CSNAT for Reducing Elder Mistreatment Risk

KE
Overseen ByKaren E. Schlag, PhD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: The University of Texas Medical Branch, Galveston
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests the Carer Support Needs Assessment Tool (CSNAT) to determine its effectiveness for family caregivers of older adults receiving home medical visits. The tool identifies caregivers' needs and supports them through discussions with healthcare providers. The trial compares the CSNAT method with usual care to assess its impact on reducing caregiver stress and improving well-being, potentially lowering the risk of mistreatment of the care recipient. This trial targets caregivers who regularly assist older adults with daily tasks and medical needs at home. As an unphased trial, it offers caregivers the opportunity to contribute to research that could enhance support systems and improve caregiver well-being.

What prior data suggests that the CSNAT intervention is safe for family caregivers?

Research has shown that the Carer Support Needs Assessment Tool (CSNAT) is safe and easy for caregivers to use. In an Australian study, caregivers who used CSNAT felt less stressed while providing care. This indicates that the tool is both helpful and safe. No negative effects were reported from using CSNAT. Overall, CSNAT seems to be a dependable and supportive tool for caregivers without any safety issues.12345

Why are researchers excited about this trial?

Researchers are excited about the Carer Support Needs Assessment Tool (CSNAT) because it offers a proactive, structured approach to reducing elder mistreatment risk by focusing on caregiver needs. Unlike standard care, which often relies on informal conversations, CSNAT provides a formal assessment followed by targeted support and problem-solving discussions with a clinician. This method not only helps prioritize and address specific caregiver needs but also connects them with valuable resources, aiming for a more comprehensive and systematic support system.

What evidence suggests that the CSNAT intervention is effective for reducing elder mistreatment risk?

Research has shown that the Carer Support Needs Assessment Tool (CSNAT), which participants in this trial may receive, helps family caregivers by identifying their support needs. This tool aims to reduce caregiver stress and improve their mental and physical health. Studies suggest that when caregivers feel more supported, the risk of mistreating or neglecting the older adults they care for might decrease. Although specific data on CSNAT's effectiveness is limited, structured support and problem-solving have shown promise in similar situations. This makes CSNAT a hopeful option for improving outcomes for both caregivers and patients.678910

Are You a Good Fit for This Trial?

This trial is for family caregivers of older adults who are receiving home-based primary care. Participants should be actively involved in caregiving and able to take part in study activities.

Inclusion Criteria

I am 18 years old or older.
Self-report as providing consistent care to an older adult who receives medical home visits by a nurse practitioner as part of the UTMB Home-Based Primary Care (HBPC) Program
Provides consistent care to an older adult which includes one or more of the following: assistance with activities of daily living (ADLs), medication management, medical or nursing-related tasks
See 2 more

Exclusion Criteria

I care for someone who is younger than 65 years old.
Does not provide consistent home care including assistance with ADLs, medication management, or medical/nursing tasks
Provides care to a patient not enrolled in the UTMB Health HBPC program
See 5 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

Caregivers complete the CSNAT assessment and participate in support planning discussions with a nurse practitioner

1 month
2 visits (in-person or virtual)

Follow-up

Participants are monitored for changes in caregiver strain, physical health, mental health, and elder mistreatment risk

1 month
1 visit (in-person or virtual)

What Are the Treatments Tested in This Trial?

Interventions

  • CSNAT-I

Trial Overview

The study is testing the CSNAT intervention, a structured tool that helps identify and address caregiver support needs through guided conversations with clinicians. Caregivers will be randomly assigned to either receive this support or continue with usual care.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Active Control

Group I: Behavioral: Carer Support Needs Assessment Tool (CSNAT)Experimental Treatment1 Intervention
Group II: Usual Care Control GroupActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

The University of Texas Medical Branch, Galveston

Lead Sponsor

Trials
263
Recruited
55,400+

National Institute on Aging (NIA)

Collaborator

Trials
1,841
Recruited
28,150,000+

The University of Texas Health Science Center, Houston

Collaborator

Trials
974
Recruited
361,000+

Citations

1.

en.wikipedia.org

en.wikipedia.org/wiki/Data

Data

Data is a collection of discrete or continuous values that conveys information, describing the quantity, quality, fact, statistics, other basic units of ...

Data | An Open Access Journal from MDPI

The journal publishes in two sections: a section on the collection, treatment and analysis methods of data in science; a section publishing descriptions of ...

3.

data.org

data.org/

data.org - Data and AI for mission

The data.org Resource Library features guides for overviews of specific topics in data, curated resources, and a variety of opportunities to help social impact ...

4.

data.gov

data.gov/

Data.gov Home - Data.gov

Here you will find data, tools, and resources to conduct research, develop web and mobile applications, design data visualizations, and more. 560,493 datasets ...

DATA Definition & Meaning

The meaning of DATA is factual information (such as measurements or statistics) used as a basis for reasoning, discussion, or calculation. How to use data ...

The evidence base for the CSNAT Intervention (CSNAT-I)

An Australian trial found that CSNAT-I led to reduced strain among carers during caregiving. Carers furthermore reported that using the intervention helped them ...

Elder Abuse Assessment Tools and Interventions for use in ...

The aim of this review was to provide insight into both the existing tools for the assessment of and interventions for elder abuse by formal and ...

Nurse‐Administered Screening Tools for Detecting Elder ...

Aim. Identify and describe nurse-administered screening tools used in emergency departments (ED) to detect elder abuse.

Community-Based Risk Assessment of Elder Mistreatment ...

The CARE tool is comprehensive and provides a model for the development of EM and SN assessments to assist not only professionals but also the community at ...

Research Statistics & Data

Mistreatment dropped from 22.5% at baseline to 0% following the completion of the intervention, compared with a control group, who did not report a significant ...