Health-promoting Family Conversations and Open Heart Surgery -An Intervention Model for Families: The HeartFam Intervention
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Thoracic Surgery
- Sponsor
- Örebro University, Sweden
- Enrollment
- 267
- Locations
- 3
- Primary Endpoint
- Family-Sense Of Coherence (F-SOC)
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
Elective open-heart surgery involves physical and psychological strain for the person undergoing surgery. Family plays a significant part in care before and after surgery, and the family has care needs of their own. Health services need to address the family-caregiver burden as an essential aspect of care. Different methods aiming at stress reduction and involvement of patients and family members in care exist. The evidence is conflicting concerning which way is the most effective. Health-promoting conversations are an intervention model promoting family well-being and alleviation of illness and illness-related suffering for the whole family.
Families´ in the intervention group in this trial will, before and after one family member's elective open-heart surgery, participate in Health-promoting conversations. Health-promoting conversation is an intervention model based on the Family Systems Nursing theory. The person undergoing surgery decides which family members should be asked to participate in 1-3 conversations whit a family nurse. Effects on postoperative recovery, health-related quality of life, stress, and patient and family involvement in care will be evaluated with patient- and family-reported outcome measures.
The aim is to evaluate Health-promoting conversation's effect on family wellbeing, functioning, and involvement in care. The cost-effectiveness of the intervention will also be evaluated.
The study will follow the ethical guidelines of the Declaration of Helsinki. The Swedish National Committee on Health Research Ethics reviewed and accepted the study in march 2020 (nr 2019-06315)
Investigators
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Family-Sense Of Coherence (F-SOC)
Time Frame: A statistically significant change in F-SOC from baseline at three months after hospital discharge between the trial patient groups.
Person-reported outcome measure, questionnaire measuring sense of coherence at family level. 12 items.
Secondary Outcomes
- RAND-36(12 month follow up)
- Cost-Effectiveness of Heath promoting conversations(12 month follow up)
- Family Involvement in Care Questionnaire (FICQ)(Family members only: 2 weeks after hospital discharge)
- Postoperative Recovery Profile (PRP)(12 month follow up)
- Family-Sense Of Coherence (F-SOC)(12 month follow up)
- General Functioning Scale (GFS)(12 month follow up)
- Family Hardiness Index (FHI)(12 month follow up)