A home-based training programme improves family caregivers’ oral care practices with stroke survivors: a randomized controlled trial

IntroductionCerebral palsy (CP) is frequently associated with specific cognitive impairments, such as executive dysfunction which are related to participation and quality of life (QOL). The proposed study will examine whether a computerized executive function (EF) training programme could provide superior benefits for executive functioning, participation, QOL and brain plasticity, as compared to usual care.Methods and analysisA single-blind randomized controlled trial (RCT) design will be performed. Thirty children with CP aged 8 to 12 years will participate in a home-based computerized multi-modal executive training programme (12 weeks, 5 days a week, 30 min a day training, total dose= 30h). Thirty children with CP matched by age, sex, motor and intelligence quotient (IQ) will compose the waitlist group. Cognitive, behavioural, emotional, participation and QOL measures will be obtained at three time points: before, immediately after and 9 months after completing the training. Additionally, structural and functional (resting state) magnetic resonance images (MRI) will be obtained in a subsample of 15 children from each group. Outcomes between groups will be compared following standard principles for RCTs.The study will test whether the cognitive training programme exerts a positive effect not only on neuropsychological and daily functioning of children with CP but also on other measures such as participation and QOL. We will also use brain MRI to test brain functional and structural changes after the intervention.If this on-line and home-based training programme proves effective, it could be a cost-effective intervention with short- and long-term effects on EF, participation or QOL in CP.

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A nurse-led health coaching intervention for stroke survivors and their family caregivers in hospital to home transition care in Chongqing, China: a study protocol for a randomized controlled trial

10.21203/rs.2.14466/v1 ◽

2019 ◽

Author(s):

Shuanglan Lin ◽

Lily Xiao ◽

Diane Chamberlain

Keyword(s):

Randomized Controlled Trial ◽

Family Caregivers ◽

Controlled Trial ◽

Health Coaching ◽

Self Management ◽

Stroke Survivors ◽

Randomized Controlled ◽

Transition Care ◽

Coaching Intervention ◽

Hospital To Home

Abstract Background: Hospital to home transition care is a most stressful period for stroke survivors and their caregivers to learn self-management of stroke-related health conditions and to engage in rehabilitation. Health coaching has been identified as a strategy to enhance self-management of poststroke care at home. However, interventions in this field that are informed by a health coaching framework are scarce. This study will address a gap in research by testing the hypothesis that a nurse-led health coaching intervention can improve health outcomes for stroke survivors and their family caregivers in hospital to home transition care.Methods: This is a single-blind, two-arm parallel randomized controlled trial of a nurse-led health coaching program versus routine care situated in two tertiary hospitals in Chongqing, China. Stroke survivors and their primary family caregivers will be recruited together as “participant dyads”, and the estimated sample size is 140 (70 in each group). The intervention includes a 12-week nurse-led health coaching program in hospital to home transition care commencing at discharge from the hospital. The primary outcomes are changes in self-efficacy and quality of life of stroke survivors at 12 weeks from the baseline. The secondary outcomes are changes in stroke survivors’ functional ability, stroke-related knowledge, the number of adverse events, and unplanned hospital admissions, and caregivers’ self-efficacy and caregiver-related burden at 12 weeks from the baseline. The outcomes will be measured at 12 weeks and 24 weeks from the baseline.Discussion: This study will examine the effect of nurse-led health coaching on hospital to home transition care for stroke survivors and their caregivers. It is anticipated that findings from this trial will provide research evidence to inform policy, and resource and practice development to improve hospital to home transition care for stroke survivors and their caregivers.Trial registration: The Australian New Zealand Clinical Trials Registry (ANZCTR): ACTRN12619000321145, registered on 1st March 2019.

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A home-based training program improves Taiwanese family caregivers' quality of life and decreases their risk for depression: a randomized controlled trial

International Journal of Geriatric Psychiatry ◽

10.1002/gps.3853 ◽

2012 ◽

Vol 28 (5) ◽

pp. 504-513 ◽

Cited By ~ 21

Author(s):

Li-Min Kuo ◽

Huei-Ling Huang ◽

Hsiu-Li Huang ◽

Jersey Liang ◽

Yi-Chen Chiu ◽

...

Keyword(s):

Quality Of Life ◽

Randomized Controlled Trial ◽

Training Program ◽

Family Caregivers ◽

Controlled Trial ◽

Randomized Controlled ◽

Home Based ◽

Risk For Depression

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P098 Home-based Physical Activity for Family Caregivers of People with Advanced Cancer: A Pilot Randomized Controlled Trial

Journal of Pain and Symptom Management ◽

10.1016/j.jpainsymman.2016.10.184 ◽

2016 ◽

Vol 52 (6) ◽

pp. e89-e90 ◽

Cited By ~ 1

Author(s):

Jamie L. Penner ◽

Catherine M. Sabiston ◽

Francine Ducharme ◽

S Robin Cohen

Keyword(s):

Physical Activity ◽

Randomized Controlled Trial ◽

Family Caregivers ◽

Advanced Cancer ◽

Controlled Trial ◽

Randomized Controlled ◽

Home Based ◽

Pilot Randomized Controlled Trial

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Study protocol of a randomized controlled trial of home-based computerized executive function training for children with cerebral palsy

BMC Pediatrics ◽

10.1186/s12887-019-1904-x ◽

2020 ◽

Vol 20 (1) ◽

Cited By ~ 1

Author(s):

María García-Galant ◽

Montse Blasco ◽

Lee Reid ◽

Kerstin Pannek ◽

David Leiva ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Cerebral Palsy ◽

Executive Function ◽

Brain Plasticity ◽

Controlled Trial ◽

Brain Mri ◽

Training Programme ◽

Magnetic Resonance Images ◽

Randomized Controlled ◽

Home Based

Abstract Background Cerebral palsy (CP) is frequently associated with specific cognitive impairments, such as executive dysfunction which are related to participation and quality of life (QOL). The proposed study will examine whether a computerized executive function (EF) training programme could provide superior benefits for executive functioning, participation, QOL and brain plasticity, as compared to usual care. Methods A single-blind randomized controlled trial (RCT) design will be performed. Thirty children with CP aged 8 to 12 years will participate in a home-based computerized multi-modal executive training programme (12 weeks, 5 days a week, 30 min a day training, total dose = 30 h). Thirty children with CP matched by age, sex, motor and intelligence quotient (IQ) will compose the waitlist group. Cognitive, behavioural, emotional, participation and QOL measures will be obtained at three time points: before, immediately after and 9 months after completing the training. Additionally, structural and functional (resting state) magnetic resonance images (MRI) will be obtained in a subsample of 15 children from each group. Outcomes between groups will be compared following standard principles for RCTs. Discussion The study will test whether the cognitive training programme exerts a positive effect not only on neuropsychological and daily functioning of children with CP but also on other measures such as participation and QOL. We will also use brain MRI to test brain functional and structural changes after the intervention. If this on-line and home-based training programme proves effective, it could be a cost-effective intervention with short- and long-term effects on EF, participation or QOL in CP. Trial registration ClinicalTrials.gov: NCT04025749. Registered 19 July 2019. Retrospectively registered.

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