Exploring the Feasibility of a Caregiver Burden-Mastery Hybrid Assessment Tool With Decision Matrix in a Memory Clinic: A Multimethod Study
Introduction Family members caring for a person living with dementia (PWD) can experience caregiver burden, leading to psychological distress if unmanaged. It's essential for healthcare professionals, especially nurses to identify caregivers at risk of stress and depression, triggering prompt m...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2024-12-01
|
| Series: | SAGE Open Nursing |
| Online Access: | https://doi.org/10.1177/23779608241307002 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850054582814638080 |
|---|---|
| author | Ee Yuee Chan RN, PhD, MSc, MN, BN Zhi Lei Ong BA George Frederick Glass RN, MSc, BN (Hons) Siew Ling Ang RN Jun Pei Lim MMed, MBBS Noorhazlina Binte Ali MMed, MBBS Wee Shiong Lim MD, MMed, MHPEd, MBBS |
| author_facet | Ee Yuee Chan RN, PhD, MSc, MN, BN Zhi Lei Ong BA George Frederick Glass RN, MSc, BN (Hons) Siew Ling Ang RN Jun Pei Lim MMed, MBBS Noorhazlina Binte Ali MMed, MBBS Wee Shiong Lim MD, MMed, MHPEd, MBBS |
| author_sort | Ee Yuee Chan RN, PhD, MSc, MN, BN |
| collection | DOAJ |
| description | Introduction Family members caring for a person living with dementia (PWD) can experience caregiver burden, leading to psychological distress if unmanaged. It's essential for healthcare professionals, especially nurses to identify caregivers at risk of stress and depression, triggering prompt management during their contact with caregivers of PWD. The study team developed an evidence-based caregiver burden-mastery hybrid assessment and intervention decision matrix (CHAT-MI) for caregivers of PWD and examined its feasibility of use. Objective To determine the feasibility and usability of implementing the CHAT-MI assessment-decision matrix tool in an outpatient setting in Singapore. Methods CHAT-MI was developed through earlier research, research evidence, clinical guidelines, and expert opinion. A multimethod study was conducted in a Singapore outpatient memory clinic from November 2020 to January 2021. Caregivers of PWD who attended the clinic self-administered the assessment tool to determine their burden and personal mastery levels. Clinicians used a decision matrix to guide interventions based on the assessments. Feedback was gathered from both caregivers and clinicians through surveys and semistructured interviews. Results Thirty-four caregivers and six clinicians participated in the study. Caregivers found the burden-mastery assessment tool relatively easy to use and understand and helpful. Clinicians found the assessment-decision matrix tool acceptable, feasible, and useful, enhancing standard care by providing insights into caregivers’ current coping capabilities. Clinicians shared that junior clinicians could benefit from CHAT-MI to better detect caregiving stress and deliver interventions. Nevertheless, more can be done to train clinicians in the understanding of the concept of mastery (i.e., perceived control over life events) to help clinicians better engage and support caregivers. Conclusion CHAT-MI was found to be relatively brief and can aid the outpatient clinic setting. This suggests that such an evidence-based assessment cum intervention can be considered for use in a real-world clinical setting to aid both caregivers and clinicians. |
| format | Article |
| id | doaj-art-8a38599f5c4b4871be3ebffda1dc2f27 |
| institution | DOAJ |
| issn | 2377-9608 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Nursing |
| spelling | doaj-art-8a38599f5c4b4871be3ebffda1dc2f272025-08-20T02:52:12ZengSAGE PublishingSAGE Open Nursing2377-96082024-12-011010.1177/23779608241307002Exploring the Feasibility of a Caregiver Burden-Mastery Hybrid Assessment Tool With Decision Matrix in a Memory Clinic: A Multimethod StudyEe Yuee Chan RN, PhD, MSc, MN, BN0Zhi Lei Ong BA1George Frederick Glass RN, MSc, BN (Hons)2Siew Ling Ang RN3Jun Pei Lim MMed, MBBS4Noorhazlina Binte Ali MMed, MBBS5Wee Shiong Lim MD, MMed, MHPEd, MBBS6 Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, National University Health System, Singapore, Singapore Nursing Implementation, Translation and Research Office, Nursing Service, , Singapore, Singapore Nursing Implementation, Translation and Research Office, Nursing Service, , Singapore, Singapore Department of Geriatric Medicine, , Singapore, Singapore Institute of Geriatrics and Active Aging, , Singapore, Singapore Institute of Geriatrics and Active Aging, , Singapore, Singapore Yong Loo Lin School of Medicine, National University of Singapore, Singapore, SingaporeIntroduction