Implementing Family Participation Training in Tertiary Hospital Care in Bangladesh

Summary

The goal of this trial is to evaluate whether a family participation training intervention can reduce caregiver strain and health worker workload, and improve patient outcomes and collaboration in the medicine wards of Chittagong Medical College Hospital (CMCH).

General objectives:

* To assess the effect of a family participation training intervention on the medicine wards of CMCH. (Stepped-wedge)
* To examine how, for whom and under what circumstances a family participation training intervention works. (Realist evaluation)

Specific objectives:

* To examine the implementation of a family participation training intervention.
* To investigate the acceptability and feasibility of a family participation training intervention.

The study will use a step-by-step roll-out, introducing training at different times in three wards, to see if it improves care compared to usual practice.

Study participants will include adult patients, their family caregivers, nurses, doctors, ward assistants, and hospital administrators. Health workers will be trained to deliver sessions to family caregivers of hospitalised patients on hospital introduction, basic care tasks, warning sign detection, oral medication administration, caregiver handover, and discharge preparedness.

Conditions

• Family Participation in Hospital Care
• Hospital Medicine
• Training Family Caregivers

Interventions

BEHAVIORAL

Family Caregiver Training

This study will test a family participation training intervention. Family caregivers will receive training on participating in hospital care while nurses and doctors receive training to train family caregivers. The family caregiver training sessions will be delivered during the intervention period in three wards to all family caregivers willing to attend the training session. The intervention has been co-created and piloted with patients, family caregivers, health workers, and hospital administrators. The content of the training will include an introduction to the hospital environment, basic care tasks, warning sign detection, oral medication administration, caregiver handover, and discharge preparedness. The content of the family caregiver training will be bundled in a visual poster. These posters will be hung on the walls across the medicine wards at the patients' bedsides.

Sponsors & Collaborators

• Chittagong Medical College and Hospital

  collaborator OTHER

• Mahidol Oxford Tropical Medicine Research Unit

  collaborator OTHER

• Asian University for Women

  collaborator UNKNOWN

• Noora Health

  collaborator UNKNOWN

• Mixit

  collaborator UNKNOWN

• Amsterdam UMC

  collaborator OTHER

• Michele van Vugt

  lead OTHER

Principal Investigators

• Michèle van Vugt, Prof. Dr. · Amsterdam University Medical Center

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

SEQUENTIAL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2025-08-09

Primary Completion

2025-12-31

Completion

2026-01-12

Countries

• Bangladesh

Study Locations