AzTrials
AzTrials

CaregiverPCM2NCT07090837

Evaluating the Effectiveness and Implementation of Caregiver Support Initiatives for Caregivers of Older Patients in Singapore

A study testing Caregiver Support Model in people with Caregiver and Caregiver Stress, run by Tan Tock Seng Hospital at 1 site in Singapore.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

We are evaluating the caregiver support initiatives at a tertiary hospital in Singapore (Tan Tock Seng Hospital - TTSH) provided to caregivers caring for older patients. The evaluation will focus on 1) evaluating the process / delivery / implementation of these initiatives to caregivers and 2) the outcomes of… Read more about this study

Who is it for?
Any ageHealthy volunteers can take part
What is being tested?
Caregiver Support Model
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
400 participants
Where
1 siteSingapore
Study dates
8 May 2025to May 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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 Any age
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

  • 21 years of age and above
  • Main or secondary caregiver of an older person receiving home-based care
  • Able to read and converse in English
  • Has a mobile smartphone and is able to navigate basic functionalities on mobile apps

Who cannot join

  • Participants who are cognitively impaired
  • Unwilling to download and utilise app
  • Unable to read or converse in English comfortably

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Singapore1 site, 1 recruiting
  • Tan Tock Seng Hospital

    Singapore

    George Glass, +65 6903 5384, glass_george_frederick@ttsh.com.sg

    Recruiting

Other trials in Singapore

About this study

Official title: Project Carer Matters 2: Evaluating the Effectiveness and Implementation of Caregiver Support Initiatives for Caregivers of Older Patients in Singapore

We are evaluating the caregiver support initiatives at a tertiary hospital in Singapore (Tan Tock Seng Hospital - TTSH) provided to caregivers caring for older patients.

The evaluation will focus on 1) evaluating the process / delivery / implementation of these initiatives to caregivers and 2) the outcomes of caregivers and their care recipients after receiving these caregiver support services at TTSH. Research questions are as follows:

Read more

Process evaluation:

  1. How are the bundle(s) of caregiver support initiatives at TTSH delivered to caregivers?
  2. What and how was impact achieved for these initiatives? Outcome evaluation:
  3. Did caregivers (and patients) benefit from these support initiatives and how?
  4. Which aspects of the caregiver support initiatives are most beneficial to caregivers (and patients)?

Eligible caregivers will be invited to take part in the study and to complete 3 surveys and an optional interview over the period of their care recipients' hospital stay at TTSH, and 2 months after discharge. During their care recipients' stay, they may be introduced to any of the caregiver support initiatives, based on their needs. Caregivers enrolled in this study will take part in 3 surveys - 1 conducted at the beginning of care recipients' hospital stay, 1 conducted around the discharge period and 1 conducted one month after discharge. The aim of the surveys is to find out if caregivers have attended or used any of these services and whether they benefited from them.

Read the detailed description

This is a mixed method study that seeks to evaluate the bundle of caregiver support initiatives being provided to caregivers at TTSH, based on their needs. The evaluation will focus on 1) evaluating the process / delivery / implementation of these initiatives to caregivers and 2) the outcomes of caregivers and their care recipients after receiving these caregiver support services at TTSH. Research questions are as follows:

Process evaluation:

  1. How are the bundle(s) of caregiver support initiatives at TTSH delivered to caregivers?
  2. What and how was impact achieved for these initiatives? Outcome evaluation:
  3. Did caregivers (and patients) benefit from these support initiatives and how?
  4. Which aspects of the caregiver support initiatives are most beneficial to caregivers (and patients)?

Quantitative methods:

Eligible caregivers will be invited to take part in the study and to complete 3 surveys and an optional interview over the period of their care recipients' hospital stay at TTSH, and 2 months after discharge. During their care recipients' stay, they may be introduced to any of the caregiver support initiatives, based on their needs. Caregivers enrolled in this study will take part in 3 surveys - 1 conducted at the beginning of care recipients' hospital stay, 1 conducted around the discharge period and 1 conducted one month after discharge. The aim of the surveys is to find out if caregivers have attended or used any of these services and whether they benefited from them.

