Evaluate the influence of prognostic variables on quality of life of caregiver. Describe the level of caregiver burden. Describe the socio-demographic profile of the dependent person and caregiver.
Method:
Design: cluster randomized trial. Setting: study in Health Centers Primary Care of Area of Madrid Health Service. Subjects: unit of randomization: primary healthcare centres. Analysis unit: caregivers over 65 years old.
Intervention: The SCP in the treatment group and the usual intervention in the control group.
Sample size adjusted for design effect= 218 (109 in each arm). Main response variable: perceived quality of life (EQ-5D). Secondary response variables: nursing diagnosis, Zarit Caregiver Burden Interview, objective overload level.
Prognostic variables:Dependent person-related: dependence level (Barthel, Lawton-Brody), cognitive dysfunction (Pfeiffer).
Caregiver-related: depression scale (Yesavage), anxiety level (Goldberg), family function (family Apgar). Sociodemographic variables.
Data Analysis: Analysis of main effectiveness by intention to treat, comparing the difference in units on the EQ-5D scale before and post- intervention in both groups at 0, 6, 12 and 18 months. The estimation adjusted, using logistic regression with aleatory effects, those data that can act as confounding factors or change the effect.
- Conditions
- Quality of Life
- Being tested
- CuidaCare Intervention, Control Group/Usual Care:
- Keywords
- Nursing intervention, Primary Health care, caregiver, strain
- Medical subject headings
- Sprains and Strains
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CuidaCare InterventionBehavioural
Also called Nursing intervention, Primary Health care, Caregiver, Strain
Nursing intervention address to Caregiver Standardized care plan (PCE) Coping strategies promoting social support and empowerment through health education
Control Group/Usual Care:Other
Control Group/Usual Care:
Standardized care plan (PCE) Coping strategies promoting social support and empowerment through health education
| Study group | Role | What they receive |
|---|---|---|
| CuidaCare Intervention | Experimental | Regular care in consultation or home and Structured nursing care (CuidaCare intervention): improved strategies for coping, health education on self-care and dependent care and emotional support. 10 visits are structured, with a periodicity of approximately 2 visits per month and last for 30 to 40 minutes each Receives: Behavioral: CuidaCare Intervention; Other: Control Group/Usual Care: |
| Control Group/Usual Care | Active comparator | Usual care in consultation or home, which is to respond to the specific demands of care of the caregiver, using the resources of the nursing discipline. Receives: Other: Control Group/Usual Care: |
What is being measured
The primary outcome is the main question the study is designed to answer.
Perceived quality of life
Perceived quality of life: Quality of life measured by EuroQol (EQ5D) Scale Change from baseline in quality of life at 18 months after the intervention
Measured: Change from baseline in quality of life at 18 months after the intervention
Secondary outcomes (5)
Nursing diagnosis
Use NANDA International Classification to measure: caregiver role strain or caregiver role (risk for) or stress(overload).
Change from Baseline in Nursing diagnosis at 18 months after the intervention
Measured: Change from Baseline in Nursing diagnosis at 18 months after the intervention
Caregiver Burden
Zarit Caregiver Burden Interview. Change from Baseline in Nursing diagnosis at 18 months after the intervention.
Measured: Change from Baseline in Caregiver Burden at 18 months after the intervention
Depression scale
Yesavage Depression scale. Change from Baseline in Depression scale at 18 months of the intervention.
