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Sustaining Home Heart Failure Palliative Care in Rural Appalachia

Sustaining Home Palliative Care for Patients With Heart Failure (HF) and Their Family Caregivers in Rural Appalachia: A Mixed Methods Randomized Clinical Trial (RCT).

Who can join

Ages 45 to 80 · All sexes

Inclusion Criteria:

1. Adult patients' age between 50 to 80 years with advanced HF (NYHA III or IV), diagnosed by physician
2. Caregivers' age between 45 to 80 years.
3. Alert and consent to participate
4. Able to read and understand English

Exclusion Criteria:

1. Already received or are on a waiting list for a heart transplant or left ventricular assist device (LVAD)
2. Diagnosed with a terminal illness or dementia, such as Alzheimer's disease

About the study

The aim of this mixed methods randomized controlled trial is to test the integrated nurse-led intervention bundle for family home care management of end-stage heart failure and palliative care in rural Appalachia. This intervention bundle is designed to address rural disparities in access to health care, with the help of the faith-based nurses and local volunteer visiting neighbors.

What is being tested

• HF-FamPALhomeCARE (behavioral)

Sponsor: West Virginia University · Participants: 208 · Started: Apr 1, 2025

Contact the study team

• Ubolrat Piamjariyakul · Phone: 304.293.6729
• Stephanie Young · Phone: 304.581.1802

Official record on ClinicalTrials.gov — NCT06791850

Locations in the U.S.

From ClinicalTrials.gov, data retrieved Oct 2, 2026. Each study sets its own eligibility; the study team decides who can join.