Family Caregiver Capacity Building Program for Older People with Dependency in Thailand: A Randomized Controlled Trial
Keywords:
Capacity building, Caregiver program, Dependency, Care ability, Family caregiver, Older people, Quality of careAbstract
This randomized control trial investigated the effectiveness of the Family Caregiver Capacity Building Program on caregivers’ care ability and quality of care. A sample of 55 family caregivers, currently caring for older people with dependency in two rural communities in a central Thailand, were randomly assigned to a control group (n=29) and an experimental group (n=26). The experimental group received the Program based on Hulme’s work in family empowerment. The control group received usual home visits. Data were collected at baseline, week 12 for caregiver ability, and at week 24 for quality of care at week 24. Data were analysed using descriptive statistics, independent t-test, and paired t-test.
Results revealed that after attending the Program the experimental group had significantly higher overall care ability than at the baseline, except for social aspect. There were significant differences in overall quality of care, physical, psychological, and financial aspects but not for environmental, medical management, and human rights dimensions. When comparing between groups, the experimental group had significantly higher overall care ability than those in the control group, except for social aspect. However, there were no significant differences of overall quality of care and their dimensions, except for physical aspect. Findings revealed that the Program was effective in improving the ability of care givers to provide quality care for older people with dependency. Nurses in Thai district hospitals or sub-district health promoting hospitals could apply this Program to improve care ability of family caregivers for older people with dependency in similar communities in Thailand. However, it is recommended that the Program be further evaluated with larger or different groups.
References
1. Knodel J, Prachuabmoh V, Chayovan N. The changing well-being of Thai elderly: an update from 2011 survey of older persons in Thailand. 2013[cited 2014 Oct 20]. Available from: http://www.psc.isr.umich.edu/pubs/ pdf/rr13-793.pdf.
2. Ratchatanawin R. Health policy Ministry of Public Health Thailand. 2014 [cited 2014 Oct 20]. Available from: http://bps.moph.go.th/sites/default/files/noybaay_ rmw.ksth.-20tkh2557.pdf. [in Thai].
3. Foundation of Thai Gerontology Research and Development Institute (TGRI). Situation ofthe Thai elderly 2013. 2014[cited 2014 Oct 20]. Available from: http://www. oppo.opp.go.th/info/Report_OlderSituation2013-EN. pdf. [in Thai].
4. Henriksson A. Exploring factors and caregiver outcomes associated with feelings of preparedness for caregiving in family caregivers in palliative care: A correlational, cross-sectional study. Palliat Med. 2013; 27(7): 639646.
5. Kim H, Chang M, Rose K, Kim S. Predictors of caregiver burden in caregivers of individuals with dementia. J Adv Nurs. 2012; 68(4): 846–855.
6. Lilly MB, Robinson CA, Holtzman S, Bottorff JL. Can we move beyond burden and burnout to support the health and wellness of family caregivers to persons with dementia? Health Soc Care Community. 2012; 20(1): 103–112.
7. Fickert NA, Ross D. Effectiveness of a caregiver education program on providing oral care to individuals with intellectual and developmental disabilities. Intellect Dev Disabil. 2012; 50(3): 219-232.
8. Berry JW, Elliott TR, Grant JS, Edwards G, Fine PR. Does problem-solving training for family caregivers benefit their care recipients with severe disabilities? A latent growth model of the Project CLUES randomized clinical trial. Rehabil Psychol. 2012; 57(2): 98-112.
9. Hulme, PA. Family empowerment: A nursing intervention with suggested outcomes for families of children with a chronic health condition. J Fam Nurs. 1999; 5(1): 33-50.
10. Gibson CH. A concept analysis of empowerment. J Adv Nurs. 1991; 16(3): 354-361.
11. Gibson CH. The process of empowerment in mothers of chronically ill children. J Adv Nurs.1995; 21(6): 1201-1210.
12. Nygardh A, Malm D, Wikby K, Ahlstromb G. The complexity in the implementation process of empowerment-based chronic kidney care: a case study. BMC Nurs. 2014;13(22): 1-10.
13. Chetratanon W. Effective of empowerment program to care giving burden patient of cerebro-vasculardisease. Journal of Preventive Medicine Association of Thailand. 2013; 3(2): 148-155. [in Thai].
14. Riasmini NM, Kamso S, Sahar J, Prasetyo S. The Effectiveness of independent family group model to reduce caregiver burden and improve the caregiver ability on providing care for elder person in community. Nurs Health Sci. 2013; 1(5): 57-64.
15. Bass DM, Judge HS, Snow AL, Wilson NL, Morgan R, Looman WJ, et al. Caregiver outcomes of partners in dementia care: Effect of a care coordination program forveterans with dementia and their family members and friends. J Am Geriatr Soc; 61(8): 1377–1386.
