Effectiveness of an Educational Nursing Intervention on Caring Ability and Burden in Family Caregivers of Patients with Chronic Non-Communicable Diseases. A Preventive Randomized Controlled Clinical Trial

Parra, Myriam Durán; Contreras, Claudia Consuelo Torres; Arboleda, Ligia Betty; Carvajal, Raquel Rivera; Franco, Sherly; Santos, Jenny

doi:10.17533/udea.iee.v37n1e04

Cited by 8 publications

(4 citation statements)

References 25 publications

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“…“KARER” educational intervention represents one of multiple experiences of knowledge integration by different disciplines in its observation, description and intervention of health phenomena in the context of care addressed to caregiving relatives. In this sense, disciplinary and inter‐disciplinary interventions with multicomponent formation contents that include disease teaching process, treatment, supportive and emotional procedures have shown to have a positive impact on the object of care; additionally, this situation brings the caretaking relative physical, social and emotional balance, associated with support and care activities (Amador‐Marín & Guerra‐Martín, 2017 ; Duran Parra et al, 2019 ).…”

Section: Discussionmentioning

confidence: 99%

“KARER” intervention on care ability and burden for caregiving relatives of disabled patients with cardiocerebrovascular diseases: EMICARE mixed randomized clinical protocol

et al. 2023

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Aims Determine efficacy of “KARER” educational intervention on caring ability and burden of caregiving relatives of disabled patients with stroke and cardiovascular diseases. Design Clinical, randomized, controlled and double blinded trial with a mixed approach. Methods Study population will be made up of 96 caregiving relatives of patients of home‐hospitalized care programs in the cities of Bogotá and Bucaramanga, (Colombia), between March 2021 and March 2022. Participants will be randomly assigned into two groups, either intervention ( n = 48) or control ( n = 48). The intervention is interdisciplinary and multi‐component: B‐Learning modality and clinical simulation. Follow‐up of participants will last 8 weeks from intervention period start‐out, and measurements will be taken and analysed in masked form. The main results will be the mean score changes of care ability and caregiver burden. Discussion Caregiving relatives will show better adaptation to their role through effective use of caring abilities as they look after disabled persons with chronic diseases.

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Section: Discussionmentioning

confidence: 99%

“KARER” intervention on care ability and burden for caregiving relatives of disabled patients with cardiocerebrovascular diseases: EMICARE mixed randomized clinical protocol

et al. 2023

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“…Se ha reportado que la falta de capacitación se asocia con una menor autoeficacia del cuidador, encontrando asociaciones significativas y consistentes entre el entrenamiento inadecuado y la autoeficacia en los síntomas específicos y los dominios generales de confianza 40 , es por ello que podría completarse la presente intervención con un ítem de capacitación de contenidos en temas de actividades específicas del cuidado, como manejo del dolor, manejo de los síntomas, o cuidados específicos, que fueron identificados durante la realización de la intervención y que podría fortalecer aún más la autoeficacia de los cuidadores [41][42][43][44] .…”

Section: E-issn: 2346-3414unclassified

Efectividad de una intervención de enfermería para modificar la autoeficacia y la sobrecarga del cuidador del paciente hemato- oncológico

Castro

Vargas-Escobar

2020

Rev Cuid

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Introducción: El paciente hemato-oncológico va a requerir de un cuidador que lo ayude en el control de síntomas físicos, terapéuticas prescritas, apoyo emocional, entre otros. El cuidador debe prepararse, fortalecer su confianza y motivación a través de la autoeficacia de su rol ya que, si se siente eficaz para cuidar, podrá desarrollar su rol adecuadamente, disminuyendo las posibilidades de presentar sobrecarga. Materiales y Métodos: Estudio cuantitativo, cuasi experimental, con dos grupos, pre y pos prueba. El objetivo fue establecer la efectividad de una intervención de enfermería al compararla con la intervención estándar, en la modificación de la autoeficacia y la sobrecarga del rol de cuidador del paciente hemato-oncológico. Para la medición se usó la Escala General de Autoeficacia y la Escala de Zarit. Resultados: La intervención es efectiva para modificar la autoeficacia del cuidador, lo cual se evidencia en la comparación entre el grupo control y experimental posterior a la intervención pasando de 25,8 a 29,8 (p=0.00) en la escala de autoeficacia, así como al interior del grupo experimental pasando de 25,5 a 26,3 (p=0.00). No se observaron diferencias significativas respecto a la sobrecarga del rol de cuidador del paciente hemato-oncológico posterior a la intervención. Discusión: Se aporta una intervención efectiva desde la teoría de enfermería de Resnick para la práctica. Se requieren nuevos estudios que comprueben la efectividad de la intervención en otros contextos. Conclusiones: Las intervenciones educativas de enfermería con enfoque motivacional, son relevantes en la práctica y la investigación, para modificar la autoeficacia del cuidador del paciente hemato-oncológico. Como citar este artículo: Penagos Castro Rodmar Vanessa, Vargas-Escobar Lina María. Efectividad de una intervención de enfermería para modificar la autoeficacia y la sobrecarga del cuidador del paciente hemato- oncológico. Revista Cuidarte. 2020; 11(2): e867. http://dx.doi.org/10.15649/cuidarte.867

