Developing a Multicomponent Intervention for Family Caregivers of Older Adults in Singapore: A Delphi Study

Abstract

Singapore is experiencing both an ageing population and a decreasing birth rate, with fewer adults to care for older adults. Caregiving for older adults can be taxing, and hence, caregivers need support. Using previous literature and the study team’s interactions with caregivers, a multicomponent intervention, consisting of a mobile application, fall detection and response service, and peer support program, was conceptualized. To better understand the needs and challenges of caregivers and to determine the potential usefulness of the multicomponent intervention, the study team engaged ward nurses and Community Health Team (CHT) members, two groups of stakeholders that regularly interact with caregivers in their work, using a modified Delphi technique. Ward nurses and CHT members each formed one Delphi panel and answered statements specific to their panel over two rounds. Nineteen ward nurses and 15 CHT members participated. The final participation rate for both rounds was 100% (19/19) for ward nurses and 93% (14/15) for CHT members. A total of 17/30 statements (57%) and 10/32 statements (31%) reached consensus for ward nurses and CHT members, respectively. Ward nurses agreed that (a) caregivers will benefit from a one-stop digital resource library (84%), (b) the importance of having a wide array of localized information for this digital resource (79%–89%) and (c) several challenges associated with caregiver training (74%–79%). The CHT members agreed that (a) caregivers do not receive adequate support outside their immediate family (86%), (b) caregivers struggle to manage care recipients’ behaviours and emotions (80%), and (c) there is a lack of relevant community resources for caregivers (71%–93%). The agreements indicated the feasibility of certain components of the intervention. Refinements to the multicomponent intervention were also made based on the findings.