N/A
N=484
Helping Invested Families Improve Veterans Experiences Study
Caregiver · Disabled Veterans · Referred to Long-term Care · Residing at Home · Hospice Ineligible
Bottom Line
View on ClinicalTrials.gov: NCT01777490 ↗Enrolled (actual)
484
Serious AEs
28.8%
Results posted
Feb 2019
Primary outcome: Primary: Patient Days in the Community (e.g. Days Not in Emergency Department, Inpatient, or Nursing Home Setting) — 352.87; 353.62 days
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Helping Invested Families Improve Veterans Experiences - Control (Behavioral); Helping Invested Families Improve Veterans Experiences - HI FIVES (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- VA Office of Research and Development
- Primary completion
- Jan 2017
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Patient Days in the Community (e.g. Days Not in Emergency Department, Inpatient, or Nursing Home Setting) |
352.87; 353.62 | — |
| SECONDARY Total Costs to the VA |
44227.55; 41157.17 | — |
| SECONDARY Satisfaction With Healthcare |
8.29; 8.09; 8.58; 8.38 | — |
| SECONDARY Caregiver Depressive Symptoms |
8.95; 8.75 | — |
Summary
The purpose of this study is to evaluate a caregiver skill training program (HI-FIVES), offered as a part of a randomized control trial to caregivers of Veterans referred to home and community-based long-term care. Of primary interest is to examine whether participating in HI-FIVES leads to clinically significant increases in days spent at home for Veterans compared to caregivers in usual care. The investigators aim, through the training, to decrease the number of days over 12 months post-intervention that Veterans spend in the emergency department, hospital, or nursing home. Days spent in these settings reduces the Veteran's quality of life and increases health care costs to the VA. The investigators also will evaluate whether caregivers in HI-FIVES have clinically significant reductions in depressive symptoms post-intervention compared to caregivers in usual care.
Eligibility Criteria
Inclusion Criteria
- Patient referred to home and community-based services in the past 3 months,
- not eligible for hospice,
- residing at home,
- has an informal caregiver, and willing to let us contact the caregiver.
To be referred successfully to HCBC,
- patients will have a minimum of 2 activity of daily living limitations,
- and are likely to have multimorbidity, including high rates of cognitive impairment.
Exclusion Criteria
- Cognitively impaired Caregiver
- Caregiver does not have access to a telephone.
- Severely impaired hearing or speech (Caregivers must be able to respond to phone calls).
- English Language Impaired - Caregiver
- Substance Abuse Disorders - Caregiver
- Caregiver participating in other caregiver intervention
- Patient referred only for physical or occupational therapy
- Patient or caregiver refuses informed consent
- Patient in hospital
Data sourced from ClinicalTrials.gov (NCT01777490). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.