Telenovela Videos for Caregivers

(NOVELA Trial)

Overseen By Marielle J Bugayong, MSPH

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Johns Hopkins University

Disqualifiers: Actively dying patients, Cognitive impairment, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 4

52 Participants Needed

Trial Summary

What is the purpose of this trial?

This randomized clinical trial (RCT) intends to look at the preliminary efficacy of NOVELA (intervention group) in changing anxiety and self-efficacy compared to usual hospice care (control group). In the NOVELA intervention, hospice care will be enhanced with the telenovela videos for hospice family caregivers (HFCG) education during twice weekly hospice telehealth visits to prepare caregivers for proper use of hospice support and healthcare services.

Will I have to stop taking my current medications?

The trial information does not specify whether participants must stop taking their current medications.

What data supports the effectiveness of the treatment NOVELA in the clinical trial Telenovela Videos for Caregivers?

Research shows that video-based educational interventions can improve patient outcomes by making information more accessible and consistent, as seen in studies where videos were used for patient education in hospital settings. This suggests that using telenovela videos for caregivers could be an effective way to educate and support them. ^{1 2 3 4 5}

How does the NOVELA treatment differ from other treatments for hospice family caregivers?

The NOVELA treatment is unique because it uses telenovela videos as an educational tool to help hospice family caregivers manage patient care, pain, and self-care. This approach is novel compared to traditional educational methods, as it leverages engaging storytelling to enhance learning and behavior change among caregivers. ^{6 7 8 9 10}

Research Team

DULCE CRUZ-OLIVER, MD

Principal Investigator

Johns Hopkins University

Eligibility Criteria

This trial is for African-American and Hispanic family caregivers of hospice patients. Participants should be involved in the patient's care, have access to telehealth services, and be able to understand telenovela videos designed for caregiver education.

Inclusion Criteria

Identified family caregiver of patients enrolled in hospice

With access to wireless device and internet

My caregiver is over 18 years old.

Exclusion Criteria

Without internet access

HFCG of patients that are actively dying

With cognitive impairment

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

Participants receive the NOVELA intervention, which includes viewing a bilingual telenovela video series and engaging in guided conversations over 4 telehealth visits.

2 weeks

4 visits (virtual)

Follow-up

Participants are monitored for changes in anxiety and self-efficacy after the intervention

2 weeks

Treatment Details

Interventions

• NOVELA

Trial Overview The study tests NOVELA, an educational intervention using telenovela videos during telehealth visits twice a week. It aims to see if this can reduce anxiety and increase self-efficacy compared to standard hospice care without these videos.

Participant Groups

Group I: NOVELA Experimental Treatment 1 Intervention

Hospice family caregivers will work with the interventionist to use a web-enabled device (computer, smartphone or tablet) to access and view the video (3-6 mins) over the course of 4 hospice telehealth visits, twice per week.

Group II: Usual hospice care Active Control 1 Intervention

HFCGs will receive usual hospice care.

Who Is Running the Clinical Trial?

Johns Hopkins University

Lead Sponsor

Trials

2,366

Recruited

15,160,000+

Maryland Cigarette Restitution Fund

Collaborator

Trials

10

Recruited

900+

Findings from Research

A bilingual interactive videodisc program called 'The Story of Maria' was developed based on a needs assessment of 200 Hispanic mothers, ensuring it met the specific educational needs of the community.

Pilot testing in two community health centers showed that the program effectively engaged patients and was well-received, demonstrating its potential as a valuable tool for patient education in clinical practice.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Interactive video in health care: blending patient care, computer technology, and research results. Sweeney, MA., Gulino, C.[2021]

A review of 62 studies found that 61% reported significant improvements in patient outcomes when using video-based educational interventions compared to standard education techniques in inpatient settings.

Video-based education effectively enhances short-term health literacy, but its impact on long-term behavior changes remains uncertain, suggesting that combining various educational methods over time may yield better health outcomes.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The impact of the use of video-based educational interventions on patient outcomes in hospital settings: A scoping review. Dahodwala, M., Geransar, R., Babion, J., et al.[2019]

The development of a preoperative videotape by an interdisciplinary team at the Albuquerque Veterans Affairs Medical Center led to improved patient satisfaction by enhancing the availability and consistency of preoperative instructions.

Preliminary data indicates that patients and their families found the videotape an appealing and effective addition to traditional preoperative teaching methods, aligning with JCAHO standards for patient education.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A video approach to interactive patient education. Maller, CE., Twitty, VJ., Sauve, A.[2019]

A scoping review of 65 studies indicates that video interventions can effectively improve patient experience and outcomes, particularly by reducing anxiety.

