Evidence map›Paper›PMID 42031229›Full record

ArticleContemporary clinical trials2026

Virtual health coaching to improve self-care among informal caregivers of hospitalized older adults during a transition in care: Randomized controlled trial study protocol.

Karen B Hirschman, Charlotte R Weiss, Stacey Brown, Charlotte Samuels, Kathryn H Bowles, J Margo Brooks Carthon, Liming Huang, Hanna Ramsburg, Tracie J Walser, Mary D Naylor and 1 more

Abstract readClinical Trial Protocol
In one paragraph

Article in Contemporary clinical trials, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

11 authors.

Karen B HirschmanUniversity of Pennsylvania School of Nursing, 418 Curie Blvd., Philadelphia, PA 19104, USA; NewCourtland Center for Transitions and Health, 418 Curie Blvd., Philadelphia, PA 19104, USA; Leonard Davis Institute of Health Economics, 3641 Locust Walk, Philadelphia, PA 19104, USA. Electronic address: hirschk@nursing.upenn.edu.
Charlotte R WeissUniversity of Pennsylvania School of Nursing, 418 Curie Blvd., Philadelphia, PA 19104, USA; NewCourtland Center for Transitions and Health, 418 Curie Blvd., Philadelphia, PA 19104, USA; University of North Carolina Wilmington, Wilmington, NC 28403, USA.
Stacey BrownUniversity of Pennsylvania School of Nursing, 418 Curie Blvd., Philadelphia, PA 19104, USA.
Charlotte SamuelsUniversity of Pennsylvania School of Nursing, 418 Curie Blvd., Philadelphia, PA 19104, USA.
Kathryn H BowlesUniversity of Pennsylvania School of Nursing, 418 Curie Blvd., Philadelphia, PA 19104, USA; NewCourtland Center for Transitions and Health, 418 Curie Blvd., Philadelphia, PA 19104, USA; Leonard Davis Institute of Health Economics, 3641 Locust Walk, Philadelphia, PA 19104, USA; Center for Home Care Policy & Research at VNS Health, 220 East 42nd Street, New York, NY 10017, USA.
J Margo Brooks CarthonUniversity of Pennsylvania School of Nursing, 418 Curie Blvd., Philadelphia, PA 19104, USA; Leonard Davis Institute of Health Economics, 3641 Locust Walk, Philadelphia, PA 19104, USA.
Liming HuangUniversity of Pennsylvania School of Nursing, 418 Curie Blvd., Philadelphia, PA 19104, USA.
Hanna RamsburgUniversity of Pennsylvania School of Nursing, 418 Curie Blvd., Philadelphia, PA 19104, USA; NewCourtland Center for Transitions and Health, 418 Curie Blvd., Philadelphia, PA 19104, USA.
Tracie J WalserUniversity of Pennsylvania School of Nursing, 418 Curie Blvd., Philadelphia, PA 19104, USA.
Mary D NaylorUniversity of Pennsylvania School of Nursing, 418 Curie Blvd., Philadelphia, PA 19104, USA; NewCourtland Center for Transitions and Health, 418 Curie Blvd., Philadelphia, PA 19104, USA; Leonard Davis Institute of Health Economics, 3641 Locust Walk, Philadelphia, PA 19104, USA.
Barbara RiegelUniversity of Pennsylvania School of Nursing, 418 Curie Blvd., Philadelphia, PA 19104, USA; NewCourtland Center for Transitions and Health, 418 Curie Blvd., Philadelphia, PA 19104, USA; Center for Home Care Policy & Research at VNS Health, 220 East 42nd Street, New York, NY 10017, USA.

Funding

Individualized Care for At Risk Older AdultsT32NR009356 · NINR · UNIVERSITY OF PENNSYLVANIA · PI Lauren M Massimo, MARY D NAYLOR · 2007 to 2026
$7.8M
Improving Care Transitions and Self-care among Informal Caregivers of Hospitalized Older Adults through Digital ToolsR01AG082892 · NIA · UNIVERSITY OF PENNSYLVANIA · PI KAREN B HIRSCHMAN · 2023 to 2026
$3.0M
Improving Self-Care of Caregivers of Adults in Homecare with Heart Failure and Cognitive ImpairmentR01AG094822 · NIA · VISITING NURSE SERVICE OF NEW YORK · PI BARBARA J RIEGEL · 2025 to 2026
$1.3M
NIA NIH HHS R01 AG082892NIA NIH HHS R01 AG094822NINR NIH HHS T32 NR009356
6 · The paper itself

Abstract

backgroundInformal caregivers play a critical role in supporting older adults with multiple chronic conditions (MCCs), particularly during transitions from hospital to home. These transitions are often marked by increased stress and reduced self-care among caregivers and heightened risk for poor outcomes in both caregivers and patients. The Virtual Caregiver Coach for You (ViCCY) intervention, grounded in the Transactional Model of Stress and Coping, aims to improve caregiver self-care through tailored virtual health coaching.

methodsThis single-site, three-hospital, Phase III randomized controlled trial is enrolling 250 informal caregivers of hospitalized older adults with MCCs. Participants are randomized to receive either ViCCY plus digital health information (tailored information from health, self-care, and caregiving websites) or digital health information alone. ViCCY is provided virtually by a trained health coach over a six-month period. Synchronous sessions focus on stress management, self-care, and adaptive coping. Primary outcomes include caregiver self-care, with secondary outcomes of stress, coping, preparedness, and perceived health status. Patient outcomes, including acute care utilization and associated costs, will also be evaluated. DISCUSSION: This trial addresses a critical gap in transitional care by focusing on the well-being of informal caregivers. By testing a scalable, virtual intervention tailored to individual caregiver needs, the study aims to improve caregiver outcomes and inform future models of caregiver support. The findings will contribute to the evidence base for virtual health coaching and its role in promoting self-care among caregivers, as well as potentially reducing acute care resource use in patients.

Indexed as

CaregiversMentoringSelf CareStress, PsychologicalTransitional CareAdaptation, PsychologicalAgedChronic DiseaseCoping SkillsDigital HealthFemaleHospitalizationHumansMaleRandomized Controlled Trials as TopicBurdenHealth coachingInformal caregiversPsychological stressRehospitalizationSelf-careTransitional careVirtual intervention

Identifiers

PMID42031229
PMCPMC13383541

What OpenQuestion holds

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LicenceTDM
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Registered trials

None linked

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.