1. Feasibility and acceptability of NIDUS-Professional, a training and support intervention for homecare workers caring for clients living with dementia: a cluster-randomised feasibility trial protocol
- Author
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Zabihi, Sedigheh, Duffy, Larisa, Kelleher, Daniel, Lord, Kathryn, Dar, Ayesha, Koutsoubelis, Freya, Banks, Sara, Rapaport, Penny, Mason, Clare, Vickerstaff, Victoria, Barber, Julie A, Manthorpe, Jill, Walters, Kate, Lang, Iain, Rockwood, Kenneth, Duggan, Sandra, Kales, Helen, and Cooper, Claudia
- Subjects
Health Services and Systems ,Nursing ,Health Sciences ,Dementia ,Clinical Trials and Supportive Activities ,Clinical Research ,Acquired Cognitive Impairment ,Brain Disorders ,Management of diseases and conditions ,7.1 Individual care needs ,Neurological ,Humans ,Feasibility Studies ,Single-Blind Method ,Caregivers ,Home Care Services ,Randomized Controlled Trials as Topic ,dementia ,old age psychiatry ,clinical trials ,Clinical Sciences ,Public Health and Health Services ,Other Medical and Health Sciences ,Biomedical and clinical sciences ,Health sciences ,Psychology - Abstract
IntroductionMost people living with dementia want to remain living in their own homes, and are supported to do so by family carers and homecare workers. There are concerns that homecare is often unable to meet the needs of this client group, with limited evidence regarding effective interventions to improve it for people living with dementia. We have developed a training and support programme for homecare workers (NIDUS-Professional) to be delivered alongside support sessions for people living with dementia and their family carers (NIDUS-Family). We aim to assess (1) its acceptability among homecare workers and employing agencies, and (2) the feasibility of homecare workers, people living with dementia and their family carers completing the outcomes of intervention in a future randomised controlled trial.Methods and analysisThis is a cluster-randomised (2:1) single-blind, multisite feasibility trial. We aim to recruit 60-90 homecare workers, 30-60 clients living with dementia and their family carers through 6-9 English homecare agencies. In the intervention arm, homecare staff will be offered six group sessions on video call over three months, followed by monthly group sessions over the subsequent three-month period. Outcome measures will be collected at baseline and at six months.Ethics and disseminationThe study received ethical approval on 7 January 2020 from the Camden & King's Cross Research Ethics Committee. Study reference: 19/LO/1667. Findings will be disseminated through a peer-reviewed journal, conference presentation and blog to research and clinical audiences; we will attend forums to present findings to participating homecare agencies and their clients.Trial registration numberISRCTN15757555.
- Published
- 2022