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“…However, research has shown that many caregivers underutilize the supports available to them and instead try to handle everything by themselves [ 16 , 17 ]. The barriers that hinder access to in-person support programs include a lack of coordinated home care services [ 18 ], the multiple occupations and intensive dedication required by family care [ 19 ], geographical or transportation limitations, and the caregivers’ own health problems [ 20 , 21 ]. These obstacles often make access to these resources difficult.…”

Section: Introductionmentioning

confidence: 99%

A Mobile App–Based Intervention Program for Nonprofessional Caregivers to Promote Positive Mental Health: Randomized Controlled Trial

Ferré‐Grau¹,

Raigal-Aran²,

Lorca-Cabrera³

et al. 2021

JMIR Mhealth Uhealth

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Background While nonprofessional caregivers often experience a sense of fulfillment when they provide care, there is also a significant risk of emotional and physical burnout. Consequently, this can negatively affect both the caregiver and the person being cared for. Intervention programs can help empower nonprofessional caregivers of people with chronic diseases and develop solutions to decrease the physical and psychological consequences resulting from caregiving. However, most clinically tested intervention programs for nonprofessional caregivers require face-to-face training, and many caregivers encounter obstacles that hinder their participation in such programs. Consequently, it is necessary to design internet-based intervention programs for nonprofessional caregivers that address their needs and test the efficacy of the programs. Objective The aim of this study was to evaluate the effectiveness of a smartphone app–based intervention program to increase positive mental health for nonprofessional caregivers. Methods This study was a randomized controlled trial of 3 months’ duration. A total of 152 caregivers over 18 years of age with a minimum of 4 months’ experience as nonprofessional caregivers were recruited from primary health care institutions. Nonprofessional caregivers were randomized into two groups. In the intervention group, each caregiver installed a smartphone app and used it for 28 days. This app offered them daily activities that were based on 10 recommendations to promote positive mental health. The level of positive mental health, measured using the Positive Mental Health Questionnaire (PMHQ), and caregiver burden, measured using the 7-item short-form version of the Zarit Caregiver Burden Interview (ZBI-7), were the primary outcomes. Users’ satisfaction was also measured. Results In all, 113 caregivers completed the study. After the first month of the intervention, only one factor of the PMHQ, F1–Personal satisfaction, showed a significant difference between the groups, but it was not clinically relevant (0.96; P=.03). However, the intervention group obtained a higher mean change for the overall PMHQ score (mean change between groups: 1.40; P=.24). The results after the third month of the intervention showed an increment of PMHQ scores. The mean difference of change in the PMHQ score showed a significant difference between the groups (11.43; P<.001; d=0.82). Significant changes were reported in 5 of the 6 factors, especially F5–Problem solving and self-actualization (5.69; P<.001; d=0.71), F2–Prosocial attitude (2.47; P<.001; d=1.18), and F3–Self-control (0.76; P=.03; d=0.50). The results of the ZBI-7 showed a decrease in caregiver burden in the intervention group, although the results were inconclusive. Approximately 93.9% (46/49) of the app users indicated that they would recommend the app to other caregivers and 56.3% (27/49) agreed that an extension of the program’s duration would be beneficial. Conclusions The app-based intervention program analyzed in this study was effective in promoting positive mental health and decreasing the burden of caregivers and achieved a high range of user satisfaction. This study provides evidence that mobile phone app–based intervention programs may be useful tools for increasing nonprofessional caregivers’ well-being. The assessment of the effectiveness of intervention programs through clinical trials should be a focus to promote internet-based programs in health policies. Trial Registration ISRCTN Registry ISRCTN14818443; http://www.isrctn.com/ISRCTN14818443 International Registered Report Identifier (IRRID) RR2-10.1186/s12889-019-7264-5

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Effectiveness of an Educational Nursing Intervention on Caring Ability and Burden in Family Caregivers of Patients with Chronic Non-Communicable Diseases. A Preventive Randomized Controlled Clinical Trial

Cited by 8 publications

References 25 publications

“KARER” intervention on care ability and burden for caregiving relatives of disabled patients with cardiocerebrovascular diseases: EMICARE mixed randomized clinical protocol

“KARER” intervention on care ability and burden for caregiving relatives of disabled patients with cardiocerebrovascular diseases: EMICARE mixed randomized clinical protocol

Efectividad de una intervención de enfermería para modificar la autoeficacia y la sobrecarga del cuidador del paciente hemato- oncológico

A Mobile App–Based Intervention Program for Nonprofessional Caregivers to Promote Positive Mental Health: Randomized Controlled Trial

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