Case Manager Approach in Dementia Care From a Caregiver Perspective

Case Manager Approach in Dementia Care From a Caregiver Perspective: A Grounded Theory Study

This is a qualitative study to explore opinions of family caregivers of community-dwelling people with dementia on case manager approach in dementia care. Semi-structured interviews will be used for data collection. Purposive sampling was used to recruit caregivers from Jockey Club Centre for Positive Ageing. Grounded Theory would be used for data analysis.

Study Overview

• Status: Not yet recruiting
• Conditions: Dementia
• Intervention / Treatment: Other: Non-interventional

Detailed Description

This was a qualitative study using semi-structured interviews with caregivers of community-dwelling people with dementia. Purposive sampling was used to recruit caregivers from Jockey Club Centre for Positive Ageing.

Study protocol would be explained by principal investigator (PI) to case managers in JCCPA, including aim and objectives of the study, inclusion criteria, exclusion criteria and interview questions.

Due to privacy issues, case managers in JCCPA would screen family caregivers and ask for consent to participate in the study. Contact method of caregivers would be provided to PI by JCCPA case managers upon caregivers' consent. PI would then approach caregivers to arrange online meetings and send the online consent form to them for their consideration and reference. Risks and benefits of the study and the right to withdraw from the study at any time would be explained to participants before consent form was signed by participants digitally.

Demographic data such as age, gender, education level, years of caregiving to PWD and time spent on caregiving would be collected using Google form.

All interviews were conducted through video-conferencing individually. Each interview took 30 to 45 minutes. The interviews were started with an close-ended question, such as "Do you know the special approach that JCCPA has adopted?" and "Did the staff tell you about it at admission?", followed up by open-ended questions such as "What do you know about case management?" and "Can you tell me how your caregiving experience was with case manager support?". Subsequent probing questions aimed at clarification and gaining more insight on their experience, was guided by the participant's responses.

Demographic data such as age, gender, education level, years of caregiving to PWD and time spent on caregiving would be collected using Google form.

All interviews were conducted through video-conferencing individually. Each interview took 30 to 45 minutes. The interviews were started with an close-ended question, such as "Do you know the special approach that JCCPA has adopted?" and "Did the staff tell you about it at admission?", followed up by open-ended questions such as "What do you know about case management?" and "Can you tell me how your caregiving experience was with case manager support?". Subsequent probing questions aimed at clarification and gaining more insight on their experience, was guided by the participant's responses. Video-conferencing software such as Zoom, Google Meet, or facetime would be used for online interview. Interview would be conducted in JCCPA to ensure privacy of the participants.

All interviews were audio recorded and transcribed verbatim. The transcript were validated by re-listening to the tapes.

Constant comparative analysis was used for coding and category development. Incidents were identified in the data and coded. Initially, codes were identified as much as possible. Codes were compared to others codes. Codes were then collapsed into categories. In this process, incidents in a category were compared with previous incidents. New data was compared with data obtained earlier during the analysis phases. In intermediate coding, basic data was transformed into more abstract concepts allowing the theory to emerge from the data. Then, advanced coding was done to facilitate integration of the final grounded theory.

• Study Type: Observational
• Enrollment (Anticipated): 10

Contacts and Locations

• Study Contact: Name: Kam Yan Lui, Miss; Phone Number: +85263329630; Email: 1155138933@link.cuhk.edu.hk

Study Locations

• Hong Kong
  • NT
    • Shatin, NT, Hong Kong, 0000
      • Jockey Club Centre for Positive Ageing
      • Contact: Andrew Cheung, Mr; Phone Number: +85253456773; Email: info@jccpa.org.hk

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: N/A
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Family caregivers of person with dementia

Description

Inclusion Criteria:

• care recipients having clinical diagnosis of dementia of any stage
• participants being the family caregivers of care recipients, providing care for at least 10 hours per week
• caregivers receiving case manager support for at least 3 months

Exclusion Criteria:

• caregivers who were under age of 18 and those exhibiting intellectual impairment
• caregivers who were not immediate family members of care recipients
• caregivers who could not communicate in Cantonese or English

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Family caregivers; Family caregivers who were main caregiver to the person with dementia and who spent at least 10 hours a week providing care to the person with dementia.	Other: Non-interventional; Non-interventional. Interview would be conducted for data collection.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Semi-structured interview would be conducted individually	for data collection to explore the perspective of family caregivers on case manager approach in dementia care.	2/5/2021-31/7/2021

Collaborators and Investigators

• Sponsor: Chinese University of Hong Kong
• Collaborators: Jockey Club Centre for Positive Ageing
• Investigators: Principal Investigator: Kam Yan Lui, Miss, Chinese University of Hong Kong

Study record dates

Study Major Dates

• Study Start (Anticipated): May 2, 2021
• Primary Completion (Anticipated): July 31, 2021
• Study Completion (Anticipated): July 31, 2021

Study Registration Dates

• First Submitted: April 13, 2021
• First Submitted That Met QC Criteria: April 14, 2021
• First Posted (Actual): April 15, 2021

Study Record Updates

• Last Update Posted (Actual): April 15, 2021
• Last Update Submitted That Met QC Criteria: April 14, 2021
• Last Verified: April 1, 2021

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Mental Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurocognitive Disorders; Dementia
• Other Study ID Numbers: CaseManagerDementiaGT

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: All IPD that underlie results in a publication. No identifying information about the individual would be revealed by using subject number
• IPD Sharing Time Frame: 3 years after completion and submission of study report
• IPD Sharing Access Criteria: Supporting information selected above will be shared to the public. Other supporting information will be accesible by principal investigator and academic supervisor only.
• IPD Sharing Supporting Information Type: STUDY_PROTOCOL; CSR

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No