Caregiver coaching program effect: Reducing heart failure patient rehospitalizations and improving caregiver outcomes among African Americans

Piamjariyakul, Ubolrat; Werkowitch, Marilyn; Wick, Jo; Russell, Christy; Vacek, James L.; Smith, Carol E.

doi:10.1016/j.hrtlng.2015.07.007

Cited by 45 publications

(82 citation statements)

References 61 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Examples of education informational components included information about heart failure, ( components were equally diverse and included referral to additional resources, (Piamjariyakul et al, 2015;Piette et al, 2008) information on the importance of support (Ågren et al, 2015) or actual supportive calls. (Dunbar et al, 2005;Dunbar et al, 2013) Guidance components were defined as specific verbal or written directions given during the intervention to improve care.…”

Section: Dyadic Intervention Componentsmentioning

confidence: 99%

“…The 12 interventions included variable numbers of sessions in which the components were delivered; ranging from one home visit to deliver equipment (Kenealy et al, 2015) to weekly telephone calls for 12 months. (Piette et al, 2015) The time spent during a session ranged from a 15 minute phone call (Srisuk et al, 2015) to a 90 minute phone call (Piamjariyakul et al, 2015) with most face-to-face sessions lasting approximately 60 minutes (or multiples of this).…”

Section: Component Numbers the Number Of Individual Components Per Imentioning

confidence: 99%

“…Countries where interventions were tested included the United States, (Bull et al, 2000;Dunbar et al, 2005;Dunbar et al, 2013;Piamjariyakul et al, 2015;Piette et al, 2008;Piette et al, 2015) Sweden, (Ågren et al, 2015;Agren et al, 2012) New Zealand, (Kenealy et al, 2015) Iran, (Hasanpour-Dehkordi et al, 2016) and Thailand. (Srisuk et al, 2015) Settings where the intervention was initiated or where the majority of the interventions were delivered included hospitals, (Agren et al, 2012;Bull et al, 2000;Hasanpour-Dehkordi et al, 2016;Kenealy et al, 2015;Piette et al, 2008;Schwarz et al, 2008) clinics, (Ågren et al, 2015;Agren et al, 2012;Dunbar et al, 2013;Piamjariyakul et al, 2015;Srisuk et al, 2015) home, (Agren et al, 2012) a U.S. Veterans Administration (clinic or hospital), (Piette et al, 2008;Piette et al, 2015) and in a clinical research center. (Dunbar et al, 2005) Two studies (Agren et al, 2012;Piette et al, 2008) included multiple sites to support the transition from hospital to home or increase recruitment.…”

Section: Dyadic Intervention Contextsmentioning

confidence: 99%

“…The 12 interventions aligned into three delivery contexts -those which could be categorized as face-to-face; (Ågren et al, 2015;Agren et al, 2012;Bull et al, 2000;Dunbar et al, 2005;Dunbar et al, 2013;Hasanpour-Dehkordi et al, 2016;Srisuk et al, 2015) telephone; (Piamjariyakul et al, 2015) or telehealth interventions (see Table 2). (Kenealy et al, 2015;Piette et al, 2008;Piette et al, 2015;Schwarz et al, 2008) Most face-to-face interventions also used some form of technology including DVD/video, (Bull et al, 2000;Dunbar et al, 2005;Srisuk et al, 2015) website, (Agren et al, 2012) or phone calls (Ågren et al, 2015;Dunbar et al, 2005;Dunbar et al, 2013;Srisuk et al, 2015) blurring the line between "high touch" and "high tech" modalities.…”

Section: Dyadic Intervention Contextsmentioning

confidence: 99%

“…Patient perceived control at 3 months (Ågren et al, 2015;Agren et al, 2012) and 12 months (Ågren et al, 2015) Carer perceived control at 3 months (Srisuk et al, 2015) Patient quality of life at 3 (Srisuk et al, 2015) and 6 months (Hasanpour-Dehkordi et al, 2016;Srisuk et al, 2015) Patient preparedness to care at 2 weeks (Bull et al, 2000) Carer reaction to caregiving (Bull et al, 2000) Patient knowledge (Dunbar et al, 2013) Patient/Carer knowledge (Dunbar et al, 2005;Srisuk et al, 2015) Patient perceived control at 12 months (Agren et al, 2012) Carer perceived control at 6 months (Srisuk et al, 2015) Patient/Carer perceived control at 24 months (Liljeroos et al, 2015) Patient quality of life at 3 months (Schwarz et al, 2008) Patient/Carer quality of life at 3 months (Agren et al, 2012) Patient quality of life at 6 months (Kenealy et al, 2015) Carer preparedness to care at 6 months (Piamjariyakul et al, 2015) Patient/Carer satisfaction with care (Bull et al, 2000) Patient ( …”

Section: Cognitive Outcomesmentioning

confidence: 99%

See 4 more Smart Citations

A systematic review of heart failure dyadic self-care interventions focusing on intervention components, contexts, and outcomes

Buck

Strömberg

Chung

et al. 2018

International Journal of Nursing Studies

View full text Add to dashboard Cite

A B S T R A C T Background:Having support from an informal carer is important for heart failure patients. Carers have the potential to improve patient self-care. At the same time, it should be acknowledged that caregiving could affect the carer negatively and cause emotional reactions of burden and stress. Dyadic (patient and informal carer) heart failure self-care interventions seek to improve patient self-care such as adherence to medical treatment, exercise training, symptom monitoring and symptom management when needed. Currently, no systematic assessment of dyadic interventions has been conducted with a focus on describing components, examining physical and delivery contexts, or determining the effect on patient and/or carer outcomes.Objective: To examine the components, context, and outcomes of dyadic self-care interventions.Design: A systematic review registered in PROSPERO, following PRISMA guidelines with a narrative analysis and realist synthesis. Data Sources: PubMed, EMBASE, Web of Science, PsycINFO, and Cochrane Central Register of Controlled Trials were searched using MeSH, EMTREE terms, keywords, and keyword phrases for the following concepts: dyadic, carers, heart failure and intervention. Eligible studies were original research, written in English, on dyadic self-care interventions in adult samples. Review methods:We used a two-tiered analytic approach including both completed studies with power to determine outcomes and ongoing studies including abstracts, small pilot studies and protocols to forecast future directions.Results: Eighteen papers -12 unique, completed intervention studies (two quasi-and ten experimental trials) from 2000 to 2016 were reviewed.Intervention components fell into three groups -education, support, and guidance. Interventions were implemented in 5 countries, across multiple settings of care, and involved 3 delivery modes -face to face, telephone or technology based. Dyadic intervention effects on cognitive, behavioral, affective and health services utilization outcomes were found within studies. However, findings across studies were inconclusive as some studies reported positive and some non-sustaining outcomes on the same variables. All the included papers had methodological limitations including insufficient sample size, mixed intervention effects and counter-intuitive outcomes. Conclusions:We found that the evidence from dyadic interventions to promote heart failure selfcare, while growing, is still very limited. Future research needs to involve advanced sample size justification, innovative solutions to increase and sustain behavior change, and use of mixed methods for capturing a more holistic picture of effects in clinical practice. Contribution of the paper:What is already known about the topic?• Having support from an informal carer is important for heart failure (HF) patients • Dyadic (patient and informal carer) HF self-care interventions seek to improve patient self-care such as adherence to medical treatment, exercise training, symptom monitoring and symptom...

show abstract