Palliative care for patients with heart failure and family caregivers in rural Appalachia: a randomized controlled trial

Autor: Ubolrat Piamjariyakul, Angel Smothers, Kesheng Wang, Saima Shafique, Sijin Wen, Trisha Petitte, Stephanie Young, George Sokos, Carol E. Smith
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: BMC Palliative Care, Vol 23, Iss 1, Pp 1-14 (2024)
Druh dokumentu: article
ISSN: 1472-684X
DOI: 10.1186/s12904-024-01531-2
Popis: Abstract Background Heart failure (HF) is a debilitating disease with worsening symptoms and family caregiving burden. HF affects more than 8 million Americans. West Virginia has the highest HF death rate in the U.S. and limited healthcare services. This study tested whether the family HF palliative and end-of-life care intervention (FamPALcare) improved patient and caregiver outcomes at 3- and 6-month study endpoints. Methods This study used a randomized controlled trial design. Patients with HF and their caregivers were randomly assigned together to the intervention (n = 21) or control (n = 18) group. The intervention included five telephone coaching sessions on the HF home, palliative, and end-of-life care. The outcome data collected at baseline and at 3 and 6 months were from the patients’ (a) HF-related health status and depression/anxiety scale scores; and from caregivers’ (b) caregiving burden and depression/anxiety scale scores; and (c) anonymous ratings on the 11-item FamPALcare helpfulness scale, completed by the intervention participants. Results The mean age of the patients was 65.66 (SD = 13.72) years, and 67% were White males. The mean age of the caregivers was 62.05 (SD = 13.14) years, and 77% were White females. Compared to the controls, patients in the intervention group had significantly greater scores for HF-related health status (p
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