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RECRUITING Not applicable ClinicalTrials.gov

Applying CSNAT in HBPC as an Approach to Elder Mistreatment Risk Reduction

Sponsor: The University of Texas Medical Branch, Galveston • ClinicalTrials.gov ID: NCT07749482

Registry updated: 2026-10-01
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Description

This study will evaluate the feasibility, acceptability, and preliminary effects of the Carer Support Needs Assessment Tool (CSNAT) intervention for family caregivers of older adults receiving home-based primary care. The CSNAT is a structured, caregiver-centered approach designed to identify caregiver support needs and facilitate supportive problem-solving conversations between clinicians and family caregivers. Family caregivers will be assigned to either the CSNAT intervention or a comparison group receiving usual care. Feasibility will be evaluated through participant recruitment, retention, and intervention adherence. Acceptability will be assessed through qualitative interviews with caregivers who participate in the intervention. The study will also examine the preliminary effects of the CSNAT intervention on caregiver outcomes, including caregiver strain, physical well-being, mental well-being, and emotional management. In addition, the study will explore whether improvements in caregiver well-being are associated with a reduced risk of situations that may contribute to harm or neglect of the older adult receiving care. This pilot study will provide information on the practicality of implementing the CSNAT intervention in home-based primary care and will inform the design of future larger-scale studies.

Interventions

  • CSNAT-I (Behavioral)
    The CSNAT intervention is a structured, caregiver-centered approach that identifies caregiver support needs and facilitates clinician-led support and problem-solving discussions. The intervention includes completion of the CSNAT assessment, collaborative care planning with a nurse practitioner, and a follow-up review of action plan implementation approximately one month later. Audio recordings may be collected, with participant consent, to assess intervention fidelity.

Eligibility criteria

Inclusion Criteria: * Be 18 years of age 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: a) Assistance with activities of daily living (ADLs), b) Medication management, c) Medical or nursing-related tasks * Provides consistent care to an adult age 65 years or older. * Be able to read, speak, and understand English. Exclusion Criteria: * Does not provide consistent home care (including assistance with ADLs, medication management, or medical/nursing tasks) * Provides care to a patient who is under 65 years of age * Provides care to a patient not enrolled in the UTMB Health HBPC program * Provides care to a patient not receiving in-home visits by a nurse practitioner. * Is younger than 18 years of age * Is unable to read or speak English * Has an obvious neurological or psychiatric condition that may affect participation * Has communication deficits that may impact ability to participate

Conditions

Caregiver Stress Caregiver Health Related QOL Caregiver Mental Health Caregiver Health Status Recruitment of Participants Elder Mistreatment

Locations

  • University of Texas Medical Branch — Galveston, Texas, United States
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Official Source

Data sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

View Official Record