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Heart & lung : the journal of critical care

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


PMID 26307539

Abstract

(1) Test whether FamHFcare intervention could reduce patients' heart failure (HF)-related rehospitalizations and improve family caregiver outcomes; (2) calculate effect size on caregiver outcomes; and (3) evaluate the FamHFcare. Few interventions target family caregivers for HF home care. This study was a mixed method design with stratification and random assignment of 20 African American HF patient/caregiver dyads. Descriptive, univariate parametric/non-parametric, and post-hoc analyses were used. At 6 months, compared to standard care, the intervention group had significantly fewerxa0HF rehospitalizations (M-W z = -1.8, p = 0.03), while caregiver confidence (M-W z = 2.8, pxa0=xa00.003) andxa0social support scores (M-W z = 2.4, p = 0.01) were significantly higher, and caregiver depression (M-Wxa0z = -2.4, p = 0.01) were significantly lower. Caregivers rated the FamHFcare as helpful (Mxa0=xa046.8 ± 4.1). The FamHFcare intervention was associated with fewer HF patient rehospitalizations and improved caregiver outcomes.