Trial reportJournal of general internal medicine2019
Family Caregiver Skills Training to Improve Experiences of Care: a Randomized Clinical Trial.
Trial report in Journal of general internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
38 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.
- The Effects of Home Care Provider Mix on the Care Recipient: An International, Systematic Review of Articles from 2000 to 2020.Annual review of public health · 2021Pooled it
- Implementation outcomes from a multi-site stepped wedge cluster randomized family caregiver skills training trial.Health services research · 2024Trial
- A stepped wedge cluster randomized trial to evaluate the effectiveness of a multisite family caregiver skills training program.Health services research · 2024Trial
- Trial
- Use of motivational techniques to enhance unpaid caregiver engagement in a tailored skills training intervention.Aging & mental health · 2022Trial
- Replicating an effective VA program to train and support family caregivers: a hybrid type III effectiveness-implementation design.BMC health services research · 2021Trial
- Empowering Older Veterans Through Self-Directed Care: A Mixed Methods Evaluation of a Technology Enabled Respite Homecare Model Pilot.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- Evaluating two implementation approaches to support a nationally mandated caregiver skills training in veterans affairs: a type III hybrid implementation-effectiveness randomized controlled trial.Implementation science communications · 2026Article
- Article
- The Business Case for Family Caregiver Skills Training: Results From a Multisite Trial in the Veterans Health Care System.Journal of the American Medical Directors Association · 2026Article
- Caregiver burden and psychosocial outcomes in owners of dogs with chronic paresis and paralysis compared with owners of healthy dogs.Frontiers in veterinary science · 2026Article
- Conception of Comprehensive Training Program for Family Caregivers: Optimization of Telemedical Skills in Home Care.Healthcare (Basel, Switzerland) · 2025Article
- Implementation of a virtual dementia system of care in a VA health setting.BMC geriatrics · 2025Article
- A look at caregivers for community-living persons with dementia: Implications for the GUIDE model.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
- Geriatrics-Focused vs Traditional Primary Care in the Veterans Affairs Health Care System.JAMA network open · 2025Article
- Development and Delivery of Enhanced Implementation Support to Disseminate a National Caregiver Skills Training Program.Innovation in aging · 2025Article
- Economic Value of Unpaid Family Caregiver Time Following Hospital Discharge and at End of Life.Journal of pain and symptom management · 2024Article
- The association between social risks and days at home for older veterans.Journal of the American Geriatrics Society · 2024Article
- Is more care recipient time at home also a family caregiver-centered quality of life measure?Journal of the American Geriatrics Society · 2024Article
- Getting to the root: Examining within and between home health agency inequities in functional improvement.Health services research · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate the effectiveness of Helping Invested Families Improve Veterans' Experiences Study (HI-FIVES), a skills training program for caregivers of persons with functional or cognitive impairments.
designA two-arm RCT.
settingSingle Veterans Affairs Medical Center.
participantsPatients and their primary caregivers referred in the past 6 months to home and community-based services or geriatrics clinic.
interventionAll caregivers received usual care. Caregivers in HI-FIVES also received five training calls and four group training sessions. MAIN MEASURES: Cumulative patient days at home 12 months post-randomization, defined as days not in an emergency department, inpatient hospital, or post-acute facility. Secondary outcomes included patients' total VA health care costs, caregiver and patient rating of the patient's experience of VA health care, and caregiver depressive symptoms.
resultsOf 241 dyads, caregivers' (patients') mean age was 61 (73) years, 54% (53%) Black and 89% (4%) female. HI-FIVES was associated with a not statistically significant 9% increase in the rate of days at home (95% CI 0.72, 1.65; mean difference 1 day over 12 months). No significant differences were observed in health care costs or caregiver depressive symptoms. Model-estimated mean baseline patient experience of VA care (scale of 0-10) was 8.43 (95% CI 8.16, 8.70); the modeled mean difference between HI-FIVES and controls at 3 months was 0.29 (p = .27), 0.31 (p = 0.26) at 6 months, and 0.48 (p = 0.03) at 12 months. For caregivers, it was 8.34 (95% CI 8.10, 8.57); the modeled mean difference at 3 months was 0.28 (p = .18), 0.53 (p < .01) at 6 months, and 0.46 (p = 0.054) at 12 months.
conclusionsHI-FIVES did not increase patients' days at home; it showed sustained improvements in caregivers' and patients' experience of VA care at clinically significant levels, nearly 0.5 points. The training holds promise in increasing an important metric of care quality-reported experience with care.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.