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IRCT20231206060282N1 IRCT 2024-01-08 Mashhad University of Medical Sciences The effect of social network support on psychological well-being and caregiving Appraisal of family caregivers The effect of supportive intervention based on social network on psychological well-being and caregiving Appraisal in family caregivers of patients with heart failure 2024-01-10 anticipated 72 Complete https://irct.ir/trial/74233 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Other design features: The content of online meetings in Messenger is held as follows: Session 1: introducing people to the group members, questions and answers about heart failure disease and the care needed for these patients and their role in care, asking the group members to be ready to present their experiences in care for the next session. Session 2: Inviting the group members to share their negative and positive experiences in providing patient care, their solutions in providing care and how to deal with the patient's condition. Session 3: emphasizing the importance of physical and mental health of caregivers, asking caregivers to express how they take care of themselves, then providing self-care strategies for caregivers by the researcher. Session 4: Expressing the impact of stress on the health of caregivers and family members, asking caregivers to express their strategies to deal with caregiving stress, then presenting strategies for managing stress, anger, and depression with deep breathing techniques, relaxation, and planning to do favorite activities by researcher. Session 5: Ways to interact and communicate with other family members and others, peers, maintaining humor in difficult situations. Session 6: Emphasis on positive thinking, skills of creating and maintaining positive thoughts in daily life events, asking caregivers to express their strategies for positive thinking in caregiving and daily life. Session 7: Questions and answers from the caregivers about their experiences of using the strategies presented in the previous sessions by the peers and the researcher. Session 8: Final summary of the intervention, if necessary, refer the caregivers to available support resources in the community, such as (psychiatrist, psychologist, social worker...), Randomization description: Random allocation will be done in such a way that people will be divided into two groups through the PASS 11 software using blocks of four. In this way, after determining the sequence, we put them in the envelopes and number them in order. Caregivers take the envelope in the order of their entry into the study and are placed in the intervention or control group. 3 Heart failure. Intervention 1: Intervention group: In the intervention group, First, a half-hour to one-hour face-to-face training session with the presence of the main family caregivers of the patients will be held in one of the rooms of the aforementioned departments that in this meeting, in addition to introducing and stating the goals, explanations about how to carry out the research and messenger and help the caregiver to install it and training how to communicate in online meetings will be provided. Then, after the patient's discharge, in 8 sessions for one month (2 times a week), the researcher will communicate with the caregivers in specific groups of 5-6 people through online messenger and audio or video calls whose content includes: The care needed by the patient and the caregiver's role in care, sharing their negative and positive experiences in providing patient care, the importance of the caregiver's physical and mental health and self-care strategies, stress and anger management, methods of interacting with others, maintaining a sense of humor, strategies Positive thinking in care and daily life events and if necessary referring caregivers to support resources available in society (psychiatrist, psychologist, social worker). The researcher will be present and actively cooperate in all face-to-face and non-face-to-face meetings of messaging groups and will use the advice of a psychologist. Intervention 2: Control group: The control group will receive only usual care. Yes - There is a plan to make this available What will be shared: All the data obtained from this research will be shared after completion. When: Access to the data will be possible 3 months after the results are published. To whom: These data will be used for researchers working in academic and scientific institutions, as well as for family caregivers of heart failure patients. Conditions: The data obtained from this research can be used in other scientific studies. Where to obtain: Copying (in any way) either from the full text or from the extracts is possible only with the coordination of the supervisor and the registered author and according to the instructions provided by the Central Library of Mashhad University of Medical Sciences. Details can be accessed through the relevant faculty library. The use of the thesis in articles or any scientific writing is subject to citing the source in compliance with the Mashhad University of Medical Sciences publishing regulations. Zahra Dalir: DalirZ@mums.ac.ir, Marzieh Kohantorabi: Kohantorabim4001@mums.ac.ir How to obtain: The applicant should send an email to the responsible author and register his request. After verifying the correctness of the information of the mentioned person, the required content will be provided to him by mentioning the source. Comments:
public Zahra Dalir
Azadi Square, East Gate of Ferdowsi University of Mashhad, Medical Sciences Campus, Shahid Dr. Kharazmi Educational Complex
Mashhad Iran (Islamic Republic of) ‎9177949025 +98 51 3884 6730 DalirZ@mums.ac.ir Mashhad University of Medical Sciences scientific Marzieh Kohantorabi
Shahid Dr. Kharazmi Educational Complex, East Gate of Ferdowsi University of Mashhad, Medical Sciences Campus, Azadi Square
Mashhad Iran (Islamic Republic of) ‎9177949025 +98 51 3884 6730 Kohantorabim4001@mums.ac.ir Mashhad University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) A patient with heart failure class 2 or higher for at least 3 months ago Hospitalization of the patient in the ward due to heart failure Caregiver's willingness to participate in research Caregiver age over 18 years Being the main caregiver of the patient in family A history of at least 3 months of caring for a heart failure patient Caregiver access to a smart phone and the ability to use messengers Ability to speak and understand Persian language Ability to read and write Not having a history of known mental disorders and psychoactive drugs 18 years no limit Both Caregiver's unwillingness to continue cooperation in any of the stages of the research Non-participation of the caregiver in half of the messenger sessions Transferring the care of the patient to someone other than the main caregiver at home Experiencing a stressful event or severe emotional problem during the follow-up period for the caregiver Death of the patient I50 Heart failure Other N/A Intervention group: In the intervention group, First, a half-hour to one-hour face-to-face training session with the presence of the main family caregivers of the patients will be held in one of the rooms of the aforementioned departments that in this meeting, in addition to introducing and stating the goals, explanations about how to carry out the research and messenger and help the caregiver to install it and training how to communicate in online meetings will be provided. Then, after the patient's discharge, in 8 sessions for one month (2 times a week), the researcher will communicate with the caregivers in specific groups of 5-6 people through online messenger and audio or video calls whose content includes: The care needed by the patient and the caregiver's role in care, sharing their negative and positive experiences in providing patient care, the importance of the caregiver's physical and mental health and self-care strategies, stress and anger management, methods of interacting with others, maintaining a sense of humor, strategies Positive thinking in care and daily life events and if necessary referring caregivers to support resources available in society (psychiatrist, psychologist, social worker). The researcher will be present and actively cooperate in all face-to-face and non-face-to-face meetings of messaging groups and will use the advice of a psychologist. Control group: The control group will receive only usual care. Psychological well-being. Timepoint: The level of psychological well-being in the research units participating in the study will be measured at the beginning of the study (before the start of the intervention) and one month after the start of the intervention. Method of measurement: In this research, the level of psychological well-being will be measured using Ryff's Psychological Well-being questionnaire. Caregiving appraisal. Timepoint: The level of caregiving appraisal in the research units participating in the study will be measured at the beginning of the study (before the start of the intervention) and one month after the start of the intervention. Method of measurement: In this research, caregiving appraisal will be measured using revised caregiving appraisal scale(2000). Mashhad University of Medical Sciences Approved 2023-11-28 Ethics Committee of Nursing and Midwifery Faculty - Mashhad University of Medical Sciences Shahid Dr. Kharazmi Educational Complex, East Gate of Ferdowsi University of Mashhad, Medical Sciences Campus, Azadi Square, Mashhad Razavi Khorasan Iran (Islamic Republic of)