Sustaining Home Palliative Care for Patients With Heart Failure (HF) and Their Family Caregivers in Rural Appalachia: A Mixed Methods Randomized Clinical Trial (RCT).
West Virginia University
Summary
The aim of this mixed methods randomized controlled trial is to test the integrated nurse-led intervention bundle for family home care management of end-stage heart failure and palliative care in rural Appalachia. This intervention bundle is designed to address rural disparities in access to health care, with the help of the faith-based nurses and local volunteer visiting neighbors.
Description
This study uses a randomized control trial (RCT) design to test the integrated nurse-led intervention bundle of home palliative care intervention (HF-FamPALhomeCARE) for patients with heart failure (HF) and their family caregivers. (104 patient-family caregiver dyads). The researcher will compare HF-FamPALhomeCARE to the standard control group to see if the participants in HF-FamPALhomeCARE group will report better health outcomes than the standard control group at the completion of the study at 12 months. Aim 1: Compared to the control group at 3, 6, 9 months, and 1-year follow-up: Hypothe…
Eligibility
- Age range
- 45–80 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: 1. Adult patients' age between 50 to 80 years with advanced HF (NYHA III or IV), diagnosed by physician 2. Caregivers' age between 45 to 80 years. 3. Alert and consent to participate 4. Able to read and understand English Exclusion Criteria: 1. Already received or are on a waiting list for a heart transplant or left ventricular assist device (LVAD) 2. Diagnosed with a terminal illness or dementia, such as Alzheimer's disease
Interventions
- BehavioralHF-FamPALhomeCARE
Participants in HF-FamPALhomeCARE Intervention group receive standard care plus 2 home visits, 3 bi-weekly telephone call on HF home EOLPC care, and follow-up telephone calls at 3, 6, 9, and 12 months.
Location
- West Virginia University HospitalMorgantown, West Virginia