Hospice Clinical Trial
Official title:
Developing and Piloting a Multi-component Technology-based Care Intervention to Address Patient Symptoms and Caregiver Burden in Home Hospice
With the growth of hospice, older adults have the opportunity to receive home-based care aimed at reducing suffering and focusing on quality of life at the end of life. While use of technology and educational videos has yet to be fully developed, structured, and evaluated in home hospice care, it has shown promise to improve care in other settings. Therefore, this study aims to develop and evaluate a multi-component technology-based care intervention, i.e., Improving Home hospice Management of End of life issues through technology (I-HoME).
Status | Recruiting |
Enrollment | 220 |
Est. completion date | June 30, 2024 |
Est. primary completion date | June 30, 2024 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 110 Years |
Eligibility | Inclusion Criteria: Home hospice caregivers must be: - English speaking - 18 years of age or older - not blind - having a family member receiving home hospice care Home hospice patients must be: - English speaking - 65 years of age or older - not blind - enrolled in home hospice care. Exclusion Criteria: - Patients with a terminal diagnosis of dementia or patients who have cognitive impairment and unable to sign a written informed consent will be excluded. |
Country | Name | City | State |
---|---|---|---|
United States | The Visiting Nurse Service of New York | New York | New York |
Lead Sponsor | Collaborator |
---|---|
Weill Medical College of Cornell University | National Institute on Aging (NIA), Visiting Nurse Service of New York |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Feasibility measurements 1 | Feasibility as measured by I-HoME feasibility questionnaire | At the end of the intervention or at 6 weeks, which ever is earlier. | |
Primary | Feasibility measurement 2 | Feasibility as measured by accrual rates | At the end of the intervention or at 6 weeks, which ever is earlier. | |
Primary | Feasibility measurement 3 | Feasibility as measured by number of hardware issues | At the end of the intervention or at 6 weeks, which ever is earlier. | |
Primary | Feasibility measurement 4 | Feasibility as measured by attrition rates | At the end of the intervention or at 6 weeks, which ever is earlier. | |
Primary | Feasibility measurement 5 | Feasibility as measured by number of synchronous video visits during the course of the intervention with patient and/or caregiver | At the end of the intervention or at 6 weeks, which ever is earlier. | |
Primary | Feasibility measurement 6 | Feasibility as measured by duration of synchronous video visits with the patient and or caregiver | At the end of the intervention or at 6 weeks, which ever is earlier. | |
Primary | Feasibility measurement 7 | Feasibility as measured by number of video views | At the end of the intervention or at 6 weeks, which ever is earlier. | |
Primary | Feasibility measurement 8 | Feasibility as measured by number of software issues | At the end of the intervention or at 6 weeks, which ever is earlier. | |
Secondary | Change in symptom burden as measured by the Edmonton Symptom Assessment Scale | Symptom burden, as measured by the Edmonton Symptom Assessment Scale. Scale is from a 0 to 90, with higher scores indicating higher symptom burden. | 1, 2, 3, 4, 5, 6 weeks | |
Secondary | Change in caregiver burden as measured by the Zarit Burden Interview - short form | Caregiver burden, as measured by the Zarit Burden Interview - short form. Scale is from 0 to 48, with higher scores indicating higher caregiver burden. | 1, 2, 3, 4, 5, 6 weeks | |
Secondary | Number of patient hospitalizations | All hospitalizations will be included | At the end of the intervention or at 6 weeks, which ever is earlier. |
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