Background

Dyadic heart failure (HF) management can improve outcomes for patients and caregivers and can be enhanced through eHealth interventions.

Objective

To evaluate the feasibility, acceptability, and preliminary efficacy of an eHealth dyadic teamwork intervention, compared to an attention control condition.

Methods

We recruited 29 HF patient-caregiver dyads from inpatient units and randomized dyads to an intervention or a control group. We calculated enrollment and retention rates, described acceptability using interview and questionnaire data, and computed intervention effect sizes.

Results

37% of eligible dyads agreed to participate and 93% of randomized participants completed follow-up questionnaires. Participants found both study conditions to be acceptable. Between-group effect sizes suggested that the intervention led to improvements in relationship quality, self-efficacy, and quality of life for patients and caregivers.

Conclusions

Dyadic recruitment from acute care settings is challenging. Findings provide initial evidence that our intervention can contribute to better health outcomes for HF dyads.

中文翻译：

---

一项针对心力衰竭护理团队的团队合作干预的随机临床试验

背景

二元心力衰竭 (HF) 管理可以改善患者和护理人员的结果，并且可以通过电子健康干预得到加强。

客观的

与注意力控制条件相比，评估电子健康二元团队合作干预的可行性、可接受性和初步效果。

方法

我们从住院病房招募了 29 名 HF 患者-照顾者二人组，并将二人组随机分配到干预组或对照组。我们计算了入学率和保留率，使用访谈和问卷数据描述了可接受性，并计算了干预效果大小。

结果

37% 的合格二元组同意参加，93% 的随机参与者完成了后续问卷调查。参与者发现两种研究条件都是可以接受的。组间效应大小表明，干预改善了患者和护理人员的关系质量、自我效能和生活质量。

结论

从急症护理机构进行二元招募具有挑战性。研究结果提供了初步证据，表明我们的干预可以为 HF dyads 带来更好的健康结果。