About this trial
This RCT design will enroll 256 informal caregivers (spouse/partner or child) of HHC patients with HF/CI and 60 patients with HF and mild to moderate CI (60 dyads). After collecting baseline data, we will block randomize the caregivers 1:1 to the ViCCY intervention or comparator group, stratifying randomization by caregiver sex (male/female), relationship (spouse/partner or child), and race (white/other)- factors known to influence caregiving burden, perceived stress, and receptivity to the intervention. We will encourage caregivers to use their own devices but provide tablet devices with wireless network access if needed. The intervention group will receive 10 sessions of ViCCY over 6 months.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patient Inclusion Criteria
Older adults (=>50 years of age)
Enrolled in Home Health Care
Documented to have HF
Disqualifiers
Patient Exclusion Criteria
Dementia (ICD-10 code for dementia)
Enrolled in hospice
Non-English speaking
Trial design
Parallel
Treatments tested in this trial
ViCCY
BehavioralThe intervention group will receive 10 Health Coach sessions of ViCCY over 6-months.
Treatment groups
Trial outcomes
Primary outcomes
Short Form Health Survey (SF-36) (Both)
Mental health is a state of mental well-being that enables people to cope with the stresses of life, realize their abilities, learn well and work well. The SF-36 provides standardized scores and national norms for comparison. The SF-36 is valid in many populations and caregivers. It is one of the common data elements.
Secondary outcomes
Self-Care of Informal Caregiver Inventory (Caregiver)
Behaviors performed to maintain health
Perceived Stress Scale short form (Caregiver)
Demands exceed ability to cope
Brief-COPE (Caregiver)
Ability to respond to stressors with appropriate adaptive coping resources.
Dyadic Relationship Scale (Both)
Measure of strain in the dyadic relationship
Sponsors and contacts
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Visiting Nurse Service of New York
Lead sponsor
University of Pennsylvania
Collaborator