16. Shyu YL, Liang J, Tseng M, Li H, Wu C, Cheng H, et al. Comprehensive care improves health outcomes among elderly Taiwanese patients with hip fracture. Gerontol A BiolSci Med Sci. 2013; 68 (2): 188-197.
17. Chiang L, Chen W, Dai Y, Ho Y. The effectiveness of telehealth care on caregiver burden, mastery of stress, and family function among family caregivers of heart failure patients: A quasi-experimental study. Int J Nurs Stud. 2012; 49(10):1230-1242.
18. Li H, Powers BA, Melnyk BM, McCann R, Koulouglioti C, Anson E, et al. Randomized controlled trial of CARE: An intervention to improve outcomes of hospitalized elders and family caregivers. Res Nurs Health. 2012; 35(5): 533–549.
19. Phillips LR, Morrison EF, Chae YM. The QUALCARE Scale: Developing an instrument to measure quality of home care. Int J Nurs Stud. 1990a; 27(1): 61-75.
20. Phillips LR, Morrison EF, Chae YM. The QUALCARE Scale: Testing of a measurement instrument for clinical practice. Int J Nurs Stud. 1990b; 27(1): 77-91.
21. Dubuc N, Dubois M, Dermers L, Tourighny A, Tousignant M, Desrosiers J. Alternate housing models for older people with disabilities: their clientele, structures and resources in relation to the quality of and satisfaction with care delivery. Ageing Soc. 2014; 34(9): 1575-1600.
22. Dunst CJ, Trivette CM, Raab M. An Implementation Science Framework for conceptualizing and operationalizing fidelity in early childhood intervention studies. J Early Interv. 2013; 35(2): 85-101.
23. Nichols C, Dong A. Re-conceptualizing design through the capability approach. In: Oosterlaken I, Hoven JVD, editors. The capability approach technology and design: Philosophy of engineering and technology. (5nd ed.). Springer Science Business Media BV; 2012. p. 189-201.
24. Bonell C, Fletcher A, Morton M, Lorence T, Moore L. Realist randomised controlled trials: A new approach to evaluating complex public health interventions. Soc Sci Med. 2012; 75(12): 2299–2306.
25. Rabiei L, Mostafavi F, Masoudi R, Hassanzadeh A. The effect of family-based intervention on empowerment of the elders. J Educ Health Promot. 2013; 2: 24.
26. Stelfox H, Straus S. Measuring quality of care: considering measurement frameworks and needs assessment to guide quality indicator development. J Clin Epidemiol. 2013; 66(12): 1320–1327.
27. Perkins MM, Ball MM, Whittington FJ, Hollingsworth C. Relational autonomy in assisted living: A focus on diverse care settings for older adults. J Aging Stud. 2012; 26(2): 214–225.
28. Neville HJ, Stevens C, Pakulak E, Bell TA, Fanning J, Klein S, et al. Family- based training program improves brain function, cognition, and behavior in lower socioeconomic status preschoolers. PNAS. 2013; 110(29): 12138–12143.
29. Lindstrom KB, Melnyk BM. Feasibility and preliminary effects of an intervention targeting schema development for caregivers of newly admitted hospice patients. J Palliat Med. 2013; 16(6): 680-685.
30. Given BA, Given CW, Sherwood P. The challenge of quality cancer care for family caregivers. Semin Onco Nurs. 2012; 28(4): 205–212.
31. Dilley JA, Bekemeier B, Harris JR. Quality improvement interventions in public health systems: A systematic review. Am J Prev Med. 2012; 42(5): S58–S71.
32. Keskin B, Aktas A. Statistical power analysis. The 7th internationaldays of statistics and economics, Prague, September 19-21, 2013[cited 2014 Oct 20]; Available from: http:// msed.vse.cz/files/2013/224-Keskin-Burak-paper.pdf.
33. Pothiban L, Vathisunthorn M, Panuthai S. Development of the older people dependency screening tool for village health volunteers. Thailand: Foundation for health research and development; 2010. [in Thai].
34. Pukdeeporm T. Selected factors related to caregivers’ capabilities in careing for older persons with dementia [Unpublished master thesis]. Chulalongkorn Univ., Bangkok, Thailand; 2005.
35. Henriksson A, Arestdt K. Exploring factors and caregiver outcomes associated with feelings of preparedness for caregiving in family caregivers in palliative care: a correlational, cross-sectional study. Palliat Med. 2013; 27(7): 639-46.
36. Henriksson A, Andershed B, Benzein E, Arestedt K. Adaptation and psychometric evaluation of the preparedness for caregiving scale, caregiver competence scale and rewards of caregiving scale in a sample of Swedish family members of patients with life-threatening illness. Palliat Med. 2012; 26(7): 930-938.