We hypothesise that caregivers outcomes, for e.g. caregivers' knowledge, preparedness to provide care and well-being will be increased for those who have used or attended the initiatives recommended for them by the hospital and caregivers' stress, anxiety, depression, will decrease after receiving these caregiver support initiatives. We also hypothesise that the time spent on caregiving will decrease for those who have used or attended the hospital's caregiver support services and initiatives.

As some of the caregiver initiatives may be progressively implemented at TTSH over the study period, the study will capture data from caregivers who did not receive these initiatives with those who have received them when these initiatives were made available at the hospital.

We will also seek patients' consent to use their data in EPIC for research purposes. We hypothesise that patients' re-admission and visits to the ED post-discharge will be reduced.

Qualitative Methods:

Through the optional interviews with caregivers, either before or after discharge of the care recipients, we aim to ask the following research questions:

  1. How were the caregiver support initiatives introduced and carried out at TTSH?
  2. How did caregivers respond to these initiatives and what were their perceptions towards these interventions? Which aspects of these initiatives benefit them the most and why?
  3. What are the barriers and facilitators faced by the healthcare professionals who implemented these initiatives to caregivers?
Being tested
Caregiver Support Model, Standard caregiver support
Keywords
Caregiver, Caregiver burden, Caregiver stress, Digital health, Caregiver support
Medical subject headings
Caregiver Burden

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Caregiver Support ModelOther

    1. CarePal: A one-stop resource library for caregivers of older adults
    2. Nasogastric tube (NGT) webapp: An electronic training platform to learn NGT feeding and management
    3. Carer OnBoard programme
    4. Caregiver resources in NHG Health App (NHA): Relevant healthcare professionals or TTSH staff will introduce caregivers to the resources they may need in the NHA app.
    5. Carer guide, a resource booklet providing information and community resources for caregivers.
    6. Group Caregiver Training, for caregivers who are able to attend group caregiver training (instead of learning at the bedside);
    7. NHG Care Telephonic team to provide telephonic support to caregivers post-discharge.
    8. Nurses or other healthcare professionals providing relevant information on community programmes
  • Standard caregiver supportOther

    Participants are provided standard bedside caregiver education as appropriate and information reinforcement through leaflets and booklets

Study groups in NCT07090837
Study groupRoleWhat they receive
Intervention armExperimentalParticipants receive the following interventions as deemed appropriate based on their caregiving and learning needs: 1. CarePal: A one-stop resource library for caregivers of older adults 2. Nasogastric tube (NGT) webapp: An electronic training platform to learn NGT feeding and management 3. Carer OnBoard programme 4. Caregiver resources in NHG Health App (NHA): Relevant healthcare professionals or TTSH staff will introduce caregivers to the resources they may need in the NHA app. ; 5. Carer guide, a resource booklet providing information and community resources for caregivers. 6. Group Caregiver Training, for caregivers who are able to attend group caregiver training (instead of learning at the bedside); 7. NHG Care Telephonic team to provide telephonic support to caregivers post-discharge. 8. Nurses or other healthcare professionals providing relevant information on community programmes
Receives: Other: Caregiver Support Model
Control ArmPlacebo comparatorParticipants in this group will receive standard caregiver support
Receives: Other: Standard caregiver support

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Preparedness for Caregiving Scale

    8-item scale measuring caregiver preparedness for caregiving. Average score ranges from 0 - 4, higher score indicating better preparedness for caregiving

    Measured: 1 month

  2. Caregiver Resourcefulness Scale

    8-item scale measuring caregiver resourcefulness. Total score calculated ranging from 8 - 40 with higher scores indicating higher resourcefulness

    Measured: 1 month

  3. Zarit Burden Scale - 12 Item

    12-item scale measuring caregiver burden. Total score calculated range from 0-48, with higher scores indicating higher burden

    Measured: 1 month

Secondary outcomes (2)
  1. Hospital Anxiety and Depression Scale

    14-item scale measuring anxiety and depression. Anxiety measured over 7 items, with score ranging from 0-21, with higher scores indicating higher anxiety. Depression measured over 7 items, with score ranging from 0-21, with higher scores indicating higher depression

    Measured: 1 month

  2. EQ5D-5L

    5-level EQ-5D version to measure mobility, self-care, usual activities, pain/discomfort and anxiety/depression of participants. This includes the EQ VAS, recording self-rated health on a vertical visual analogue scale where the endpoints are labelled 'The best health you can imagine' and 'The worst health you can imagine'.

