iCare4Me Transitions

Официальное название

Improving Care Transitions and Self-care Among Informal Caregivers of Hospitalized Older Adults Through Digital Tools

Обзор

The goal of this randomized controlled trial is to examine the effect of a virtual face-to-face health coach intervention to improve self-care among caregivers of hospitalized older adults during care transitions compared to web-based resource information alone to determine the effectiveness of each intervention. The main questions it aims to answer are: 1. compare the efficacy of the virtual health coaching intervention vs. web-based information alone in improving self-care in caregivers of hospitalized community-dwelling older adults with multiple chronic conditions (MCCs) who transition from hospital to home, 2. compare outcomes among Black/African American and White caregivers who receive the intervention vs. digital health information alone, and 3. explore the estimated the cost of the interventions and acute care resource use among patients of caregivers who received virtual intervention vs. digital health information alone. Participants who enroll will agree to enroll will: * be randomly assigned to either the health information group or the health coaching intervention plus health information group for six months, and * be asked to complete a baseline interview, a check-in call at one month post-hospital discharge, and two follow-up interviews at 3- and 6-months after enrollment. Researchers will compare the two groups of caregivers on the following outcomes: self-care, caregiver self-efficacy (aka confidence), coping, stress, and health status.

Вмешательства

• Другое Digital Health Information (DHI)
  Digital health information websites.
• Поведенческое Virtual Health Coach for You
  Study participants in the intervention group will receive 10-session virtual health coaching intervention session delivered over 6 months with the goal of improving caregiver self-care and coping, decreasing stress, and improving the hospital-to-home experience The 10 sessions are on average 60 minutes and cover the following topics: care transitions, caregiving demand, self-care, and coping.

Первичные конечные точки

• Self-Care Inventory [Срок оценки: Collected at: enrollment, 3- and 6-months after enrollment]
• Health Self-Care Neglect [Срок оценки: Collected at: enrollment, 3- and 6-months after enrollment]

Вторичные конечные точки (6)

• Perceived Stress Scale [Срок оценки: Collected at: enrollment, 3- and 6-months after enrollment]
• Brief COPE [Срок оценки: Collected at: enrollment, 3- and 6-months after enrollment]
• Caregiver Self-Care Self-Efficacy Scale [Срок оценки: Collected at: enrollment, 3- and 6-months after enrollment]
• Preparedness for Caregiving Scale [Срок оценки: Collected at: enrollment, 3- and 6-months after enrollment]
• Quality of the relationship [Срок оценки: Collected at: enrollment, 3- and 6-months after enrollment]
• RAND Medical Outcomes Study Short Form (SF-36) [Срок оценки: Collected at: enrollment, 3- and 6-months after enrollment]

Критерии участия

Критерии включения

• Informal caregiver providing care at least 8 hours/week to the hospitalized older adult (age 65 or older)
• Reporting poor self-care on screening (Health Self-Care Neglect scale score greater than or equal to 2)
• Willing to use technology (e.g., computer, smartphone, iPad/tablet)
• Able to complete the protocol, e.g., adequate vision and hearing
• English speaking

Критерии исключения

• Cognitive deficits in orientation and/or recall (Six Item Screener score less than 3)
• Participation in another similar support or care transition trial
• Untreated major psychiatric illness (Use of anti-anxiety or anti-depressant medicines is acceptable)

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Одна группа

Маскирование

Простое слепое

Основная цель

Другое

Центры проведения

США · 3 центра

• Pennsylvania Hospital — Philadelphia
• Hospital of the University of Pennsylvania — Philadelphia
• Penn Presbyterian Medical Center — Philadelphia

Идентификаторы

NCT: NCT06167746 · R01AG082892 · 1R01AG082892-01

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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