Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Nov 4;21(1):629.
doi: 10.1186/s12877-021-02575-2.

An individualized telephone-based care support program for rural family caregivers of people with dementia: study protocol for a cluster randomized controlled trial

Yao Wang #  1 , Lily Dongxia Xiao #  2 , Yu Yu  3 , Rong Huang  4 , Hui You  4 , Minhui Liu  4
Affiliations

An individualized telephone-based care support program for rural family caregivers of people with dementia: study protocol for a cluster randomized controlled trial

Yao Wang et al. BMC Geriatr. .

Abstract

Background: There are about 9.5 million people with dementia in China. Up to 99% of them are cared for by their family caregivers. Family caregivers are confronted with considerable difficulties and challenges while providing care. They often experience high levels of emotional, physical, financial, and social burdens. Caregivers in rural areas experience an even higher level of burden compared to their counterparts in urban areas due to fewer health resources for dementia care. However, so far, no intervention study has been conducted to support family caregivers in rural areas of China. The aim of this proposed study is to adapt and evaluate an evidence-based and culturally-tailored individualized telephone-based care support (ITBCS) program for family caregivers of people with dementia in rural China.

Methods: A cluster randomized controlled trial (RCT) will be conducted to evaluate the effectiveness of the ITBCS compared with usual care for Chinese rural family caregivers of people with dementia. A total sample of 168 rural family caregivers will be recruited. The intervention components consist of a 3-month intensive telephone-based care support intervention followed by telephone-based follow-up consultations for 6 months. The control group will receive usual care services available for them. Outcome measures include carers' subjective burden, depressive symptoms, health-related quality of life, social support, caregiving self-efficacy, and care recipients' difficult behaviours and competence in activities of daily living at 3, 9 and 15 months after baseline. The potential cost-effectiveness of the ITBCS compared with usual care will be assessed as well.

Discussion: If effective, the ITBCS program can be adapted and used in rural areas of China as a blueprint to improve the quality of home-based care for people with dementia. Findings from the present study are significant for developing evidence-based dementia care policy in rural China.

Trial registration: Chinese Clinical Trial Registry, ChiCTR2000038821 , Registered 4 April 2020, http://www.chictr.org.cn/showprojen.aspx?proj=62268 .

Keywords: Care support; Cluster RCT; Family caregivers; People with dementia; Rural area; Telephone-based.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Flow-chart of sample framework and number of participants in the project
Fig. 2
Fig. 2
Flowchart of the study
See this image and copyright information in PMC

References

    1. Alzheimer's Disease International . World Alzheimer Report 2015. London: Alzheimer's Disease International; 2015.
    1. Jia J, et al. The cost of Alzheimer's disease in China and re-estimation of costs worldwide. Alzheimers Dement. 2018;14(4):483–491. doi: 10.1016/j.jalz.2017.12.006. - DOI - PubMed
    1. Alzheimer's Disease International . World Alzheimer Report 2016. London: Alzheimer's Disease International; 2016.
    1. Wang J, et al. Family caregiver challenges in dementia care in a country with undeveloped dementia services. J Adv Nurs. 2014;70(6):1369–1380. doi: 10.1111/jan.12299. - DOI - PubMed
    1. Xiao LD, et al. Family caregiver challenges in dementia care in Australia and China: a critical perspective. BMC Geriatr. 2014;14(1):1–13. doi: 10.1186/1471-2318-14-6. - DOI - PMC - PubMed

Publication types