37. Squires A, Aiken LH, Heede KVD, Sermeus W, Bruyneel L, Lindqvist R, et al. A systematic survey instrument translation process for multi-country, comparative health workforce studies. Int J Nurs Stud. 2013; 50(2): 264–273.
38. Laeheem K. Development of screening inventory for Thai muslim spouses at risk of domesticviolence behaviors in Satun Province. Asian Social Science. 2014; 10(14): 138-144.
39. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale (NJ): Lawrence Erlbaum Associates; 1988.
2. Ratchatanawin R. Health policy Ministry of Public Health Thailand. 2014 [cited 2014 Oct 20]. Available from: http://bps.moph.go.th/sites/default/files/noybaay_ rmw.ksth.-20tkh2557.pdf. [in Thai].
3. Foundation of Thai Gerontology Research and Development Institute (TGRI). Situation ofthe Thai elderly 2013. 2014[cited 2014 Oct 20]. Available from: http://www. oppo.opp.go.th/info/Report_OlderSituation2013-EN. pdf. [in Thai].
4. Henriksson A. Exploring factors and caregiver outcomes associated with feelings of preparedness for caregiving in family caregivers in palliative care: A correlational, cross-sectional study. Palliat Med. 2013; 27(7): 639646.
5. Kim H, Chang M, Rose K, Kim S. Predictors of caregiver burden in caregivers of individuals with dementia. J Adv Nurs. 2012; 68(4): 846–855.
6. Lilly MB, Robinson CA, Holtzman S, Bottorff JL. Can we move beyond burden and burnout to support the health and wellness of family caregivers to persons with dementia? Health Soc Care Community. 2012; 20(1): 103–112.
7. Fickert NA, Ross D. Effectiveness of a caregiver education program on providing oral care to individuals with intellectual and developmental disabilities. Intellect Dev Disabil. 2012; 50(3): 219-232.
8. Berry JW, Elliott TR, Grant JS, Edwards G, Fine PR. Does problem-solving training for family caregivers benefit their care recipients with severe disabilities? A latent growth model of the Project CLUES randomized clinical trial. Rehabil Psychol. 2012; 57(2): 98-112.
9. Hulme, PA. Family empowerment: A nursing intervention with suggested outcomes for families of children with a chronic health condition. J Fam Nurs. 1999; 5(1): 33-50.
10. Gibson CH. A concept analysis of empowerment. J Adv Nurs. 1991; 16(3): 354-361.
11. Gibson CH. The process of empowerment in mothers of chronically ill children. J Adv Nurs.1995; 21(6): 1201-1210.
12. Nygardh A, Malm D, Wikby K, Ahlstromb G. The complexity in the implementation process of empowerment-based chronic kidney care: a case study. BMC Nurs. 2014;13(22): 1-10.
13. Chetratanon W. Effective of empowerment program to care giving burden patient of cerebro-vasculardisease. Journal of Preventive Medicine Association of Thailand. 2013; 3(2): 148-155. [in Thai].
14. Riasmini NM, Kamso S, Sahar J, Prasetyo S. The Effectiveness of independent family group model to reduce caregiver burden and improve the caregiver ability on providing care for elder person in community. Nurs Health Sci. 2013; 1(5): 57-64.
15. Bass DM, Judge HS, Snow AL, Wilson NL, Morgan R, Looman WJ, et al. Caregiver outcomes of partners in dementia care: Effect of a care coordination program forveterans with dementia and their family members and friends. J Am Geriatr Soc; 61(8): 1377–1386.
16. Shyu YL, Liang J, Tseng M, Li H, Wu C, Cheng H, et al. Comprehensive care improves health outcomes among elderly Taiwanese patients with hip fracture. Gerontol A BiolSci Med Sci. 2013; 68 (2): 188-197.
17. Chiang L, Chen W, Dai Y, Ho Y. The effectiveness of telehealth care on caregiver burden, mastery of stress, and family function among family caregivers of heart failure patients: A quasi-experimental study. Int J Nurs Stud. 2012; 49(10):1230-1242.
18. Li H, Powers BA, Melnyk BM, McCann R, Koulouglioti C, Anson E, et al. Randomized controlled trial of CARE: An intervention to improve outcomes of hospitalized elders and family caregivers. Res Nurs Health. 2012; 35(5): 533–549.
19. Phillips LR, Morrison EF, Chae YM. The QUALCARE Scale: Developing an instrument to measure quality of home care. Int J Nurs Stud. 1990a; 27(1): 61-75.
20. Phillips LR, Morrison EF, Chae YM. The QUALCARE Scale: Testing of a measurement instrument for clinical practice. Int J Nurs Stud. 1990b; 27(1): 77-91.