Family members caring for a person living with dementia (PWD) can experience caregiver burden, leading to psychological distress if unmanaged. It's essential for healthcare professionals, especially nurses to identify caregivers at risk of stress and depression, triggering prompt management during their contact with caregivers of PWD. The study team developed an evidence-based caregiver burden-mastery hybrid assessment and intervention decision matrix (CHAT-MI) for caregivers of PWD and examined its feasibility of use. Objective To determine the feasibility and usability of implementing the CHAT-MI assessment-decision matrix tool in an outpatient setting in Singapore. Methods CHAT-MI was developed through earlier research, research evidence, clinical guidelines, and expert opinion. A multimethod study was conducted in a Singapore outpatient memory clinic from November 2020 to January 2021. Caregivers of PWD who attended the clinic self-administered the assessment tool to determine their burden and personal mastery levels. Clinicians used a decision matrix to guide interventions based on the assessments. Feedback was gathered from both caregivers and clinicians through surveys and semistructured interviews. Results Thirty-four caregivers and six clinicians participated in the study. Caregivers found the burden-mastery assessment tool relatively easy to use and understand and helpful. Clinicians found the assessment-decision matrix tool acceptable, feasible, and useful, enhancing standard care by providing insights into caregivers’ current coping capabilities. Clinicians shared that junior clinicians could benefit from CHAT-MI to better detect caregiving stress and deliver interventions. Nevertheless, more can be done to train clinicians in the understanding of the concept of mastery (i.e., perceived control over life events) to help clinicians better engage and support caregivers. Conclusion CHAT-MI was found to be relatively brief and can aid the outpatient clinic setting. This suggests that such an evidence-based assessment cum intervention can be considered for use in a real-world clinical setting to aid both caregivers and clinicians.https://doi.org/10.1177/23779608241307002 |
| spellingShingle | Ee Yuee Chan RN, PhD, MSc, MN, BN Zhi Lei Ong BA George Frederick Glass RN, MSc, BN (Hons) Siew Ling Ang RN Jun Pei Lim MMed, MBBS Noorhazlina Binte Ali MMed, MBBS Wee Shiong Lim MD, MMed, MHPEd, MBBS Exploring the Feasibility of a Caregiver Burden-Mastery Hybrid Assessment Tool With Decision Matrix in a Memory Clinic: A Multimethod Study SAGE Open Nursing |
| title | Exploring the Feasibility of a Caregiver Burden-Mastery Hybrid Assessment Tool With Decision Matrix in a Memory Clinic: A Multimethod Study |
| title_full | Exploring the Feasibility of a Caregiver Burden-Mastery Hybrid Assessment Tool With Decision Matrix in a Memory Clinic: A Multimethod Study |
| title_fullStr | Exploring the Feasibility of a Caregiver Burden-Mastery Hybrid Assessment Tool With Decision Matrix in a Memory Clinic: A Multimethod Study |
| title_full_unstemmed | Exploring the Feasibility of a Caregiver Burden-Mastery Hybrid Assessment Tool With Decision Matrix in a Memory Clinic: A Multimethod Study |
| title_short | Exploring the Feasibility of a Caregiver Burden-Mastery Hybrid Assessment Tool With Decision Matrix in a Memory Clinic: A Multimethod Study |
| title_sort | exploring the feasibility of a caregiver burden mastery hybrid assessment tool with decision matrix in a memory clinic a multimethod study |
| url | https://doi.org/10.1177/23779608241307002 |
| work_keys_str_mv | AT eeyueechanrnphdmscmnbn exploringthefeasibilityofacaregiverburdenmasteryhybridassessmenttoolwithdecisionmatrixinamemoryclinicamultimethodstudy AT zhileiongba exploringthefeasibilityofacaregiverburdenmasteryhybridassessmenttoolwithdecisionmatrixinamemoryclinicamultimethodstudy AT georgefrederickglassrnmscbnhons exploringthefeasibilityofacaregiverburdenmasteryhybridassessmenttoolwithdecisionmatrixinamemoryclinicamultimethodstudy AT siewlingangrn exploringthefeasibilityofacaregiverburdenmasteryhybridassessmenttoolwithdecisionmatrixinamemoryclinicamultimethodstudy AT junpeilimmmedmbbs exploringthefeasibilityofacaregiverburdenmasteryhybridassessmenttoolwithdecisionmatrixinamemoryclinicamultimethodstudy AT noorhazlinabintealimmedmbbs exploringthefeasibilityofacaregiverburdenmasteryhybridassessmenttoolwithdecisionmatrixinamemoryclinicamultimethodstudy AT weeshionglimmdmmedmhpedmbbs exploringthefeasibilityofacaregiverburdenmasteryhybridassessmenttoolwithdecisionmatrixinamemoryclinicamultimethodstudy |