地域在住の認知症および中咽頭嚥下障害患者の介護パートナーの負担を軽減するパイロット RCT

実験的：強化されたコントロール + WeCareToFeed嚥下障害

参加者は医療チームから通常のケアを受け、言語聴覚士のフォローアップケアのための連絡先情報を受け取ります。 参加者はまた、WeCareToFeedDysphagia Web ツールにアクセスし、ツールを使用するためのテキスト メッセージのリマインダーを受け取ります。

行動：WeCareToFeed嚥下障害 Web ツール

この Web ツールは、文書およびビデオのコンテンツ、ケアパートナーの声、よくある質問、およびリソースのリンクを使用して、正確な情報 (例: 嚥下食) を提供し、現実的な期待を設定し、摂食目標 (生活の質に関する考慮事項) を特定/サポートし、承認/ケアパートナーの気持ちをサポートし、口腔咽頭嚥下障害（OD）管理のための能力/スキルを提供します。

介入なし：強化された制御

参加者は医療チームから通常のケアを受け、言語聴覚士のフォローアップケアのための連絡先情報を受け取ります。

Mean Care Partner Burden at 3 Months Post Hospital Discharge

Burden will be measured using the Zarit Burden Scale (ZBI-22), a validated measure that assesses 22 statements related to personal strain accompanying caring for another person, which is rated with 5 frequency-related response categories, scored 0 (never) to 4 (nearly always). The total score ranges between 0 and 88 (higher scores indicating higher burden). A score less than 21 has been suggested to indicate care-partner burden. Outcome measures will be captured through a link to an online questionnaire which will be sent to the care partner's smart phone/device via text message.

パイロット研究での同意率

同意率は、ケアパートナーが資格を超えて同意し、アプローチしたとして計算されます。 成功とは、アプローチを受けたケアパートナーの 40% 以上が自発的に研究に登録することと定義されます。

退院後 1 か月でのケアパートナーの減少率

減少率は、同意された参加者の総数に対する 1 か月の評価を完了しなかった同意された参加者の総数として計算されます。 成功は、退院後 1 か月の時点での減少率が 30% 以下であると定義されます。

退院後 3 か月でのケアパートナーの減少率

減少率は、同意された参加者の総数に対する 3 か月の評価を完了しなかった同意された参加者の総数として計算されます。 成功は、退院後 3 か月の時点での減少率が 30% 以下であると定義されます。

Mean Care Partner Burden at 1 Month Post Hospital Discharge

Burden will be measured using the Zarit Burden Scale (ZBI-22), a validated measure that assesses 22 statements related to personal strain accompanying caring for another person, which is rated with 5 frequency-related response categories, scored 0 (never) to 4 (nearly always). The total score ranges between 0 and 88 (higher scores indicating higher burden). A score less than 21 has been suggested to indicate care-partner burden. Outcome measures will be captured through a link to an online questionnaire which will be sent to the care partner's smart phone/device via text message.

Mean Care Partner Quality of Life at 1 Month Post Hospital Discharge

Care Partner Quality of Life (CarerQol) will be measured using the validated Care-Related Qol-7D. The Care-Related Qol-7D measures well-being (CarerQol-VAS or visual analog scale) and subjective burden. The CarerQol-VAS measures happiness, using endpoints between 'completely unhappy' (0) and 'completely happy' (10). Subjective burden is measured on 7 dimensions (fulfillment, relational problems, mental health, daily activities problems, physical health, and support), and rated as (i) no, (ii) some, and (iii) a lot. The weighted score ranges from 0-100 (worst to best caregiving situation). Higher scores indicate higher quality of life. Outcome measures will be captured through a link to an online questionnaire which will be sent to the care partner's smart phone/device via text message.

Mean Care Partner Quality of Life at 3 Months Post Hospital Discharge

Care Partner Quality of Life (CarerQol) will be measured using the validated Care-Related Qol-7D. The Care-Related Qol-7D measures well-being (CarerQol-VAS or visual analog scale) and subjective burden. The CarerQol-VAS measures happiness, using endpoints between 'completely unhappy' (0) and 'completely happy' (10). Subjective burden is measured on 7 dimensions (fulfillment, relational problems, mental health, daily activities problems, physical health, and support), and rated as (i) no, (ii) some, and (iii) a lot. The weighted score ranges from 0-100 (worst to best caregiving situation). Higher scores indicate higher quality of life. Outcome measures will be captured through a link to an online questionnaire which will be sent to the care partner's smart phone/device via text message.

Percent Engagement With the WeCareToFeedDysphagia Tool

Engagement with WeCareToFeedDysphagia will be defined as percent of care partners viewing 2 or more pages within the tool. Success will be defined as greater than or equal to 45% of care partners engaging with the tool. Data will be captured via Google Analytics data to assess program usage in the domains of time/date of login, duration of page views, and document downloaded Engagement with the tool will be reported for the intervention arm only.