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Completed

NCT Number: NCT05678946

The Effects of Integrated Face-to-face Rehabilitation and Telerehabilitation on the Well-being of Family Caregivers

This controlled, non-randomized study (n=180) explores how participating in rehabilitation services for family caregivers affects the caregivers' mood, perceived quality of life, perceived burden of family care, and overall health. Rehabilitation services for family caregivers funded by the Social Insurance Institution of Finland (Kela) include two 5-day periods of face-to-face rehabilitation and a 12-week telerehabilitation period, which is based on The Own Path internet intervention and takes place between the face-to-face rehabilitation periods. The observed changes are compared to participating in two other services: 1) Social Holidays for family caregivers and 2) Kela's rehabilitation services for family caregivers and the family members they are caring for (care recipients).

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

The Social Insurance Institution of Finlad

Helsinki, 00250, Finland

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • family caregiver
  • being 18 years of age or older
  • providing daily care for an adult family member
  • participating in one of following:
  • the Kela's integrated face-to-face rehabilitation and telerehabilitation service for family caregivers,
  • the MTLH's face-to-face Social Holidays for family caregivers or
  • the Kela's face-to-face rehabilitation services for family caregivers and care recipients
  • willingness to participate in the study

Treatment and study plan

Integrated face-to-face rehabilitation and telerehabilitation

Other

Kela´s integrated face-to-face rehabilitation and telerehabilitation services for family caregivers include two 5-day periods of face-to-face rehabilitation and a 12-week telerehabilitation period between them. It is for those over the age of 18 who work as family caregivers on a daily basis and need support, tools, and coaching to understand and overcome the challenges posed by the care situation. Individual goals based on the GAS method are set, evaluated, and adjusted during the rehabilitation. The service, provided free of charge, is carried out in a Finnish rehabilitation centre and online over a period of 8 months, and it is implemented by a multidisciplinary team of rehabilitation experts. During the 12-week telerehabilitation period, the service providers utilise The Own Path, an acceptance and commitment therapy -based guided web intervention found beneficial for older Finnish family caregivers (Lappalainen et al. 2021). Telerehabilitation is independent of time and place.

Social Holidays

Other

MTLH's Social Holidays for family caregivers are 5-day holidays in a Finnish hotel, spa, sports institute, or rehabilitation centre. The theme, content, and level of available assistance in Social Holidays vary, and the rehabilitation concept is lighter than that of Kela's rehabilitation services. Social Holidays include full-board accommodation and holiday activities, e.g. lectures, group discussions, instructed exercise, and a pampering treatment. MTLH organises Social Holidays for family caregivers as well as family caregivers and care recipients. The participants cover their travel expenses and pay a fixed sum of €125. Other than that, Social Holidays are provided free of charge. Social Holidays are intended for family caregivers who need recreational activities, rest, and peer support.

Face-to-Face Rehabilitation

Other

Kela's rehabilitation services for family caregivers and the care recipients include three 5-day periods of face-to-face rehabilitation, which are carried out in a Finnish rehabilitation centre over a 10-month period and implemented by a multidisciplinary team of rehabilitation experts. The rehabilitation services for family caregivers and the care recipients are provided free of charge. The service is intended for persons over the age of 18 who work as family caregivers on a daily basis with or without family caregiver support and who need support, tools, and coaching to understand and overcome the challenges posed by the care situation. Individual goals based on the GAS method are set, evaluated, and adjusted during the rehabilitation.

Primary outcomes

  1. Change from baseline in mood at 5 months and 8 months

    Time frame: Baseline (pre-intervention), 5 months (after the intervention), 8 months (3-month follow-up)

    assessed with the Beck's Depression Inventory (BDI-21)

Secondary outcomes

  1. Change from baseline in Quality of life (QoL) at 5 months and 8 months

    Time frame: Baseline (pre-intervention), 5 months (after the intervention), 8 months (3-month follow-up)

    assessed with the World Health Organization Quality of Life Instrument (WHOQOL-BREF)

  2. Change from baseline in perceived burden of family care (I) at 5 months and 8 months

    Time frame: Baseline (pre-intervention), 5 months (after the intervention), 8 months (3-month follow-up)

    assessed with the Carers of Older People in Europe (COPE) index

  3. Change from baseline in perceived burden of family care (II) at 5 months and 8 months

    Time frame: Baseline (pre-intervention), 5 months (after the intervention), 8 months (3-month follow-up)

    assessed with the Adult Social Care Outcomes Toolkit (ASCOT) questionnaire

  4. Change from baseline in overall health at 5 months and 8 months

    Time frame: Baseline (pre-intervention), 5 months (after the intervention), 8 months (3-month follow-up)

    assessed with the Patient-Reported Outcomes Measurement Information System (PROMIS) survey

  5. Individual goal achievement

    Time frame: 5 months (after the intervention)

    assessed with the Goal Attainment Scaling method (GAS)

Sponsors and collaborators

Lead sponsor

Social Insurance Institution, Finland

Other

Registry information

Important dates

Study start
2022
Primary completion
2023
Study completion
2023
First posted
Jan 10, 2023
Registry last updated
Dec 4, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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