RecruitingNot ApplicableNCT06791850

Sustaining Home Heart Failure Palliative Care in Rural Appalachia

Sustaining Home Palliative Care for Patients With Heart Failure (HF) and Their Family Caregivers in Rural Appalachia: A Mixed Methods Randomized Clinical Trial (RCT).

Sponsor

West Virginia University

Enrollment

208 participants

Start Date

Apr 1, 2025

Study Type

INTERVENTIONAL

Conditions

Heart Failure NYHA Class III Heart Failure NYHA Class IV

Summary

The aim of this mixed methods randomized controlled trial is to test the integrated nurse-led intervention bundle for family home care management of end-stage heart failure and palliative care in rural Appalachia. This intervention bundle is designed to address rural disparities in access to health care, with the help of the faith-based nurses and local volunteer visiting neighbors.

Eligibility

Min Age: 45 YearsMax Age: 80 Years

Plain Language Summary

Simplified for easier understanding

This study brings palliative care support into the homes of people with advanced heart failure living in rural Appalachia. It also supports family caregivers. The goal is to improve quality of life and reduce hospital visits for both patients and their caregivers. **You may be eligible if...** - You are a patient aged 50–80 with advanced heart failure (NYHA Class III or IV) diagnosed by a doctor - You are a caregiver aged 45–80 - You are alert and able to give consent - You can read and understand English **You may NOT be eligible if...** - You have already had or are waiting for a heart transplant or a heart pump device (LVAD) - You have a terminal illness or dementia such as Alzheimer's disease Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALHF-FamPALhomeCARE

Participants in HF-FamPALhomeCARE Intervention group receive standard care plus 2 home visits, 3 bi-weekly telephone call on HF home EOLPC care, and follow-up telephone calls at 3, 6, 9, and 12 months.