Providing better tailored and coordinated support for family carers of people with MND through adaptation of a Carer Support Needs Assessment Tool (CSNAT) intervention – Marie Curie


What are we doing?

We have developed an intervention to help support carers but we need to ensure it is suitable for MND carers.

The intervention consists of an assessment tool (Carer Support Needs Assessment Tool - CSNAT) which is integrated into a person centred process of assessment and support, that is practitioner facilitated but carer-led. The questions on the tool itself ask carers both to consider support they need to care for the patient and also what they need to look after their own health and wellbeing. Specifically we will:

  • Assess the suitability of CSNAT for MND carers and, if necessary, adapt the intervention to fit the demands and circumstances of MND caregiving.
  • Aim to reshape the CSNAT to give carers themselves control over its use to ensure more coordinated assessment and support.


Why is it important?

Motor Neurone Disease (MND) affects up to 5,000 UK adults at any time and is an incurable, life shortening illness. Family carers provide vital support for people with MND, but caregiving can be very physically and psychologically demanding. It is therefore crucial to ensure practitioners/clinicians can give support to carers that is timely and fits their individual needs.

We hope to enable better tailored and coordinated support for family carers of people with MND, through a CSNAT-MND Intervention that is adapted to:

  1. their support needs;
  2. critical time points;
  3. main services encountered; and
  4. is reshaped as a carer-held intervention to provide better carer control and continuity.

By supporting carers in their role we in turn benefit patients. Principles derived from this study are also likely to have wider applicability to carers of patients with a range of life-limiting illnesses.


How will we do it?

Research will occur over three sites (Salford, Sheffield, Liverpool) and be in three stages.

Stage 1: We will conduct focus groups with 30-36 MND carers to investigate their support needs, main changes they experience and interactions with practitioners. This will help develop intervention materials and procedures that allow review of carer support needs at critical time points with key practitioners.

Stage 2: We will conduct working groups with 20-30 carer advisers and practitioners to decide how the intervention should work in practice, so that carers feel able to use it and practitioners feel able to respond.

Stage 3: We will ask 15-20 carers to try the new intervention during normal contact with a practitioner, tell us about their experience, and interview the practitioner where possible. This will provide a practical intervention to support MND carers in their caregiving role for further testing.


Who are we working with?


More information

For more information please contact Michael Spence (Programme Manager).

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