Evidence map›Paper›PMID 26719349›Full record

Trial reportBMJ supportive & palliative care2017

Assessing the impact of a Carer Support Needs Assessment Tool (CSNAT) intervention in palliative home care: a stepped wedge cluster trial.

Gunn Eli Grande, Lynn Austin, Gail Ewing, Neil O'Leary, Chris Roberts

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ supportive & palliative care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07749482 (Applying a Family Caregiver Supports Needs Assessment Tool in Home-based Primary Care), which is not on this map. Cited by 40 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 3 pooled it
6.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07749482 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Applying a Family Caregiver Supports Needs Assessment Tool in Home-based Primary Care: An Approach to Elder Mistreatment Risk Reduction and Prevention

TypeinterventionalSponsorThe University of Texas Medical Branch, GalvestonRan2026 to 2028Enrolled80ConditionsCaregiver Stress, Caregiver Health Related QOL, Caregiver Mental Health, Caregiver Health StatusArmsCSNAT-I
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 3 syntheses or guidelines pooled it, 86 citations in OpenAlex.

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  5. Process, content, and experiences of delivering the Carer Support Needs Assessment Tool Intervention (CSNAT-I) in the Danish specialised palliative care setting.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
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  14. What individual needs do family caregivers have in palliative home care and how are they supported? A qualitative study of a supportive intervention.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Gunn Eli GrandeSchool of Nursing, Midwifery and Social Work, University of Manchester, Manchester, UK.
Lynn AustinSchool of Nursing, Midwifery and Social Work, University of Manchester, Manchester, UK.
Gail EwingCentre for Family Research, University of Cambridge, Cambridge, UK.
Neil O'LearyCentre for Biostatistics, Institute of Population Health, University of Manchester, Manchester, UK.
Chris RobertsCentre for Biostatistics, Institute of Population Health, University of Manchester, Manchester, UK.
University of Manchester · GBUniversity of Cambridge · GB

Funding

Department of Health PB-PG-0610-22291
6 · The paper itself

Abstract

objectivesTo test the impact on family carers of a Carer Support Needs Assessment Tool (CSNAT) intervention to facilitate carer-led assessment and support during end of life care.

methodMixed method, part-randomised, stepped wedge cluster trial with 6 palliative home care services comparing carers receiving the intervention with those receiving standard care. Postal survey with carers 4-5 months postbereavement measured adequacy of end of life support, current mental and physical health (Short Form 12 Health Survey SF-12), level of grief (Texas Revised Inventory of Grief, TRIG) and distress (Distress Thermometer, DT), place of death and carer satisfaction with place of death.

resultsSurveys were sent to 3260 (76%) carers of 4311 deceased patients; 681 (21%) were returned (N=333 control, N=348 intervention). Compared with controls, intervention carers had significantly lower levels of early grief, better psychological and physical health, were more likely to feel the place of death was right, and patients were more likely to die at home. However, differences were small and process measures showed low level of implementation, indicating differences may partially relate to increased awareness of carer issues rather than a direct impact of the intervention.

conclusionsCarers had better outcomes in the intervention condition, albeit modest. If this can be achieved through low level implementation and awareness raising of carers' needs from implementation activities, substantial impact should be possible if the CSNAT intervention can be fully implemented with a majority of carers. The study illustrates challenges of implementing and testing a complex intervention in real-life practice and of achieving comprehensive carer assessment and support in line with government recommendations.

Indexed as

Needs AssessmentSocial SupportTerminally IllAgedCaregiversFemaleHome Care ServicesHumansMalePalliative CareState MedicineSurveys and QuestionnairesUnited KingdomBereavementEnd of lifeFamily carersHome careNeeds assessmentStepped wedge cluster trial

Identifiers

PMID26719349
PMCPMC5574387
OpenAlexW2229594852

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.