Effectiveness of a family customised online FOCUS programme aimed on building resiliency in dyad relationship to support dyadic illness management in persons with heart failure and their informal caregiver: a randomised clinical trial protocol
Introduction Living with heart failure (HF), is a shared journey and arduous work for patients and their informal family caregivers. Given the key role and limited evidence of dyad illness management in improving dyad health in the context of HF, we developed a customisable, relationship focused, fa...
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BMJ Publishing Group
2022-07-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/7/e061405.full |
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| author | Xin Zhang Xiaonan Zhang Yongjun Cao Weiling Yang Yanting Li Xuedong Li Sixuan Jiang Qingyun LV Mei Cheng Xiaoying Zang |
| author_facet | Xin Zhang Xiaonan Zhang Yongjun Cao Weiling Yang Yanting Li Xuedong Li Sixuan Jiang Qingyun LV Mei Cheng Xiaoying Zang |
| author_sort | Xin Zhang |
| collection | DOAJ |
| description | Introduction Living with heart failure (HF), is a shared journey and arduous work for patients and their informal family caregivers. Given the key role and limited evidence of dyad illness management in improving dyad health in the context of HF, we developed a customisable, relationship focused, family online dynamic disease management programme—FOCUS programme—to improve dyad health for HF patients and their informal caregivers in China.Methods and analysis Based on the Theory of Dyadic Illness Management and the Systemic Transactional Model of Stress and Coping, the family customised online FOCUS programme has five modules: (1) family participatory; (2) open communication; (3) coping effectiveness; (4) uncertainty reduction and 5) shared dyad life stories. HF family dyads will be recruited in the cardiology wards of four university-affiliated hospitals in China. The dyads (N=142) will be randomly allocated to the intervention group that will receive the family customised online FOCUS programme, and the attention control group that will not receive elements of the FOCUS programme. Dyadic coping, HF somatic perception, self-care, anxiety and depression for patients and family caregivers and all-cause mortality and hospital admission for patients will be measured at baseline, 4 weeks (after the discharge, T1), 12 weeks (after the discharge, T2) and 24 weeks (after the discharge, T3). Statistical analysis will be performed using SPSS V. 22.0 software.Ethics and dissemination The study protocol was approved by the ethics committees of Tianjin Medical University (Reference number TMUHEC2019002) that covers all the centres enrolled in this study. The findings of this study will be published in scientific journals and will be presented at scientific conferences.Trial registration number ChiCTR2100053168. |
| format | Article |
| id | doaj-art-1b9adcfa940e45dfb739b53570c53d82 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-1b9adcfa940e45dfb739b53570c53d822025-01-30T16:15:09ZengBMJ Publishing GroupBMJ Open2044-60552022-07-0112710.1136/bmjopen-2022-061405Effectiveness of a family customised online FOCUS programme aimed on building resiliency in dyad relationship to support dyadic illness management in persons with heart failure and their informal caregiver: a randomised clinical trial protocolXin Zhang0Xiaonan Zhang1Yongjun Cao2Weiling Yang3Yanting Li4Xuedong Li5Sixuan Jiang6Qingyun LV7Mei Cheng8Xiaoying Zang91 Department of Geriatric Endocrinology and Metabolism, Guangxi Academy of Medical Sciences and the People’s Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi, ChinaSchool of Nursing, Tianjin Medical University, Tianjin, ChinaSchool of Nursing, Tianjin Medical University, Tianjin, ChinaSchool of Public Health, Tianjin Medical University, Tianjin, ChinaSchool of Nursing, Tianjin Medical University, Tianjin, ChinaSchool of Nursing, Tianjin Medical University, Tianjin, ChinaSchool of Nursing, Tianjin Medical University, Tianjin, ChinaSchool of Nursing, Tianjin Medical University, Tianjin, ChinaInstitute of Health and Disease, Binzhou Medical University - Yantai Campus, Yantai, ChinaSchool of Nursing, Tianjin Medical University, Tianjin, ChinaIntroduction Living with heart failure (HF), is a shared journey and arduous work for patients and their informal family caregivers. Given the key role and limited evidence of dyad illness management in improving dyad health in the context of HF, we developed a customisable, relationship focused, family online dynamic disease management programme—FOCUS programme—to improve dyad health for HF patients and their informal caregivers in China.Methods and analysis Based on the Theory of Dyadic Illness Management and the Systemic Transactional Model of Stress and Coping, the family customised online FOCUS programme has five modules: (1) family participatory; (2) open communication; (3) coping effectiveness; (4) uncertainty reduction and 5) shared dyad life stories. HF family dyads will be recruited in the cardiology wards of four university-affiliated hospitals in China. The dyads (N=142) will be randomly allocated to the intervention group that will receive the family customised online FOCUS programme, and the attention control group that will not receive elements of the FOCUS programme. Dyadic coping, HF somatic perception, self-care, anxiety and depression for patients and family caregivers and all-cause mortality and hospital admission for patients will be measured at baseline, 4 weeks (after the discharge, T1), 12 weeks (after the discharge, T2) and 24 weeks (after the discharge, T3). Statistical analysis will be performed using SPSS V. 22.0 software.Ethics and dissemination The study protocol was approved by the ethics committees of Tianjin Medical University (Reference number TMUHEC2019002) that covers all the centres enrolled in this study. The findings of this study will be published in scientific journals and will be presented at scientific conferences.Trial registration number ChiCTR2100053168.https://bmjopen.bmj.com/content/12/7/e061405.full |
| spellingShingle | Xin Zhang Xiaonan Zhang Yongjun Cao Weiling Yang Yanting Li Xuedong Li Sixuan Jiang Qingyun LV Mei Cheng Xiaoying Zang Effectiveness of a family customised online FOCUS programme aimed on building resiliency in dyad relationship to support dyadic illness management in persons with heart failure and their informal caregiver: a randomised clinical trial protocol BMJ Open |
| title | Effectiveness of a family customised online FOCUS programme aimed on building resiliency in dyad relationship to support dyadic illness management in persons with heart failure and their informal caregiver: a randomised clinical trial protocol |
| title_full | Effectiveness of a family customised online FOCUS programme aimed on building resiliency in dyad relationship to support dyadic illness management in persons with heart failure and their informal caregiver: a randomised clinical trial protocol |
| title_fullStr | Effectiveness of a family customised online FOCUS programme aimed on building resiliency in dyad relationship to support dyadic illness management in persons with heart failure and their informal caregiver: a randomised clinical trial protocol |
| title_full_unstemmed | Effectiveness of a family customised online FOCUS programme aimed on building resiliency in dyad relationship to support dyadic illness management in persons with heart failure and their informal caregiver: a randomised clinical trial protocol |
| title_short | Effectiveness of a family customised online FOCUS programme aimed on building resiliency in dyad relationship to support dyadic illness management in persons with heart failure and their informal caregiver: a randomised clinical trial protocol |
| title_sort | effectiveness of a family customised online focus programme aimed on building resiliency in dyad relationship to support dyadic illness management in persons with heart failure and their informal caregiver a randomised clinical trial protocol |
| url | https://bmjopen.bmj.com/content/12/7/e061405.full |
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