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Applying CSNAT in HBPC as an Approach to Elder Mistreatment Risk Reduction

Applying a Family Caregiver Supports Needs Assessment Tool in Home-based Primary Care: An Approach to Elder Mistreatment Risk Reduction and Prevention

Who can join

Ages 18 and older · All sexes · Healthy volunteers welcome

Inclusion Criteria:

* Be 18 years of age or older.
* Self-report as providing consistent care to an older adult who receives medical home visits by a nurse practitioner as part of the UTMB Home-Based Primary Care (HBPC) Program.
* Provides consistent care to an older adult which includes one or more of the following: a) Assistance with activities of daily living (ADLs), b) Medication management, c) Medical or nursing-related tasks
* Provides consistent care to an adult age 65 years or older.
* Be able to read, speak, and understand English.

Exclusion Criteria:

* Does not provide consistent home care (including assistance with ADLs, medication management, or medical/nursing tasks)
* Provides care to a patient who is under 65 years of age
* Provides care to a patient not enrolled in the UTMB Health HBPC program
* Provides care to a patient not receiving in-home visits by a nurse practitioner.
* Is younger than 18 years of age
* Is unable to read or speak English
* Has an obvious neurological or psychiatric condition that may affect participation
* Has communication deficits that may impact ability to participate

About the study

This study will evaluate the feasibility, acceptability, and preliminary effects of the Carer Support Needs Assessment Tool (CSNAT) intervention for family caregivers of older adults receiving home-based primary care. The CSNAT is a structured, caregiver-centered approach designed to identify caregiver support needs and facilitate supportive problem-solving conversations between clinicians and family caregivers.

Family caregivers will be assigned to either the CSNAT intervention or a comparison group receiving usual care. Feasibility will be evaluated through participant recruitment, retention, and intervention adherence. Acceptability will be assessed through qualitative interviews with caregivers who participate in the intervention.

The study will also examine the preliminary effects of the CSNAT intervention on caregiver outcomes, including caregiver strain, physical well-being, mental well-being, and emotional management. In addition, the study will explore whether improvements in caregiver well-being are associated with a reduced risk of situations that may contribute to harm or neglect of the older adult receiving care.

This pilot study will provide information on the practicality of implementing the CSNAT intervention in home-based primary care and will inform the design of future larger-scale studies.

What is being tested

• CSNAT-I (behavioral)

Sponsor: The University of Texas Medical Branch, Galveston · Participants: 80 · Started: Sep 29, 2026

Contact the study team

• Karen E. Schlag, PhD · Phone: (409)772-1011

Official record on ClinicalTrials.gov — NCT07749482

Locations in the U.S.

From ClinicalTrials.gov, data retrieved Oct 5, 2026. Each study sets its own eligibility; the study team decides who can join.