There is a need for standardized guidelines and appraisal tools for video production in patient care to ensure effectiveness and facilitate widespread use.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The use of video for patient information and education: A scoping review of the variability and effectiveness of interventions. Chatterjee, A., Strong, G., Meinert, E., et al.[2021]

The study evaluated how often hospitalized patients used health information videos and their awareness of the programs available, revealing important insights into viewer habits and peak usage times.

In Phase II, the effectiveness of these videos in enhancing patient knowledge was confirmed, suggesting that training for nursing staff on utilizing this educational tool could improve patient education outcomes.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Teaching the nurse to teach with health information videos. Schoenbeck, SB.[2007]

Between 2000 and 2007, nursing research focused on home health care identified two main themes: the organization of home care and the perceptions of caregivers and families regarding this care.

Despite some interest in defining concepts related to home care organization and caregiver characteristics, the overall scientific production in this area remains low, highlighting the need for more research in nursing related to home health care.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

[Home healthcare: a critical appraisal on nursing scientific production]. Machado, AL., da Silva, MJ., Freitas, CH.[2019]

A study involving interviews with 22 hospice professionals revealed that there is a strong interest in using bilingual telenovelas as educational tools for family caregivers, addressing their needs for information on patient care and self-care.

Hospice staff, primarily nurses with an average of 9 years of experience, provided valuable insights on how to effectively implement and disseminate these telenovela videos, indicating a positive reception towards this innovative educational approach.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Reflections of Hospice Staff Members About Educating Hospice Family Caregivers Through Telenovela. Cruz-Oliver, DM., Abshire, M., Budhathoki, C., et al.[2022]

A study involving 20 hospice family caregivers revealed that the NOVELA intervention, which uses telenovelas for education, is perceived as an acceptable and relevant tool for enhancing caregivers' ability to manage distress and pain.

The intervention positively impacted caregivers' reactions, learning, and behavior, indicating its potential effectiveness in supporting hospice care education.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Hospice Family Caregiver Perceptions of Benefits and Challenges of a Telenovela Educational Intervention. Cruz-Oliver, DM., Abshire Saylor, M., Nelson, KE., et al.[2023]

A study involving 39 hospice family caregivers found that telenovela videos were more engaging than traditional educational videos, with caregivers watching them 12% longer and reporting better content recall.

Caregivers felt that telenovela videos sparked more conversations about patient care and encouraged them to reflect on their own experiences, suggesting that this format could enhance education and support for caregivers.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Comparison of Traditional Videos With Telenovelas for Hospice Family Caregivers Education. Cruz-Oliver, DM., Abshire, M., Budhathoki, C., et al.[2023]

In Spain, the traditional model of family caregiving for dependent elders is declining, leading to an increased reliance on immigrant women for caregiving roles, which are often their only means of entering the labor market.

The study highlights the heavy burden faced by immigrant caregivers, who provide essential support for elderly individuals but often do so under challenging conditions with little respite from their responsibilities.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

[Immigrant caregivers: characteristics of the care provided to dependent elders]. Galiana-Gómez de Cádiz, MJ., de la Cuesta-Benjumea, C., Donet-Montagut, T.[2019]

References

1. United States pubmed.ncbi.nlm.nih.gov

Interactive video in health care: blending patient care, computer technology, and research results. [2021]

2. Ireland pubmed.ncbi.nlm.nih.gov

The impact of the use of video-based educational interventions on patient outcomes in hospital settings: A scoping review. [2019]

3. United States pubmed.ncbi.nlm.nih.gov

A video approach to interactive patient education. [2019]

4. Ireland pubmed.ncbi.nlm.nih.gov

The use of video for patient information and education: A scoping review of the variability and effectiveness of interventions. [2021]

5. United States pubmed.ncbi.nlm.nih.gov

Teaching the nurse to teach with health information videos. [2007]

6. Brazil pubmed.ncbi.nlm.nih.gov

[Home healthcare: a critical appraisal on nursing scientific production]. [2019]

7. United States pubmed.ncbi.nlm.nih.gov

Reflections of Hospice Staff Members About Educating Hospice Family Caregivers Through Telenovela. [2022]

8. United States pubmed.ncbi.nlm.nih.gov

Hospice Family Caregiver Perceptions of Benefits and Challenges of a Telenovela Educational Intervention. [2023]

9. United States pubmed.ncbi.nlm.nih.gov

Comparison of Traditional Videos With Telenovelas for Hospice Family Caregivers Education. [2023]

10. Spain pubmed.ncbi.nlm.nih.gov

[Immigrant caregivers: characteristics of the care provided to dependent elders]. [2019]