Evidence map›Paper›PMID 39453654›Full record

Trial reportJAMA network open2024

Nurse Telephone Support for Caregivers of Older Adults at Hospital Discharge: A Randomized Clinical Trial.

Anne-Marie Hill, Wendy Moyle, Susan Slatyer, Christina Bryant, Keith D Hill, Nicholas Waldron, Samar Aoun, Ami Kamdar, Laurie Grealish, Caroline Reberger and 6 more

Abstract readRandomized Controlled TrialMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Trial report in JAMA network open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Anne-Marie HillSchool of Allied Health, University of Western Australia, Perth, Western Australia, Australia.
Wendy MoyleMenzies Health Institute Queensland, Griffith University, Brisbane, Queensland, Australia.
Susan SlatyerSchool of Nursing, Centre for Healthy Ageing, Murdoch University, Perth, Western Australia, Australia.
Christina BryantMelbourne School of Psychological Sciences, University of Melbourne, Melbourne, Victoria, Australia.
Keith D HillRehabilitation, Ageing and Independent Living Research Centre, Monash University, Peninsula Campus, Victoria, Australia.
Nicholas WaldronDepartment of Rehabilitation and Aged Care, Armadale Health Service, Perth, Western Australia, Australia.
Samar AounMedical School, University of Western Australia, Perth, Western Australia, Australia.
Ami KamdarDepartment of General Medicine, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia.
Laurie GrealishMenzies Health Institute Queensland, Griffith University, Gold Coast, Queensland, Australia.
Caroline RebergerSocial Work Department, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia.
Cindy JonesMenzies Health Institute Queensland, Griffith University, Brisbane, Queensland, Australia.
Mary BronsonSpecialty and Ambulatory Services, Sir Charles Gairdner Osborne Park Health Care Group, Perth, Western Australia, Australia.
Max K BulsaraInstitute for Health Research, University of Notre Dame Australia, Fremantle, Western Australia, Australia.
Angela JacquesInstitute for Health Research, University of Notre Dame Australia, Fremantle, Western Australia, Australia.
Cheng Yen LooSchool of Allied Health, University of Western Australia, Perth, Western Australia, Australia.
Sean MaherDepartment of Geriatric, Acute and Rehabilitation Medicine, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Importance: Informal caregivers who provide home-based care frequently experience stress and burden that adversely affect their health-related quality of life (HRQOL). Objective: To evaluate the efficacy of the Further Enabling Care at Home (FECH+) program for the HRQOL of caregivers of older adults discharged home from the hospital. Design, Setting, and Participants: This multicenter, parallel, 2-group randomized clinical trial, with blinded baseline and outcome measurements, was conducted at 3 hospitals in 2 states in Australia. Recruitment took place between August 2020 and July 2022, and follow-up was performed for 12 months after hospital discharge. Participants were dyads of caregivers and patients. Eligible caregivers were aged 18 years or older who provided informal home-based care at least weekly for a patient aged 70 years or older. Caregivers were enrolled when their patient was discharged from the hospital. Dyads were randomly assigned to either the intervention or control group. Data analysis followed an intention-to-treat approach. Intervention: Caregivers in the intervention group received the FECH+ program, structured nurse support of 6 telephone calls over 6 months after the patient's discharge plus usual discharge care. Caregivers in the control group received usual care alone. Main Outcomes and Measures: Primary outcome was caregivers' HRQOL 6 months after discharge, which was measured using the Assessment of Quality of Life 8-Dimension (AQOL-8D). Secondary outcomes were caregivers' HRQOL 12 months after discharge as well as preparedness to care (measured using the Preparedness for Caregiving Scale), self-efficacy (measured using the Caregiver Inventory), and levels of strain and distress (measured using the Family Appraisal of Caregiving Questionnaire) at 6 and 12 months after discharge. Baseline and outcome measurements were administered by telephone at 3, 6, and 12 months after discharge. Results: A total of 547 dyads (caregivers: 405 females [74.0%], mean [SD] age, 64.50 [12.82] years; patients: 296 females [54.1%], mean [SD] age, 83.16 [7.04] years for the intervention group and 83.45 [7.20] years for the control group) were included in the intention-to-treat analysis. There was no significant difference in caregivers' HRQOL between the 2 groups at the primary time point of 6 months (difference in AQOL-8D score, 0.01; 95% CI, -0.02 to 0.03; P = .62) after hospital discharge. Conclusions and Relevance: In this randomized clinical trial, the FECH+ program-a nurse telephone support intervention for caregivers of older adults after hospital discharge-did not significantly improve caregivers' HRQOL at 6 months after discharge compared with usual care. Additional examination is warranted into improving caregivers' HRQOL at the time of their patient's hospital discharge. Trial Registration: Australian New Zealand Clinical Trials Registry Identifier: ACTRN12620000060943.

Indexed as

CaregiversPatient DischargeQuality of LifeTelephoneAgedAged, 80 and overAustraliaFemaleHumansMaleMiddle Aged

Identifiers

PMID39453654
PMCPMC11581515

What OpenQuestion holds

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Registered trials

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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.