Frontiers in Psychology (Aug 2023)

Effects of a self-care educational program via telerehabilitation on quality of life and caregiver burden in amyotrophic lateral sclerosis: a single-blinded randomized clinical trial protocol

  • Emília Márcia Gomes de Souza e Silva,
  • Emília Márcia Gomes de Souza e Silva,
  • Stephano Tomaz da Silva,
  • Stephano Tomaz da Silva,
  • Ledycnarf Januário de Holanda,
  • Ledycnarf Januário de Holanda,
  • Daniel Tezoni Borges,
  • Ana Paula Mendonça Fernandes,
  • Kelly Evangelista Rodrigues da Silva,
  • Tatiana Souza Ribeiro,
  • Tatiana Souza Ribeiro,
  • Luciana Protásio de Melo,
  • Luciana Protásio de Melo,
  • Ricardo Alexsandro de Medeiros Valentim,
  • Ricardo Alexsandro de Medeiros Valentim,
  • Danilo Alves Pinto Nagem,
  • Danilo Alves Pinto Nagem,
  • Ana Raquel Rodrigues Lindquist,
  • Ana Raquel Rodrigues Lindquist

DOI
https://doi.org/10.3389/fpsyg.2023.1164370
Journal volume & issue
Vol. 14

Abstract

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IntroductionThe implementation of a telerehabilitation protocol for self-care in the routine of caregivers of individuals with amyotrophic lateral sclerosis (ALS) has been associated with reduced levels of stress and improved quality of life. Moreover, it may reduce the difficulty of traveling to perform physical or other self-care activities. Thus, this study designed a clinical trial protocol to investigate the effects of a self-care education program via telerehabilitation on the burden and quality of life of caregivers of individuals with ALS.MethodsThis single-blinded randomized clinical trial will recruit 26 caregivers and randomly allocate them to the experimental (EG = 13) or control group (CG = 13). The EG will receive an informative booklet and participate in a 6-week synchronous telerehabilitation program with a neuropsychologist, nutritionist, and physiotherapist to discuss physical and mental health. The CG will receive an informative booklet on self-care and physical activity and weekly phone calls for 6 weeks to solve questions about the booklet. Outcomes will include the caregiver burden (Zarit scale), quality of life (World Health Organization Quality of Life BREF), pain (McGill Pain Questionnaire), stress (Perceived Stress Scale), and depression (Beck Depression Inventory), which will be evaluated at the baseline after the six-week program and 30 days after the program. Additionally, we will assess daily the nocturnal awakenings, sleep patterns, level of physical activity, and heart rate variability.DiscussionThis study aimed to investigate the effectiveness of telerehabilitation for caregivers of individuals with ALS. If effective, this program could be disseminated among health professionals, increasing the possibility of remotely monitoring individuals with difficulty performing physical activities.Trial registration numberNCT05884034 (clinicaltrials.gov).

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