Impacts of ESOGER home-based care and health services on spousal caregivers' anxiety, quality of life and burden: Findings from a pilot randomized controlled trial - 12/12/25
, Camille Normandin b, Pascal Mathieu d, Kevin Galéry b
Bienvenue sur EM-consulte, la référence des professionnels de santé.
Article gratuit.
Connectez-vous pour en bénéficier!
Abstract |
Background |
Spousal caregivers of ill older adults face increasing risks of deteriorating mental health and burden. “Socio-Geriatric Evaluation” (ESOGER) is home-based care and health services for ill older adults. This study aimed to examine changes in anxiety, quality of life and burden over a 3-month period in spousal caregivers of ill older adults who benefits from ESOGER home health care and support services.
Methods/design |
A randomized controlled trial (RCT) with two parallel arms enrolled 42 spousal caregivers distributed equally between the intervention group and the control group. The intervention consisted of ESOGER, a telehealth-based home care program that evaluates older adults’ health and social needs and provides personalized recommendations and referrals to health and community services to ill spouses, implemented through the Canadian Red Cross. Spousal caregivers were assessed at baseline (M0) and at three months (M3). Anxiety was evaluated using a visual analogue scale (VAS) ranging from 0 (no anxiety) to 10 (severe anxiety) and the EuroQol-5D assessed quality of life using. Burden was measured using the 4-item Zarit scale.
Results |
Anxiety ( P < 0.001) and burden ( P = 0.003) increased significantly, and the quality of life decreased ( P = 0.018) in the control group at M3 compared to M0. In the intervention group anxiety decreased significantly ( P < 0.001) over the 3-months follow-up. Only burden was significantly lower in the intervention group compared to the control group ( P = 0.022) at M3. The changes in scores of the 4-item Zarit scale between M0 and M3 ( P = 0.011) and of the EQ-5D visual analogue scale ( P = 0.024) were significantly different between groups, showing an improvement in the intervention group.
Conclusion |
This study highlights the positive impact of ESOGER home-based care on spousal caregivers, showing reduced anxiety and burden while improving quality of life. These findings underscore the importance of structured home care services in supporting caregivers' well-being and sustaining home-based care for older adults.
Le texte complet de cet article est disponible en PDF.Keywords : Randomized controlled trial, Spousal caregiver, Home care and support services, Burden, Quality of life
Plan
| Trial registration: NCT05099042; Title: Seniors Waiting for Medico-social Care at the CIUSSS-Centre-Sud-de-l'Île de Montréal's Territory Waiting List (GACO): Evaluation of the Intervention of a New Partner - Quebec's Red-Cross; First posted date: September 20, 2021; prospectively registered; NCT05099042 |
Vol 15 - N° 1
Article 100114- février 2026 Retour au numéro
Article précédent
- Prevalence of intrinsic capacity decline and its association with activities of daily living among pre-frail and frail older adults in a community-based geriatric services hub model
- Lydia Au, Izza Elyana Bte Azhar, Jer En Lee, Jasmine Shimin Lim, Alexa Lai, Bernice MH Chua, Yu Ann Tan, Reshma A. Merchant
- Association between diabetes and frailty, and the moderating role of sex in that association in older adults of the ELSA-Brasil study
- Elizabeth Leite Barbosa, Rosa Weiss Telles, Maria de Jesus Mendes da Fonseca, Maria Inês Schmidt, Sandhi Maria Barreto, Bruce Duncan, Rosane Harter Griep
Bienvenue sur EM-consulte, la référence des professionnels de santé.