21. Dubuc N, Dubois M, Dermers L, Tourighny A, Tousignant M, Desrosiers J. Alternate housing models for older people with disabilities: their clientele, structures and resources in relation to the quality of and satisfaction with care delivery. Ageing Soc. 2014; 34(9): 1575-1600.
22. Dunst CJ, Trivette CM, Raab M. An Implementation Science Framework for conceptualizing and operationalizing fidelity in early childhood intervention studies. J Early Interv. 2013; 35(2): 85-101.
23. Nichols C, Dong A. Re-conceptualizing design through the capability approach. In: Oosterlaken I, Hoven JVD, editors. The capability approach technology and design: Philosophy of engineering and technology. (5nd ed.). Springer Science Business Media BV; 2012. p. 189-201.
24. Bonell C, Fletcher A, Morton M, Lorence T, Moore L. Realist randomised controlled trials: A new approach to evaluating complex public health interventions. Soc Sci Med. 2012; 75(12): 2299–2306.
25. Rabiei L, Mostafavi F, Masoudi R, Hassanzadeh A. The effect of family-based intervention on empowerment of the elders. J Educ Health Promot. 2013; 2: 24.
26. Stelfox H, Straus S. Measuring quality of care: considering measurement frameworks and needs assessment to guide quality indicator development. J Clin Epidemiol. 2013; 66(12): 1320–1327.
27. Perkins MM, Ball MM, Whittington FJ, Hollingsworth C. Relational autonomy in assisted living: A focus on diverse care settings for older adults. J Aging Stud. 2012; 26(2): 214–225.
28. Neville HJ, Stevens C, Pakulak E, Bell TA, Fanning J, Klein S, et al. Family- based training program improves brain function, cognition, and behavior in lower socioeconomic status preschoolers. PNAS. 2013; 110(29): 12138–12143.
29. Lindstrom KB, Melnyk BM. Feasibility and preliminary effects of an intervention targeting schema development for caregivers of newly admitted hospice patients. J Palliat Med. 2013; 16(6): 680-685.
30. Given BA, Given CW, Sherwood P. The challenge of quality cancer care for family caregivers. Semin Onco Nurs. 2012; 28(4): 205–212.
31. Dilley JA, Bekemeier B, Harris JR. Quality improvement interventions in public health systems: A systematic review. Am J Prev Med. 2012; 42(5): S58–S71.
32. Keskin B, Aktas A. Statistical power analysis. The 7th internationaldays of statistics and economics, Prague, September 19-21, 2013[cited 2014 Oct 20]; Available from: http:// msed.vse.cz/files/2013/224-Keskin-Burak-paper.pdf.
33. Pothiban L, Vathisunthorn M, Panuthai S. Development of the older people dependency screening tool for village health volunteers. Thailand: Foundation for health research and development; 2010. [in Thai].
34. Pukdeeporm T. Selected factors related to caregivers’ capabilities in careing for older persons with dementia [Unpublished master thesis]. Chulalongkorn Univ., Bangkok, Thailand; 2005.
35. Henriksson A, Arestdt K. Exploring factors and caregiver outcomes associated with feelings of preparedness for caregiving in family caregivers in palliative care: a correlational, cross-sectional study. Palliat Med. 2013; 27(7): 639-46.
36. Henriksson A, Andershed B, Benzein E, Arestedt K. Adaptation and psychometric evaluation of the preparedness for caregiving scale, caregiver competence scale and rewards of caregiving scale in a sample of Swedish family members of patients with life-threatening illness. Palliat Med. 2012; 26(7): 930-938.
37. Squires A, Aiken LH, Heede KVD, Sermeus W, Bruyneel L, Lindqvist R, et al. A systematic survey instrument translation process for multi-country, comparative health workforce studies. Int J Nurs Stud. 2013; 50(2): 264–273.
38. Laeheem K. Development of screening inventory for Thai muslim spouses at risk of domesticviolence behaviors in Satun Province. Asian Social Science. 2014; 10(14): 138-144.
39. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale (NJ): Lawrence Erlbaum Associates; 1988.
Downloads
Published
2016-01-25
How to Cite
1.
Wangpitipanit S, Panuthai S, Sucamvang K, Lasuka D, Jitapunkul S. Family Caregiver Capacity Building Program for Older People with Dependency in Thailand: A Randomized Controlled Trial. PRIJNR [Internet]. 2016 Jan. 25 [cited 2024 Nov. 22];20(1):18-32. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/23075
Issue
Section
Original paper
License
Copyright: The Pacific Rim International Journal of Nursing Research, Thailand Nursing & Midwifery Council has exclusive rights to publish, reproduce and distribute the manuscript and all contents therein.
.png)
