START Foundation Laying
Research type
Research Study
Full title
Foundation laying to widen access to START (Strategies for RelaTives)
IRAS ID
234808
Contact name
Gill Livingston
Contact email
Sponsor organisation
University College London
Clinicaltrials.gov Identifier
Z6364106/2018/01/58, Data Protection number; 175548, UCL Award Number; 234808, IRAS Number ; 543111, UCL Project Number
Duration of Study in the UK
2 years, 8 months, 13 days
Research summary
Family members providing care to a person with dementia are often distressed, anxious or depressed. We developed the START (Strategies for RelaTives) intervention for family carers of relatives with dementia to promote helpful coping strategies for the difficulties of caring, and reduce these types of symptoms. The original START intervention was delivered within NHS service structures by psychology graduates. The main purpose of this study is to widen access to the START intervention by adapting it for delivery in the third sector and to Minority Ethnic (ME) groups, within existing structures of the Alzheimer’s Society (AS) and the South Asian community in the first instance. In Phase 1 (Month 1-18) we will undertake focus groups and/or individual interviews, and consult with Alzheimer’s Society stakeholders and family carers of relatives with dementia from South Asian backgrounds (using translators as appropriate), to inform changes to the START intervention. We will use the Consolidated Framework for Implementation Research Tool (CFIR) to assess baseline barriers and facilitators and the Knowledge-to-Action framework (KTA) as a guide for translating findings into practice. In Phase 2 (Month 12-30) we will implement the modified intervention, within existing structures of the Alzheimer’s Society and the South Asian community respectively. In Phase 3 (Month 20-33) an independent evaluation will assess the impact of the intervention incorporating qualitative and quantitative information, using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) implementation tool. Benefits are expected in terms of improved access for family carers including those in hard to reach groups to START, as well as a template for implementation of the START intervention in the third sector and for other ME groups.
REC name
London - West London & GTAC Research Ethics Committee
REC reference
18/LO/0369
Date of REC Opinion
2 Mar 2018
REC opinion
Further Information Favourable Opinion