Ubolrat Piamjariyakul1, Marilyn Werkowitch2, Jo Wick3, Christy Russell4, James L Vacek4, Carol E Smith5. 1. University of Kansas Medical Center, School of Nursing, 3901 Rainbow Boulevard, Mail Stop 4043, Kansas City, KS 66160-7502, USA. Electronic address: upiamjariyakul@kumc.edu. 2. University of Kansas Medical Center, School of Nursing, 3901 Rainbow Boulevard, Mail Stop 4043, Kansas City, KS 66160-7502, USA. 3. University of Kansas Medical Center, Department of Biostatistics, USA. 4. University of Kansas Hospital, Mid America Cardiology, USA. 5. University of Kansas Medical Center, School of Nursing, Preventive Medicine and Public Health, USA.
Abstract
OBJECTIVES: (1) Test whether FamHFcare intervention could reduce patients' heart failure (HF)-related rehospitalizations and improve family caregiver outcomes; (2) calculate effect size on caregiver outcomes; and (3) evaluate the FamHFcare. BACKGROUND: Few interventions target family caregivers for HF home care. METHODS: This study was a mixed method design with stratification and random assignment of 20 African American HF patient/caregiver dyads. Descriptive, univariate parametric/non-parametric, and post-hoc analyses were used. RESULTS: At 6 months, compared to standard care, the intervention group had significantly fewer HF rehospitalizations (M-W z = -1.8, p = 0.03), while caregiver confidence (M-W z = 2.8, p = 0.003) and social support scores (M-W z = 2.4, p = 0.01) were significantly higher, and caregiver depression (M-W z = -2.4, p = 0.01) were significantly lower. Caregivers rated the FamHFcare as helpful (M = 46.8 ± 4.1). CONCLUSIONS: The FamHFcare intervention was associated with fewer HF patient rehospitalizations and improved caregiver outcomes.
RCT Entities:
OBJECTIVES: (1) Test whether FamHFcare intervention could reduce patients' heart failure (HF)-related rehospitalizations and improve family caregiver outcomes; (2) calculate effect size on caregiver outcomes; and (3) evaluate the FamHFcare. BACKGROUND: Few interventions target family caregivers for HF home care. METHODS: This study was a mixed method design with stratification and random assignment of 20 African American HF patient/caregiver dyads. Descriptive, univariate parametric/non-parametric, and post-hoc analyses were used. RESULTS: At 6 months, compared to standard care, the intervention group had significantly fewer HF rehospitalizations (M-W z = -1.8, p = 0.03), while caregiver confidence (M-W z = 2.8, p = 0.003) and social support scores (M-W z = 2.4, p = 0.01) were significantly higher, and caregiver depression (M-W z = -2.4, p = 0.01) were significantly lower. Caregivers rated the FamHFcare as helpful (M = 46.8 ± 4.1). CONCLUSIONS: The FamHFcare intervention was associated with fewer HF patient rehospitalizations and improved caregiver outcomes.
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