Protocol for the Feasibility Study of INSPIRE: Tailored Support for Informal Caregivers of Older Adults with Rheumatoid Arthritis and Frailty

What this Trial Is About

Researchers are evaluating the feasibility and acceptability of INSPIRE, a support program designed for informal caregivers of older adults with rheumatoid arthritis (RA) and frailty. This intervention was developed with input from patients, caregivers, healthcare professionals, and social care stakeholders to address the unique challenges faced by caregivers, such as emotional strain and practical difficulties. The study aims to test INSPIRE in routine rheumatology care and prepare for a larger definitive trial. INSPIRE is delivered over about 12 weeks by trained healthcare professionals experienced in rheumatology and psychosocial support. It includes three contacts: an initial 60-90 minute consultation, a 15-30 minute follow-up, and a final 30-60 minute consultation. The content is tailored to the caregiver's needs using a toolbox of resources, including emotional support, education, communication help, and guidance for navigating health and municipal services. Delivery can occur at home, in clinic, or by phone, and the care recipient may join consultations if both parties agree. During the study, caregivers will complete questionnaires and participate in consultations to assess feasibility measures like recruitment, retention, session completion, and intervention acceptability. Researchers will also explore caregiver burden, quality of life, and physical function at baseline and follow-up. The study will use qualitative interviews and structured notes to evaluate how well the intervention is delivered and tailored. Participation involves about 3 months of follow-up and assessments designed to inform future trials.

Intervention to Support Partners and Informal Caregivers of Frail RA-patients