Measured: Change from Baseline in Depression scale at 18 months after the intervention
Anxiety level
Goldberg scale. Change from Baseline in Anxiety level at 18 months after the intervention
Measured: Change from Baseline in Anxiety level at 18 months after the intervention
Family function
Family Apgar test. Change from Baseline in Family function at 18 months after the intervention
Measured: Change from Baseline in Family function at 18 months after the intervention
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Nov 2011 (estimated)
- Study startJun 2013
- Primary completionDec 2015
- Study completionDec 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Quality of LifeStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 266 participants (actual)
Sponsor and investigators
- Lead sponsor
- Gerencia de Atención Primaria, Madrid
- Sponsor type
- Other government
- Collaborators
- Instituto de Salud Carlos III, Fondo de Investigacion Sanitaria
- Responsible party
- Principal investigator, Milagros Rico Blazquez, Gerencia de Atención Primaria, Madrid
- Investigators
- Milagros Rico, Nurse, Principal investigator, Gerencia Atención Primaria. Madrid
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01478295
- Sponsor's protocol ID
- FIS PI11/02132
- Acronym
- CuidaCare
- Status last verified
- Feb 2016
- First submitted
- 15 Nov 2011
- Last updated
- 11 Feb 2016
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Rico-Blazquez M, Escortell-Mayor E, Del-Cura-Gonzalez I, Sanz-Cuesta T, Gallego-Berciano P, de Las Casas-Camara G, Soto-Diaz S, Garcia-Sanz P, Harris-de-la-Vega N, Martin-Martin M, Dominguez-Perez L, Rivera-Alvarez A, Sarrion-Bravo JA, Perez-de-Hita C, de-Frias-Redondo M, Ferrer-Arnedo C, Hernandez-Pascual M, Valdivia-Perez A, Farina YR. CuidaCare: effectiveness of a nursing intervention on the quality of life's caregiver: cluster-randomized clinical trial. BMC Nurs. 2014 Jan 27;13(1):2. doi: 10.1186/1472-6955-13-2.
PubMed 24467767Rico-Blazquez M, Quesada-Cubo V, Polentinos-Castro E, Sanchez-Ruano R, Rayo-Gomez MA, Del Cura-Gonzalez I; CuidaCare Group. Health-related quality of life in caregivers of community-dwelling individuals with disabilities or chronic conditions. A gender-differentiated analysis in a cross-sectional study. BMC Nurs. 2022 Mar 29;21(1):69. doi: 10.1186/s12912-022-00845-x.
PubMed 35351100
Study at a glance
From the registry record, last updated by the sponsor on 11 Feb 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effectiveness of Nursing Intervention on Quality of Life of Older Caregivers: Clinical Trial Randomised by Clusters
- ClinicalTrials.gov ID
- NCT01478295
- Acronym / sponsor ID
- CuidaCare / FIS PI11/02132
- Conditions
- Quality of Life
- Keywords
- Nursing intervention, Primary Health care, caregiver, strain
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 266 participants (actual)
- Lead sponsor
- Gerencia de Atención Primaria, MadridOther government
- Collaborators
- Instituto de Salud Carlos III, Fondo de Investigacion Sanitaria
- Study start
- Jun 2013
- Primary completion
- Dec 2015 (actual)
- Study completion
- Dec 2015 (actual)
- First posted
- 23 Nov 2011 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the effectiveness of a structured nursing intervention (PCE), including two types of intervention defined in the literature (coping strategies promoting social support and empowerment through health education), which has an effect on the perceived quality of life for the caregiver, when compared with conventional intervention or non-support.
Detailed description
Aim: to compare the effectiveness of a standardized care plan (SCP) compared to the usual nursing intervention to improve the quality of life for primary caregivers over 65 years old measured through points change with the EuroQol-5D (EQ-5D) scale.
Secondary objectives:
Evaluate the influence of prognostic variables on quality of life of caregiver. Describe the level of caregiver burden. Describe the socio-demographic profile of the dependent person and caregiver.
Method:
Design: cluster randomized trial. Setting: study in Health Centers Primary Care of Area of Madrid Health Service. Subjects: unit of randomization: primary healthcare centres. Analysis unit: caregivers over 65 years old.
Intervention: The SCP in the treatment group and the usual intervention in the control group.
Sample size adjusted for design effect= 218 (109 in each arm). Main response variable: perceived quality of life (EQ-5D). Secondary response variables: nursing diagnosis, Zarit Caregiver Burden Interview, objective overload level.
Prognostic variables:Dependent person-related: dependence level (Barthel, Lawton-Brody), cognitive dysfunction (Pfeiffer).
Caregiver-related: depression scale (Yesavage), anxiety level (Goldberg), family function (family Apgar). Sociodemographic variables.
