Home Parenteral Nutrition
Conditions
Keywords
home parenteral nutrition
Brief summary
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.
Detailed description
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?
Interventions
BEHAVIORALCaregiving 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.
Sponsors
National Institutes of Health (NIH)
University of Kansas
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
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
Exclusion criteria
* Patients with psychiatric disorders (e.g., schizophrenia, hallucinations) and physical disabilities that prevent use of intervention
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Catheter related infection, depression, problem-solving and quality of life scores. | Experimental arm at T6, Control arm at T9. |
Secondary
| Measure | Time frame |
|---|---|
| Ratings of virtual nurse caring | Experimental arm at T6, Control arm at T9. |
Countries
United States
Outcome results
None listed