Improving Information Sharing for Home Care of Older Adults
This study is testing a guide called GRACE (Guide for Role Awareness and Care Engagement) to help family caregivers and home care aides better share information and understand their roles when caring for older adults. You might be able to join if you are a home care aide or a family caregiver, are at least 18 years old, and speak English. The study aims to see if GRACE is easy to use and helpful (acceptability and feasibility). Researchers will also look at how it affects social engagement of older adults. The study plans to enroll 100 participants, but its current status is unclear.
- Study design
- This interventional study plans to enroll 100 participants, involving up to 50 family caregiver-home care aide pairs.
- What's involved
- You would receive the GRACE guide and provide information about your experiences at enrollment, 2 weeks, and 4 weeks.
- Compensation
- Not stated in the trial record.
- Follow-up
- Information will be collected at enrollment, 2 weeks, and 4 weeks after the intervention.
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Improving Information Sharing Between Family Caregivers and Home Care Aides
At a glance
Conditions
NCT07227558
Where you'd take part
This study runs at 1 site. They're the same protocol — you choose where, and that choice sets who your contact draft is addressed to.
Johns Hopkins University
Baltimore, Marylandno site contact published
Recruiting
Sites open and close at different times, so the status above is per site — it can differ from the study's overall status.
Study leadership
- Chanee Fabius, PhD · PRINCIPAL_INVESTIGATOR · Johns Hopkins University Bloomberg School of Public Health
Who to contact
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Inclusion
Exclusion
What this trial measures
- Acceptability as assessed by survey2 week and 4 weeks
Participants will be asked to rate their overall feedback of the role and preference guide. Participants will be asked how often they used the guide since the last study time point using a scale from 1 to 5 (1=Never, 2=Rarely, 3=Occasionally, 4= Often, 5 Constantly) where higher scores indicate greater frequency of use.
- Feasibility as assessed by survey2 week and 4 weeks
Participants will be asked about how helpful the guide was using a scale from 1 to 5:1=Not helpful at all, 2=Not too helpful, 3=Somewhat helpful, 4=Pretty helpful, 5=Very helpful, where higher scores indicate more helpful. More affirmative responses indicate better feasibility of the guide.
- Low Social Engagement as assessed by survey questionBaseline, 2 weeks and 4 weeks
Low social engagement measures an older adult's ability to participate in social activities of longstanding interest reported by the caregiver. This item is measured on a scale from 0-3 (0=Occurred in the last 3 days, 1=Occurred within the last week, 2=Occurred within the last month, 3=Last occurred more than one month ago) where higher scores mean lesser ability to participate in social activities.
- Caregiver is Overwhelmed as assessed by survey questionBaseline, 2 weeks and 4 weeks
Caregivers' feelings of being overwhelmed measures how often a caregiver is overwhelmed by aspects of caregiving responsibilities and older adults' illness. This item is measured using a scale from 1-5 (1=Never, 2=Rarely, 3=Occasionally, 4=Often, 5= Constantly) where higher scores mean greater feelings of being overwhelmed.
- Caregiver Distress assessed by survey questionBaseline, 2 weeks and 4 weeks
Caregivers' feelings of distress measures how often a caregiver is distressed by aspects of caregiving responsibilities and older adults' illness. This item is measured using a scale from 1-5 (1=Never, 2=Rarely, 3=Occasionally, 4=Often, 5= Constantly) where higher scores mean greater feelings of distress.
- Caregiver Continuity assessed by survey itemBaseline, 2 weeks and 4 weeks
Caregivers continuity measures how feelings on inability to continue caregiving. This item is measured using a scale from 1-5 (1=Never, 2=Rarely, 3=Occasionally, 4=Often, 5= Constantly) where higher scores mean greater feelings of distress.
- Caregiver Preparedness assessed by The Caregiving Preparedness Scale (CPS)Baseline, 2 weeks and 4 weeks
The Caregiving Preparedness Scale (CPS) is an 8-item uni-dimensional instrument that evaluates the extent to which a caregiver and direct care worker feels prepared to meet the psychological and physical needs of a patient (client). The scale was originally developed for family caregivers and has been used to assess caregiver preparedness in direct care workers in prior work. Responses are categorized with a 5-level likert scale: Not at all prepared; not too prepared; somewhat well prepared; pretty well prepared; very well prepared. The total scale score, which is a mean of all items scores, ranges between 0 and 4 with higher score indicating better preparedness.
- Relational Coordination assessed by surveyBaseline, 2 weeks and 4 weeks
Relational coordination suggests that effective coordination occurs through frequent, high-quality communication that is supported by relationships of shared goals, shared knowledge, and mutual respect. Its measurement has been applied across several settings, including home care. Family caregivers and direct care workers will rate interactions with each other along three dimensions, with seven questions on a five-point scale related to the components of relational coordination. Four items related to communication include: frequency, timeliness, accuracy, and problem-solving. Three items measured relationships: shared knowledge, goals, and respect for each other. The mean of each of the seven items is calculated for each group (family caregivers and direct care workers). The total score for all items ranges from 7 to 35 where higher scores indicate better coordination and communication among family caregiver and direct care worker.
- Direct Care Worker Job Satisfaction assessed by survey questionBaseline, 2 weeks and 4 weeks
Job satisfaction measures the direct care worker's overall job satisfaction on a scale from 1-4 (1= Very dissatisfied, 2=Dissatisfied, 3=Satisfied, 4=Very Satisfied). Higher score is better.
- Number of participants with new Direct Care Worker2 weeks and 4 weeks
Direct Care Worker Turnover measure changes in the enrolled direct care worker participant in the study from the time baseline is completed to study endpoint at 4 weeks. Caregivers will be asked if the direct care worker left and at what time point in the study, and if the participant was assigned or hired a new worker. This will be measured using affirmative responses (yes or no).