Data Analysis: Analysis of main effectiveness by intention to treat, comparing the difference in units on the EQ-5D scale before and post- intervention in both groups at 0, 6, 12 and 18 months. The estimation adjusted, using logistic regression with aleatory effects, those data that can act as confounding factors or change the effect.
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| CuidaCare Intervention | Experimental | Behavioral: CuidaCare Intervention, Other: Control Group/Usual Care:Regular care in consultation or home and Structured nursing care (CuidaCare intervention): improved strategies for coping, health education on self-care and dependent care and emotional support. 10 visits are structured, with a periodicity of approximately 2 visits per month and last for 30 to 40 minutes each |
| Control Group/Usual Care | Active comparator | Other: Control Group/Usual Care:Usual care in consultation or home, which is to respond to the specific demands of care of the caregiver, using the resources of the nursing discipline. |
Who may qualify
- Ages
- 65 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Older adult
Key inclusion criteria (4 listed)
- Not psychological treatment or social support during the study period.
- Be able to follow the trial's demands.
- Experience of caring for at least 6 months in a year.
- Caregivers who consent to take part.
Key exclusion criteria (5 listed)
- Caregivers of patients hospitalized during the initial data collection.
- Caregivers of institutionalized patients.
- Severe psychiatric conditions including depression and major affective pictures.
- Paid caregivers.
- Experience as a caregiver for less than a month.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| CuidaCare InterventionAlso: Nursing intervention, Primary Health care, Caregiver, StrainNursing intervention address to Caregiver Standardized care plan (PCE) Coping strategies promoting social support and empowerment through health education | Behavioural | CuidaCare Intervention |
| Control Group/Usual Care:Control Group/Usual Care: Standardized care plan (PCE) Coping strategies promoting social support and empowerment through health education | Other | Control Group/Usual Care, CuidaCare Intervention |
Primary outcome
Perceived quality of life
Time frame: Change from baseline in quality of life at 18 months after the intervention
Perceived quality of life: Quality of life measured by EuroQol (EQ5D) Scale Change from baseline in quality of life at 18 months after the intervention
5 secondary outcomes
Nursing diagnosis
Time frame: Change from Baseline in Nursing diagnosis at 18 months after the intervention
Caregiver Burden
Time frame: Change from Baseline in Caregiver Burden at 18 months after the intervention
Depression scale
Time frame: Change from Baseline in Depression scale at 18 months after the intervention
Anxiety level
Time frame: Change from Baseline in Anxiety level at 18 months after the intervention
Family function
Time frame: Change from Baseline in Family function at 18 months after the intervention
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Feb 2016.
- Background: PubMed 24467767Rico-Blazquez M, Escortell-Mayor E, Del-Cura-Gonzalez I, Sanz-Cuesta T, Gallego-Berciano P, de Las Casas-Camara G, Soto-Diaz S, Garcia-Sanz P, Harris-de-la-Vega N, Martin-Martin M, Dominguez-Perez L, Rivera-Alvarez A, Sarrion-Bravo JA, Perez-de-Hita C, de-Frias-Redondo M, Ferrer-Arnedo C, Hernandez-Pascual M, Valdivia-Perez A, Farina YR. CuidaCare: effectiveness of a nursing intervention on the quality of life's caregiver: cluster-randomized clinical trial. BMC Nurs. 2014 Jan 27;13(1):2. doi: 10.1186/1472-6955-13-2.
- Derived from this study: PubMed 35351100Rico-Blazquez M, Quesada-Cubo V, Polentinos-Castro E, Sanchez-Ruano R, Rayo-Gomez MA, Del Cura-Gonzalez I; CuidaCare Group. Health-related quality of life in caregivers of community-dwelling individuals with disabilities or chronic conditions. A gender-differentiated analysis in a cross-sectional study. BMC Nurs. 2022 Mar 29;21(1):69. doi: 10.1186/s12912-022-00845-x.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Milagros Rico, Nurse principal investigator
Gerencia Atención Primaria. Madrid
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing CuidaCare Intervention in people with Quality of Life, run by Gerencia de Atención Primaria, Madrid at 1 site in Spain.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 11 Feb 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Perceived quality of life (time frame: Change from baseline in quality of life at 18 months after the intervention). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01478295, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Feb 2016.