RT Journal Article
T1 Effectiveness of a home-based nursing support and cognitive restructuring intervention on the quality of life of family caregivers in primary care: A pragmatic cluster-randomized controlled trial
A1 Rico Blázquez, Milagros
A1 García Sanz, Petra
A1 Martín Martín, María
A1 López Rodríguez, Juan A
A1 Morey Montalvo, Mariel
A1 Sanz Cuesta, Teresa
A1 Rivera Álvarez, Araceli
A1 Araujo Calvo, Mercedes
A1 Frías Redondo, Soledad
A1 Escortell Mayor, Esperanza
A1 Cura González, Isabel del
AB BackgroundCaregivers of patients with chronic conditions or disability experience fatigue, burden and poor health-related quality of life. There is evidence of the effectiveness of support interventions for decreasing this impact. However, little is known about the benefits of home-based nursing intervention in primary health care.ObjectivesTo evaluate the effectiveness of a home-based, nurse-led-intervention (CuidaCare) on the quality of life of caregivers of individuals with disabilities or chronic conditions living in the community, measured at 12-month follow-up.MethodsA pragmatic, two-arm, cluster-randomized controlled trial with a 1-year follow-up period was performed between June 2013 and December 2015. Consecutive caregivers aged 65 years or older, all of whom assumed the primary responsibility of caring for people with disabling conditions for at least 6 months a year, were recruited from 22 primary health care centers. Subsequently, 11 centers were randomly assigned to usual care group, and 11 were assigned to the intervention group. The caregivers in the intervention group received the usual care and additional support (cognitive restructuring, health education and emotional support). The primary outcome was quality of life, assessed with the EQ-5D instrument (visual analog scale and utility index score); the secondary outcome variables were perception of burden, anxiety, and depression. Data were collected at baseline, at the end of the intervention, and at the 6- and 12-month follow-up visits. We analyzed the primary outcome as intention-to-treat, and missing data were added using the conditional mean single imputation method.ResultsA total of 224 caregivers were included in the study (102 in the intervention group and 122 in the usual care group). Generalized Estimating Equation models showed that the CuidaCare intervention was associated with a 5.46 point (95% CI: 2.57; 8.35) change in the quality of life, as measured with the visual analog scale adjusted for the rest of the variables at 12 months. It also produced an increase of 0.04 point (95% CI: 0.01; 0.07) in the utilities. No statistically significant differences were found between the two groups at 12 months with respect to the secondary outcomes.ConclusionsThe findings suggest that incorporating a home-based, nurse-led-intervention for caregivers into primary care can improve the health-related quality of life of caregivers of patients with chronic or disabling conditions.
PB Elsevier Ltd
SN 0020-7489
YR 2021
FD 2021-08
LK https://hdl.handle.net/20.500.14352/122517
UL https://hdl.handle.net/20.500.14352/122517
LA eng
NO Rico-Blázquez M, García-Sanz P, Martín-Martín M, López-Rodríguez JA, Morey-Montalvo M, Sanz-Cuesta T, et al. Effectiveness of a home-based nursing support and cognitive restructuring intervention on the quality of life of family caregivers in primary care: A pragmatic cluster-randomized controlled trial. International Journal of Nursing Studies. 2021;120.
NO Este trabajo fue financiado por el Fondo de Investigaciones Sanitarias del Instituto de Salud Carlos III (número de subvención PI11/02132) y cofinanciado por el Fondo Europeo de Desarrollo Regional (FEDER) “Una forma de dar forma a Europa”. Plan Nacional de I+D+I 2008–2011. Este proyecto recibió una ayuda para la traducción y publicación de este artículo a través de la convocatoria de 2017 de la Fundación para la Investigación Biomédica e Innovación en Atención Primaria (FIIBAP), destinada a promover programas de investigación. MRB recibió un premio como ganadora de la fase final del III concurso Three-Minute Thesis® 2019 de la Comunidad de Madrid.  ¿Quieres que lo adaptemos a un estilo más académico o que suene más formal para una publicación científica? También puedo ayudarte a redactar el apartado de agradecimientos u otros textos relacionados. 📝💡  ¿Puedes hacer que suene más académico?¿Cómo redacto la sección de agradecimientos?¿Puedes darme ejemplos de textos similares?
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RD 25 feb 2026