Technological Home Care: Improving HPN Care With Videophone And Internet Education

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

172 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-04-30

Study Completion Date

2011-11-30

Brief Summary

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The purpose of this study is to help people with home parenteral nutrition (HPN) to avoid infections and feelings of depression or fatigue and to test how their health and quality of life change over time. Another purpose is to test the nurse teaching sessions and the method of obtaining support from the peer partner through videophone.

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Detailed Description

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Aim #1 Hypothesis

1. Dyad (patient-caregiver) participation in health care management and problem-solving method use with professionals will be greater in the experimental group than the control group
2. Dyad reactive depression will be lower in the experimental group than the control group
3. Dyad quality of life will be higher in the experimental group than the control group
4. Dyad health status scores will be higher and the dyad sleepiness scale will be lower in experimental group than the control group
5. Dyad Health Services Use will be lower in the experimental group than the control group
6. Catheter-related infections will be lower in the experimental than control patients

Aim #2 Hypotheses:

1. What is the cost of using the FamTechCare system compared to traditional care?
2. Is there a difference between efficiency scores of the experimental and control groups intervention, boosters and relative to dyads long-term health services use at 24 months?
3. What are the relationships among patient outcome variables and caregivers' rating of virtual nurse caring and caregiver adaption?
4. What are the relationships among use of FamTechCare, dyad participation in health care management scale score and dyad access to the Internet Weighted Score?

Conditions

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Home Parenteral Nutrition

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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1

Group Type EXPERIMENTAL

Caregiving support interventions (FamTechCare)

Intervention Type BEHAVIORAL

One set of combined interventions to be tested in this study are nursing interventions for the prevention of catheter-related infection, reactive depression, and HPN home care problem-solving. The other set of combined interventions are for increasing social support and use of a short nap to reduce daily fatigue. Information about all the interventions were incorporated into Internet formats as a booster for reinforcement.

2

After a control period, this group crosses over to experimental interventions (Arm 1)

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Caregiving support interventions (FamTechCare)

One set of combined interventions to be tested in this study are nursing interventions for the prevention of catheter-related infection, reactive depression, and HPN home care problem-solving. The other set of combined interventions are for increasing social support and use of a short nap to reduce daily fatigue. Information about all the interventions were incorporated into Internet formats as a booster for reinforcement.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* 18 years or older
* Caregivers of HPN patients short- or long-term HPN
* able to participate in writing and other intervention activities
* able to speak/read/write English or Spanish