Technological Home Care: Improving HPN Care With Videophone And Internet Education

Study Overview
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Brief Summary
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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
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Aim #1 Hypothesis 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 Dyad reactive depression will be lower in the experimental group than the control group Dyad quality of life will be higher in the experimental group than the control group Dyad health status scores will be higher and the dyad sleepiness scale will be lower in experimental group than the control group Dyad Health Services Use will be lower in the experimental group than the control group Catheter-related infections will be lower in the experimental than control patients Aim #2 Hypotheses: What is the cost of using the FamTechCare system compared to traditional care? 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? What are the relationships among patient outcome variables and caregivers' rating of virtual nurse caring and caregiver adaption? What are the relationships among use of FamTechCare, dyad participation in health care management scale score and dyad access to the Internet Weighted Score?

Official Title
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Prevention of Home Parenteral Nutrition (HPN) Infection, Depression and Improving Caregiving Problem Solving

Conditions
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Home Parenteral Nutrition

Intervention / Treatment
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* Behavioral: Caregiving support interventions (FamTechCare)


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: 1<br> | Behavioral: Caregiving support interventions (FamTechCare)<br>* 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.<br>|
| No Intervention: 2<br>After a control period, this group crosses over to experimental interventions (Arm 1) | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Catheter related infection, depression, problem-solving and quality of life scores. |  | Experimental arm at T6, Control arm at T9. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Ratings of virtual nurse caring |  | Experimental arm at T6, Control arm at T9. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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home parenteral nutrition