Randomized controlled trial of CARE: An intervention to improve outcomes of hospitalized elders and family caregivers

In this randomized controlled trial we tested the efficacy of an intervention program (CARE: Creating Avenues for Relative Empowerment) for improving outcomes of hospitalized older adults and their family caregivers (FCGs). FCG–patient dyads (n = 407) were randomized into two groups. The CARE group...

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Bibliographic Details
Published in:Research in nursing & health 2012-10, Vol.35 (5), p.533-549
Main Authors: Li, Hong, Powers, Bethel Ann, Melnyk, Bernadette Mazurek, McCann, Robert, Koulouglioti, Christina, Anson, Elizabeth, Smith, Joyce A., Xia, Yinglin, Glose, Susan, Tu, Xin
Format: Article
Language:English
Subjects:
Adaptation, Psychological
Aged
Biological and medical sciences
Caregivers
Caregivers - education
Caregivers - psychology
Clinical outcomes
Clinical trials
Elder care
family caregivers
Female
Health education
hospital care
Hospitalization
Humans
Male
Medical sciences
Middle Aged
Miscellaneous
Nursing
older adult patients
Patient Education as Topic - methods
Power, Psychological
Public health. Hygiene
Public health. Hygiene-occupational medicine
RCT
Socioeconomic Factors
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Summary:In this randomized controlled trial we tested the efficacy of an intervention program (CARE: Creating Avenues for Relative Empowerment) for improving outcomes of hospitalized older adults and their family caregivers (FCGs). FCG–patient dyads (n = 407) were randomized into two groups. The CARE group received a two‐session empowerment‐educational program 1–2 days post‐admission and 1–3 days pre‐discharge. The attention control group received a generic information program during the same timeframe. Follow‐up was at 2 weeks and 2 months post‐discharge. There were no statistically significant differences in patient or FCG outcomes. However, inconsistent evidence of role outcome differences suggests that CARE may benefit certain FCG subgroups instead of being a one‐size‐fits‐all intervention strategy. Closer examination of CARE's mechanisms and effects is needed. © 2012 Wiley Periodicals, Inc. Res Nurs Health 35:533–549, 2012
ISSN:0160-6891
1098-240X
DOI:10.1002/nur.21491