Developing and Pilot Testing Culturally Based Educational Videos for Puerto Rican and African American Home Hospice Caregivers

Study Overview
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Brief Summary
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The investigators hypothesize that culturally based educational videos for Puerto Rican and African American home hospice caregivers will better inform caregivers in managing symptoms, preparedness, self-efficacy, and competence.

Detailed Description
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The clinical trial for this project is a cross-sectional study conducted with VNS Health hospice, Hospicio Toque de Amor, and Hospicio Luz Celeste. Names of Puerto Rican and African American caregivers receiving home hospice care will be referred to the study team by the site leader/hospice leadership at each hospice. Demographic data will be collected from each caregiver participant. Prior to showing participants the culturally tailored videos, a research member will administer a set of Likert style questions developed by the research team around comfort in managing symptom related issues. The same questions will be administered again post video intervention. In addition, the preparedness scale, chronic pain self-efficacy scale, and caregiving competence scale will be administered to participants pre and post video intervention. The PI will not be involved in the administering the intervention for this study. After the culturally tailored videos have been shown to the participant, a research member will also conduct an open-ended interview about content, reactions, attitudes, usefulness and limitations around each video. Interviews will be conducted in either English and/or Spanish.

Official Title
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Developing and Pilot Testing Culturally Based Educational Videos for Puerto Rican and African American Home Hospice Caregivers

Conditions
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Caregivers of Patients on Hospice Care

Intervention / Treatment
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* Behavioral: Caregiver educational videos


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Family caregivers who identify themselves as Puerto Rican or African American English and/or Spanish speaking 18 year of age or older Currently receiving home hospice services with a patient

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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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Hospice Caregivers<br>Culturally tailored educations videos will be administered to participants. | Behavioral: Caregiver educational videos<br>* The intervention will be culturally tailored education videos for caregivers receiving hospice services.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in caregivers' comfort in managing symptom related issues using a Likert scale | 1 is extremely uncomfortable and 5 is very comfortable | Pre-test and post-test (Day 1) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Caregiver Preparedness Scale | An 8-item scale. Each question ranges from 0 (Not at all prepared) to 4 (Very well prepared). Total score can range from 0 to 32 with higher scores are indicative of feeling better prepared for the caregiving role. | Pre-test and post-test (Day 1) | 
| Change in Caregiving Competence Scale | A 4-item scale. Each question ranges from 1 (Not at all competent) to 4 (Very competent) | Pre-test and post-test (Day 1) | 
| Change in Chronic Pain Self-Efficacy Scale | A 22-item scale. Each question is rated on a Likert scale between 10 (very uncertain) to 100 (very certain). | Pre-test and post-test (Day 1) | 
| Qualitative feedback on videos | Open ended interview will be conducted to obtain participant feedback around content, attitudes, usefulness and limitations of the videos. | Post-test (Day 1) |