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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
SINGLE
Enrollment
250
Digital health information websites.
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.
Pennsylvania Hospital
Philadelphia, Pennsylvania, United States
RECRUITINGHospital of the University of Pennsylvania
Philadelphia, Pennsylvania, United States
RECRUITINGPenn Presbyterian Medical Center
Philadelphia, Pennsylvania, United States
RECRUITINGSelf-Care Inventory
The Self-Care Inventory (SCI) measures self-care maintenance, monitoring, management, and self-efficacy. Each subscale is standardized on a 0-100 point scale. Higher scores indicate better self-care.
Time frame: Collected at: enrollment, 3- and 6-months after enrollment
Health Self-Care Neglect
This a binary that scale captures the level of self-care neglect, with higher scores indicating greater neglect.
Time frame: Collected at: enrollment, 3- and 6-months after enrollment
Perceived Stress Scale
The perceived stress scale has 10 items rated on a 5-point scale rating perceptions of stress.
Time frame: Collected at: enrollment, 3- and 6-months after enrollment
Brief COPE
This tool is designed to assess the varying coping strategies used by individuals in response to stress.
Time frame: Collected at: enrollment, 3- and 6-months after enrollment
Caregiver Self-Care Self-Efficacy Scale
This scale measures caregiving self-efficacy in multiple areas. Each item is measured on a scale of 1-5 with 5 indicating they are the most confident in that area.
Time frame: Collected at: enrollment, 3- and 6-months after enrollment
Preparedness for Caregiving Scale
This scale measures how prepared caregivers feel to provide support for their loved ones in multiple areas. Each item is measured on a scale of 0-4 with 4 indicating they are the most prepared in that area.
Time frame: Collected at: enrollment, 3- and 6-months after enrollment
Quality of the relationship
This scale measures giving and receiving support in multiple areas. Each item is measured on a scale of 0-4 with 4 indicating they are the most positive in that area.
Time frame: Collected at: enrollment, 3- and 6-months after enrollment
RAND Medical Outcomes Study Short Form (SF-36)
This scale that uses multiple measures to determine overall mental and physical health. Higher scores indicate better mental and physical health.
Time frame: Collected at: enrollment, 3- and 6-months after enrollment
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