Abstract
BackgroundAfter residential care placement, family members may be exposed to stressors like difficulty in role changes, interpersonal conflict with facility staff, and emotional torment. These can threaten family members’ own health and well-being and even influence the extent they involve in their relative’s care. This study aims to evaluate an online education intervention for Chinese family members whose relatives with dementia have been placed into a residential care facility.MethodsThis protocol describes a two-arm randomised controlled trial. A total of 150 family members of residents with dementia will be recruited from four to six residential care facilities in Xi’an, Shaanxi, China and randomly allocated to either the intervention or control group. Family members in the intervention group will receive a six-week group-based online education intervention, while those in the control group will receive routine care. Family members’ stress, coping, caregiving burden, and family involvement, as well as their relative’s behavioural and psychological symptoms of dementia will be assessed at immediately post-intervention and six-week follow-up. Effectiveness of the intervention will be analysed by generalised estimating equation model, based on the intention-to-treat principle. A process evaluation of the intervention will also be undertaken.DiscussionThis study will be of great significance in addressing family members’ stressors after institutionalising a relative with dementia and promoting the implementation of family-centred care in practice especially in residential care facilities.Trial registrationChinese Clinical Trial Registry, ChiCTR1900024582, Registered 18 July 2019.
Highlights
IntroductionFamily members may be exposed to stressors like difficulty in role changes, interpersonal conflict with facility staff, and emotional torment
After residential care placement, family members may be exposed to stressors like difficulty in role changes, interpersonal conflict with facility staff, and emotional torment
Previous studies have found that when family caregiving cannot satisfy the care needs of a relative with dementia, family members may choose to place him/her into a residential care facility [1,2,3]
Summary
Family members may be exposed to stressors like difficulty in role changes, interpersonal conflict with facility staff, and emotional torment. Data for family members include age (years), gender, ethnicity, educational attainment (primary school or lower, middle school, high school, or college/university), marital status (unmarried, married, divorced, or others), relationship with the resident (spouse, child, child-in-law, grandchild, or others), employment status (full-time, part-time, retired, or unemployed), whether lived with the resident before placement, and the proportion of facility fees that the family member or his/her family need to pay (almost zero, less than 20, 20 to 50%, 51 to 80%, or more than 80%). Data for residents with dementia include age (years), gender, ethnicity, educational attainment (primary school or lower, middle school, high school, or college/university), marital status (unmarried, married, divorced, or others), and length of stay in the studied facility (months).
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