Improving Self-Efficacy Through a Telenovela: Feasibility Study

NCT04533594 | Completed Results DMC

• 2 other identifiers: IRB00256812U2CNR014637
• Study Type: interventional
• Target: 59
• Locations: 1 country
• Sites: 1

Brief Summary

In the NOVELA intervention, hospice care will be enhanced with the telenovela videos for hospice family caregivers (HFCG) education during weekly hospice visits to prepare caregivers for proper use of hospice support and healthcare services

Conditions

Healthy

Keywords

videos; hospice family caregivers; education; telenovelas; self-efficacy; anxiety; feasibility

Outcome Measures

Primary Outcomes (2)

• Change in HFCG Anxiety Before and After NOVELA as Assessed by the Generalized Anxiety Disorder 7-item Scale

  Generalized Anxiety Disorder 7-item (GAD-7) scale. Family caregiver indicate the frequency they have been bothered by generalized anxiety. 7-items, scale 0-3, score range 0-21; higher scores reflect higher anxiety. Final score was collected up to 8 weeks from baseline.

  Baseline and up to 8 weeks

• Change in HFCG Self-efficacy Before and After NOVELA as Assessed by the Caregiver Self-Efficacy Scale

  Caregiver Self-Efficacy Scale (CaSES) - 21-items, scale 1-4, score range 1-4; higher scores reflect higher self-efficacy. Final score was collected up to 8 weeks from baseline.

  Baseline and up to 8 weeks

Secondary Outcomes (1)

• Change in HFCG Satisfaction During and After NOVELA as Assessed by a Single-item Satisfaction Question

  2 weeks and up to 6 weeks

Study Arms (1)

NOVELA

EXPERIMENTAL

Hospice family caregivers will work with the interventionist to use a web-enabled device (computer, smartphone or tablet) to access and view the video (3-6 mins) over the course of 4 hospice telehealth visits.

Behavioral: NOVELA

Interventions

NOVELA BEHAVIORAL

The family caregivers that consent to participate will work with the interventionist to use a web-enabled device (computer, smartphone or tablet) to access and view the telenovela video (one of four episodes, each 3-6 mins) over the course of 4 hospice visits (one episode per visit). All four visits will be in person using telehealth via video-conferencing. The number of visits is based on the number of videos which content is prioritized based on previous work. The interventionist will introduce the purpose and topic of the video, facilitate video viewing and then elicit clarifying questions and reinforce main message.

NOVELA

Eligibility Criteria

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

You may qualify if:

• Identified family caregiver of patients enrolled in hospice
• Caregivers must be over the age of 18
• Without cognitive impairment
• With access to wireless device and internet.

You may not qualify if:

• HFCG of patients that are actively dying
• Caregivers younger than 18 years
• With cognitive impairment
• Without internet access.

Sponsors & Collaborators

• Johns Hopkins University: lead
• University of Colorado, Denver: collaborator
• National Institute of Nursing Research (NINR): collaborator

Study Sites (1)

Johns Hopkins Univeristy

Baltimore, Maryland, 21287, United States

Location

Related Publications (6)

• Crist JD, Pasvogel A, Hepworth JT, Koerner KM. The impact of a telenovela intervention on use of home health care services and Mexican American older adult and caregiver outcomes. Res Gerontol Nurs. 2015 Mar-Apr;8(2):62-76. doi: 10.3928/19404921-20150105-02. Epub 2015 Jan 16.

  PMID: 25594360 BACKGROUND

• Cruz-Oliver DM, Malmstrom TK, Fernandez N, Parikh M, Garcia J, Sanchez-Reilly S. Education Intervention "Caregivers Like Me" for Latino Family Caregivers Improved Attitudes Toward Professional Assistance at End-of-life Care. Am J Hosp Palliat Care. 2016 Jul;33(6):527-36. doi: 10.1177/1049909115584315. Epub 2015 May 27.

  PMID: 26019262 BACKGROUND

• Washington KT, Oliver DP, Benson JJ, Rolbiecki AJ, Jorgensen LA, Cruz-Oliver DM, Demiris G. Factors influencing engagement in an online support group for family caregivers of individuals with advanced cancer. J Psychosoc Oncol. 2020 May-Jun;38(3):235-250. doi: 10.1080/07347332.2019.1680592. Epub 2019 Nov 6.

  PMID: 31690247 BACKGROUND

• Cruz-Oliver DM, Abshire M, Budhathoki C, Oliver DP, Volandes A, Smith TJ. Reflections of Hospice Staff Members About Educating Hospice Family Caregivers Through Telenovela. Am J Hosp Palliat Care. 2021 Feb;38(2):161-168. doi: 10.1177/1049909120936169. Epub 2020 Jul 8.

  PMID: 32638608 BACKGROUND

• Cruz-Oliver DM, Blinka MD, Milner GE, Nelson KE, Bugayong M, Durkin N, Gallo JJ, Oliver DP, Abshire Saylor M. A Mixed-Methods Analysis of Response to NOVELA Among Hospice Family Caregivers. Am J Hosp Palliat Care. 2025 Sep 12:10499091251371149. doi: 10.1177/10499091251371149. Online ahead of print.

  PMID: 40938148 DERIVED

• Cruz-Oliver DM, Abshire Saylor M, Nelson KE, Milner GE, Blinka MD, Durkin N, Budhathoki C, Parker-Oliver D, Smith TJ. Hospice Family Caregiver Perceptions of Benefits and Challenges of a Telenovela Educational Intervention. J Palliat Med. 2022 Jun;25(6):945-951. doi: 10.1089/jpm.2021.0628. Epub 2022 Apr 20.

  PMID: 35446674 DERIVED

MeSH Terms

Conditions

Anxiety Disorders

Condition Hierarchy (Ancestors)

Mental Disorders

Results Point of Contact

• Title: Dulce M. Cruz-Oliver, MD
• Organization: JOHNS HOPKINS HOSPITAL

dcruzoli@jhmi.edu

4109558305

Study Officials

• DULCE CRUZ-OLIVER, MD

  Johns Hopkins University

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

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

Model Details: Single group pretest-posttest design.

Study Record Dates

• First Submitted: August 28, 2020
• First Posted: August 31, 2020
• Study Start: October 23, 2020
• Primary Completion: April 30, 2022
• Study Completion: February 28, 2023
• Last Updated: May 25, 2023
• Results First Posted: May 25, 2023

Record last verified: 2023-05

Data Sharing

• IPD Sharing: Will share
• Shared Documents: CSR
• Time Frame: One year after completion or after publication of results and data will be available for an unknown duration of time.
• Access Criteria: Investigators may request access to the de-identified PCRC Data Repositories for secondary data analysis. Each request must be submitted in writing, must identify the research question that will be addressed, and must specify the data elements that are requested. Each request must also include a data security plan and explanation of how and for how long the data will be stored and who will have access to the data. The PCRC, and when applicable the Study Principal Investigator (PI), reviews all data requests. If all requirements are adequately met, arrangements are made to transfer the data in the most efficient, secure,and affordable manner to the requesting investigator.

Locations

US (1)