TY - JOUR
T1 - Improving Caregiver Burden by a Peer-Led Mentoring Program for Caregivers of Patients With Chronic Kidney Disease
T2 - Randomized Controlled Trial
AU - Ghahramani, Nasrollah
AU - Chinchilli, Vernon M.
AU - Kraschnewski, Jennifer L.
AU - Lengerich, Eugene J.
AU - Sciamanna, Christopher N.
N1 - Funding Information:
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Research reported in this article was funded through a Patient-Centered Outcomes Research Institute (PCORI) Award CDR-1310-07055 (to Nasrollah Ghahramani). The statements in this article are solely the responsibility of the authors and do not necessarily represent the views of the Patient-Centered Outcomes Research Institute (PCORI), its Board of Governors or Methodology Committee. VC, JK, EL, and CS were co-investigators on the study. The funding agency (Patient Centered Outcomes Research Institute), and the employer (Penn State College of Medicine/Penn State Health) did not have a role in the study design; collection, analysis, and interpretation of data; writing the report; and the decision to submit the report for publication.
Funding Information:
The investigators wish to acknowledge the following for their assistance in various stages of the study: All patients and caregivers who participated in the study as peer mentors, as members of the advisory groups, or as study subjects; without their active and enthusiastic participation, this study would not have been possible. The Kidney Foundation of Central Pennsylvania (KFCP) and members of its Board of Directors who served as members of the Community Advisory Board. Parts of this study were presented in abstract form at the Annual Meeting of the American Society of Nephrology November 7?10, 2019 in Washington, D.C. The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Research reported in this article was funded through a Patient-Centered Outcomes Research Institute (PCORI) Award CDR-1310-07055 (to Nasrollah Ghahramani). The statements in this article are solely the responsibility of the authors and do not necessarily represent the views of the Patient-Centered Outcomes Research Institute (PCORI), its Board of Governors or Methodology Committee. VC, JK, EL, and CS were co-investigators on the study. The funding agency (Patient Centered Outcomes Research Institute), and the employer (Penn State College of Medicine/Penn State Health) did not have a role in the study design; collection, analysis, and interpretation of data; writing the report; and the decision to submit the report for publication.
Publisher Copyright:
© The Author(s) 2022.
PY - 2022/1
Y1 - 2022/1
N2 - Chronic kidney disease (CKD) is associated with substantial morbidity, mortality, cost, and increased caregiver burden. Peer mentoring (PM) improves multiple outcomes in various chronic diseases. The effect of PM on caregiver burden among caregivers of patients with CKD has not been studied. We conducted a randomized clinical trial to test the effectiveness of a structured PM program on burden of care among caregivers of patients with CKD. We randomized 86 caregivers to receive 6 months of intervention in 1 of 3 groups: (1) face-to-face PM (n = 29); (2) online PM (n = 29); and (3) usual care: textbook-only (n = 28). Peer mentors were caregivers of patients with CKD, who received 16 h of instruction. All participants received a copy of a textbook, which contains detailed information about kidney disease. Participants in the PM groups received FTF or online PM for 6 months. The outcome was time-related change in the Zarit Burden Interview (ZBI) score. There was a statistically significant decrease in the ZBI score (SE: −3.44; CI: −6.31, −0.57 [p = 0.002]) compared with baseline, among the online PM group. Online PM led to decreased caregiver burden among caregivers of patients with CKD. The study was limited to English-speaking subjects with computer literacy.
AB - Chronic kidney disease (CKD) is associated with substantial morbidity, mortality, cost, and increased caregiver burden. Peer mentoring (PM) improves multiple outcomes in various chronic diseases. The effect of PM on caregiver burden among caregivers of patients with CKD has not been studied. We conducted a randomized clinical trial to test the effectiveness of a structured PM program on burden of care among caregivers of patients with CKD. We randomized 86 caregivers to receive 6 months of intervention in 1 of 3 groups: (1) face-to-face PM (n = 29); (2) online PM (n = 29); and (3) usual care: textbook-only (n = 28). Peer mentors were caregivers of patients with CKD, who received 16 h of instruction. All participants received a copy of a textbook, which contains detailed information about kidney disease. Participants in the PM groups received FTF or online PM for 6 months. The outcome was time-related change in the Zarit Burden Interview (ZBI) score. There was a statistically significant decrease in the ZBI score (SE: −3.44; CI: −6.31, −0.57 [p = 0.002]) compared with baseline, among the online PM group. Online PM led to decreased caregiver burden among caregivers of patients with CKD. The study was limited to English-speaking subjects with computer literacy.
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U2 - 10.1177/23743735221076314
DO - 10.1177/23743735221076314
M3 - Article
C2 - 35111900
AN - SCOPUS:85124043309
SN - 2374-3735
VL - 9
JO - Journal of Patient Experience
JF - Journal of Patient Experience
ER -