Developing and Piloting a Multi-component Technology-based Care Intervention to Address Patient Symptoms and Caregiver Burden in Home Hospice. Phase 1.

NCT04074304 | Completed

• 2 other identifiers: 20-11022933 frmrly 19-040201381K76AG059997-01A1
• Study Type: interventional
• Target: 12
• Locations: 1 country
• Sites: 1

Brief Summary

With the growth of hospice, older adults have the opportunity to receive home-based care aimed at reducing suffering and focusing on quality of life at the end of life. While use of technology and educational videos has yet to be fully developed, structured, and evaluated in home hospice care, it has shown promise to improve care in other settings. Therefore, this study aims to develop and evaluate a multi-component technology-based care intervention, i.e., Improving Home hospice Management of End of life issues through technology (I-HoME), that focuses on assessing and addressing patient symptoms and caregiver burden in the home hospice setting through synchronous live video visits and educational videos. The aim of the first phase of the project is to employ an iterative user-centered design process to develop I-HoME for home hospice patients and their caregivers prior to implementation.

Conditions

Home Hospice

Outcome Measures

Primary Outcomes (1)

• Participants' experience using the intervention as measured by the I-HoME User-centered design questionnaire

  A questionnaire consisting of open ended questions asking participants to provide feedback and their thoughts about the I-HoME intervention. The responses gathered are not scored, but qualitative analysis will be performed to identify issues that will be used to make revisions to the I-HoME intervention before starting phase 2 of the project.

  1 day

Study Arms (1)

I-HoME prototype

OTHER

Participants will be shown prototype of I-HoME and provide feedback as part of the user-center design process.

Other: I-HoME

Interventions

I-HoME OTHER

A multi-component technology-based care intervention.

I-HoME prototype

Eligibility Criteria

• Age: 18 Years - 110 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Home hospice providers (N=10) and family caregivers (N=10) must be English speaking, 18 years of age or older, not blind, and either providing or receiving home hospice care. Home hospice patients (N=10) must be English speaking, 65 years of age or older, not blind, and enrolled in home hospice care.

You may not qualify if:

• Patients with a terminal diagnosis of dementia or patients who have cognitive impairment and unable to sign a written informed consent will be excluded.

Sponsors & Collaborators

• Weill Medical College of Cornell University: lead
• Visiting Nurse Service of New York: collaborator
• National Institute on Aging (NIA): collaborator

Study Sites (1)

The Visiting Nurse Service of New York

New York, New York, 10017, United States

Location

Study Officials

• Veerawat Phongtankuel, MD, MS

  Weill Medical College of Cornell University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 28, 2019
• First Posted: August 30, 2019
• Study Start: May 18, 2021
• Primary Completion: November 3, 2021
• Study Completion: November 3, 2021
• Last Updated: March 24, 2023

Record last verified: 2022-03

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)