Evidence map›Paper›PMID 41895678›Full record

ArticleJournal of cardiac failure2026

Supporting Family Caregiver Health in Heart Failure: Longitudinal Associations Between Heart Failure Caregiver Self-Care and Patient Hospitalizations.

Julie T Bidwell, Ryan Quinn, Karen B Hirschman, Kathryn H Bowles, Gladys L Thomas, Michael A Stawnychy, Austin Matus, Joyce W Wald, Alex J Fauer, Barbara Riegel

Registry-linked trialAbstract read
In one paragraph

Article in Journal of cardiac failure, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03988621 (Improving Self-Care of Informal Caregivers of Adults With Heart Failure), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT03988621 phase2completednot on this map

Improving Self-Care of Informal Caregivers of Adults With Heart Failure

TypeinterventionalSponsorUniversity of PennsylvaniaRan2019 to 2023Enrolled343ConditionsHeart FailureArmsViCCY
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Julie T BidwellBetty Irene Moore School of Nursing, University of California Davis, Davis California. Electronic address: jtbidwell@health.ucdavis.edu.
Ryan QuinnSchool of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania.
Karen B HirschmanSchool of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania.
Kathryn H BowlesCenter for Home Care Policy & Research at VNS Health, New York, New York.
Gladys L ThomasSchool of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania.
Michael A StawnychySchool of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania.
Austin MatusPenn Medicine, Chester County Hospital, West Chester, Pennsylvania.
Joyce W WaldPenn Medicine, Chester County Hospital, West Chester, Pennsylvania.
Alex J FauerBetty Irene Moore School of Nursing, University of California Davis, Davis California.
Barbara RiegelSchool of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania; Penn Medicine, Chester County Hospital, West Chester, Pennsylvania.

Funding

Improving Self-Care of Informal Caregivers of Adults with Heart FailureR01NR018196 · NINR · UNIVERSITY OF PENNSYLVANIA · PI RIEGEL, BARBARA J · 2019 to 2023
$3.4M
NINR NIH HHS R01 NR018196
6 · The paper itself

Abstract

backgroundHealth coaching has been shown to reduce heart failure (HF) caregiver stress and increase caregiver engagement in healthy lifestyle behaviors ("self-care"). The objective of this study was to examine potential downstream effects of improvements in self-care of the caregiver on HF patient hospitalization outcomes. METHODS AND

resultsData were from a randomized controlled trial testing the efficacy of a health coaching intervention vs information-only control on HF caregiver self-care. Self-care of the caregiver was measured using the Self-Care Inventory. Care recipient hospitalizations and hospitalization days were abstracted from the medical record. Zero-inflated negative binomial models were used to assess the extent to which caregiver self-care improvement, of any degree and regardless of intervention condition, was predictive of patient hospitalization and hospitalization days, adjusting for common confounders. The sample included 125 HF patient-caregiver dyads from both groups, 61.6% of which were spousal/partnered. Nearly two-thirds of caregivers (62.4%) demonstrated self-care improvement. Approximately one-quarter of patients (25.6%) experienced at least 1 hospitalization. Adjusting for confounders, patients with caregivers who improved in self-care experienced significantly fewer hospitalizations (incidence rate ratio 0.332, 95% confidence interval 0.131-0.841, P = .02). No significant effect was observed for hospital days (incidence rate ratio, 0.773, 95% confidence interval 0.271-2.206).

conclusionsImprovement in HF caregiver self-care was associated with a 67% decrease in patient hospitalizations. Our findings support additional investment in research, programs, and policies that support caregiver health. Our findings may also reassure caregivers, patients, and clinicians that investing time in supporting caregiver health is time well spent and may have potential benefit for patient outcomes.

trial registrationClinicalTrials.gov, NCT03988621.

Indexed as

Caregiversheart failurehospitalizationself-care

Identifiers

PMID41895678
PMCPMC13359039

What OpenQuestion holds

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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.