BACKGROUND:Persons with chronic heart failure are living longer. These patients typically live in the community and are cared for at home by informal caregivers. These caregivers are an understudied and stressed group. METHODS: We are conducting a two-arm, randomized controlled trial of 250 caregivers of persons with chronic heart failure to evaluate the efficacy of a health coaching intervention. A consecutive sample of participants is being enrolled from both clinic and hospital settings at a single institution affiliated with a large medical center in the northeastern US. Both the intervention and control groups receive tablets programmed to provide standardized health information. In addition, the intervention group receives 10 live coaching sessions delivered virtually by health coaches using the tablets. The intervention is evaluated at 6-months, with self-care as the primary outcome. Cost-effectiveness of the intervention is evaluated at 12-months. We are also enrolling heart failure patients (dyads) whenever possible to explore the effect of caregiver outcomes (self-care, stress, coping, health status) on heart failure patient outcomes (number of hospitalizations and days in the hospital) at 12-months. DISCUSSION: We expect the proposed study to require 5 years for completion. If shown to be efficacious and cost-effective, our virtual health coaching intervention can easily be scaled to. support millions of caregivers worldwide.
RCT Entities:
BACKGROUND:Persons with chronic heart failure are living longer. These patients typically live in the community and are cared for at home by informal caregivers. These caregivers are an understudied and stressed group. METHODS: We are conducting a two-arm, randomized controlled trial of 250 caregivers of persons with chronic heart failure to evaluate the efficacy of a health coaching intervention. A consecutive sample of participants is being enrolled from both clinic and hospital settings at a single institution affiliated with a large medical center in the northeastern US. Both the intervention and control groups receive tablets programmed to provide standardized health information. In addition, the intervention group receives 10 live coaching sessions delivered virtually by health coaches using the tablets. The intervention is evaluated at 6-months, with self-care as the primary outcome. Cost-effectiveness of the intervention is evaluated at 12-months. We are also enrolling heart failurepatients (dyads) whenever possible to explore the effect of caregiver outcomes (self-care, stress, coping, health status) on heart failurepatient outcomes (number of hospitalizations and days in the hospital) at 12-months. DISCUSSION: We expect the proposed study to require 5 years for completion. If shown to be efficacious and cost-effective, our virtual health coaching intervention can easily be scaled to. support millions of caregivers worldwide.
Authors: Paul A Harris; Robert Taylor; Robert Thielke; Jonathon Payne; Nathaniel Gonzalez; Jose G Conde Journal: J Biomed Inform Date: 2008-09-30 Impact factor: 6.317
Authors: Beate Schrank; Alexandra Ebert-Vogel; Michaela Amering; Eva K Masel; Marie Neubauer; Herbert Watzke; Sonja Zehetmayer; Sophie Schur Journal: Psychooncology Date: 2015-10-18 Impact factor: 3.894
Authors: Barbara Riegel; Claudio Barbaranelli; Kristen A Sethares; Marguerite Daus; Debra K Moser; Jennifer L Miller; Christine A Haedtke; Jodi L Feinberg; Solim Lee; Anna Stromberg; Tiny Jaarsma Journal: J Adv Nurs Date: 2018-07-19 Impact factor: 3.187
Authors: Donald M Hilty; Daphne C Ferrer; Michelle Burke Parish; Barb Johnston; Edward J Callahan; Peter M Yellowlees Journal: Telemed J E Health Date: 2013-06 Impact factor: 3.536
Authors: Lori Wiener; Adrienne Viola; Julia Kearney; Larry L Mullins; Sandra Sherman-Bien; Sima Zadeh; Andrea Farkas-Patenaude; Maryland Pao Journal: J Pediatr Oncol Nurs Date: 2015-12-14 Impact factor: 1.636
Authors: Dawon Baik; Peggy B Leung; Madeline R Sterling; David Russell; Lizeyka Jordan; Ariel F Silva; Ruth M Masterson Creber Journal: Palliat Med Date: 2021-03-17 Impact factor: 4.762
Authors: Karen B Hirschman; Kathryn H Bowles; Lydia Garcia-Gonzalez; Brooke Shepard; Tracie J Walser; Gladys L Thomas; Michael A Stawnychy; Barbara Riegel Journal: Res Nurs Health Date: 2020-12-20 Impact factor: 2.228
Authors: Barbara Riegel; Sandra B Dunbar; Donna Fitzsimons; Kenneth E Freedland; Christopher S Lee; Sandy Middleton; Anna Stromberg; Ercole Vellone; David E Webber; Tiny Jaarsma Journal: Int J Nurs Stud Date: 2019-08-23 Impact factor: 5.837