    Measured: 1 month

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Jul 2025
  2. Study start8 May 2025
  3. Primary completionMay 2027 (estimated)
  4. Study completionMay 2027 (estimated)

Resources

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
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
400 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07090837
Sponsor's protocol ID
ECOS2024/00077
Acronym
PCM2
Status last verified
Jul 2025
First submitted
21 Jul 2025
Last updated
29 Jul 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Chan EY, Phang KN, Glass GF Jr, Lim WS. Crossing, Trudging and Settling: A phenomenological inquiry into lived experience of Asian family caregivers of older persons with dementia. Geriatr Nurs. 2019 Sep-Oct;40(5):502-509. doi: 10.1016/j.gerinurse.2019.03.015. Epub 2019 Apr 9.

    PubMed 30979516
  • Chan EY, Glass GF Jr. Delivering a holistic hospital-to-home framework to support family caregivers of persons with dementia: Protocol for a feasibility study. J Adv Nurs. 2022 May;78(5):1513-1523. doi: 10.1111/jan.15210. Epub 2022 Mar 14.

    PubMed 35285537
  • Chan EY, Wu LT, Ng EJY, Glass GF Jr, Tan RHT. Applying the RE-AIM framework to evaluate a holistic caregiver-centric hospital-to-home programme: a feasibility study on Carer Matters. BMC Health Serv Res. 2022 Jul 19;22(1):933. doi: 10.1186/s12913-022-08317-3.

    PubMed 35854296
  • Loke SXY, Chew EYH, Siew AL, Glass GF Jr, Chan EY. Transiting Back Home: Caregivers' Lived Experiences in Caring for Loved Ones on the Nasogastric Tube in the Home-Setting in Singapore. J Transcult Nurs. 2023 Sep;34(5):343-355. doi: 10.1177/10436596231175163. Epub 2023 May 24.

    PubMed 37226459
  • Kwok MWS, Glass GF Jr, Loke S, Loi JN, Chan EY. I see, I learn, I do: Development and evaluation of a video-enhanced nasogastric tube feeding training programme for caregivers. Nurs Open. 2023 Apr;10(4):2357-2365. doi: 10.1002/nop2.1491. Epub 2022 Nov 23.

    PubMed 36419224
  • Wu LT, Glass GF Jr, Chew EYH, Ng EJY, Chan EY. Developing a theory of change to guide the design and implementation of a caregiver-centric support service. BMC Health Serv Res. 2024 Dec 18;24(1):1620. doi: 10.1186/s12913-024-11931-y.

    PubMed 39695613
  • Chew EYH, Ong ZL, Glass GF Jr, Chan EY. '24/7' Caregiving: A Qualitative Analysis of an Emerging Phenomenon of Interest in Caregiving. Int J Environ Res Public Health. 2022 Dec 19;19(24):17046. doi: 10.3390/ijerph192417046.

    PubMed 36554924
  • Chan EY, Glass G, Chua KC, Ali N, Lim WS. Relationship between Mastery and Caregiving Competence in Protecting against Burden, Anxiety and Depression among Caregivers of Frail Older Adults. J Nutr Health Aging. 2018;22(10):1238-1245. doi: 10.1007/s12603-018-1098-1.

    PubMed 30498832

Questions about this trial

What is this clinical trial studying?

A study testing Caregiver Support Model in people with Caregiver and Caregiver Stress, run by Tan Tock Seng Hospital at 1 site in Singapore.

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 3 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: looking for participants now, as of the sponsor's last update on 29 Jul 2025. 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 Singapore. 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. Some participants in this study may receive a placebo. 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact George Glass (+65 6903 5384, glass_george_frederick@ttsh.com.sg), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Preparedness for Caregiving Scale (time frame: 1 month). The study lists 3 primary outcomes in all. 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 NCT07090837, which also lists 8 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 29 Jul 2025.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in