Impact of a family caregiver training program in Kolkata, India on post-operative health perceptions and outcomes of cardiothoracic surgical patients

Liu, Jessie; Alam, Shahed; Guhabiswas, Rahul; Waajid, Malikah S; Chakrabarty, Somatree; Purkayastha, Rajanita Das; Popat, Rita A.; Gupta, Rajesh

doi:10.29392/joghr.3.e2019058

Cited by 5 publications

(5 citation statements)

References 29 publications

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“…Training physicians and nurses on delivering important medical information to patients as well as educating patients and caregivers are two key components of FCC [ 16 ]. FCC-based interventions have resulted in positive health outcomes in several conditions [ 13 , 17 – 19 ]. Promotion of antenatal care and maternal health education is given to mothers and caregivers to improve key behaviors resulting in positive health outcomes [ 20 – 22 ].…”

Section: Discussionmentioning

confidence: 99%

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Improving neonatal health with family-centered, early postnatal care: A quasi-experimental study in India

Murthy¹,

Yan²,

Alam³

et al. 2023

PLOS Glob Public Health

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Despite the global decline, neonatal mortality rates (NMR) remain high in India. Family members are often responsible for the postpartum care of neonates and mothers. Yet, low health literacy and varied beliefs can lead to poor health outcomes. Postpartum education for family caregivers, may improve the adoption of evidence-based neonatal care and health outcomes. The Care Companion Program (CCP) is a hospital-based, pre-discharge health training session where nurses teach key healthy behaviors to mothers and family members, including skills and an opportunity to practice them in the hospital. We conducted a quasi-experimental study to assess the effect of the CCP sessions on mortality outcomes among families seeking care in 28 public tertiary facilities across 4 Indian states. Neonatal mortality outcomes were reported post-discharge, collected via phone surveys at four weeks postpartum, between October 2018 to February 2020. Risk ratios (RR), adjusting for hospital-level clustering, were calculated by comparing mortality rates before and after CCP implementation. A total of 46,428 families participated in the pre-intervention group and 87,305 in the post-intervention group; 76% of families completed the phone survey. Among the 33,599 newborns born before the CCP implementation, there were 1386 deaths (NMR: 41.3 deaths per 1000 live births). After the intervention began, there were 2021 deaths out of 60,078 newborns born (crude NMR: 33.6 deaths per 1000 live births, RR = 0.82, 95% CI: 0.76, 0.87; cluster-adjusted RR = 0.82, 95% CI: 0.71, 0.94). There may be a substantial benefit to family-centered education in the early postnatal period to reduce neonatal mortality.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Improving neonatal health with family-centered, early postnatal care: A quasi-experimental study in India

Murthy¹,

Yan²,

Alam³

et al. 2023

PLOS Glob Public Health

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“…Our survey data show particular opportunities for improvement in smartphone messaging-70% of families owned a smartphone, yet only 2% of mothers received postdischarge phone messaging (likely due to lack of existing digital health programmes for postdischarge care-this is not a standard health system practice in India). In addition, we know educational interventions that inform and activate caregivers with practical skills are most effective in improving patient outcomes, [36][37][38][39] but we need more evidence about the right multipronged teaching approaches to convey information (eg, verbal, multimedia, written materials) and build skills (eg, modelling, role playing) in various LMIC settings. 15 Family-wide education to engage key family decision-makers as care partners Our survey data show that postnatal education gaps exist for both mothers and family caregivers (55% do not receive any education), and there is considerable room for improvement in newborn care practices that could be done by any family caregiver: skin-to-skin care, clean/dry umbilical cord care, hand hygiene and recognising signs of illness.…”

Section: Implications For Postnatal Education Programmingmentioning

confidence: 99%

“…To reach family caregivers with education efforts, implementers could apply lessons from family-centred care in the sick/ hospitalised newborn context (ie, SNCU/neonatal intensive care unit), in which healthcare is planned around the whole family rather than just an individual child, and providers respect and engage family caregivers as key partners in care. 40 There is evidence that a familywide education model improves postdischarge caregiver behaviours and reduces patient complications in cardiac care, 38 so implementers could also draw on lessons from this space.…”

Section: Implications For Postnatal Education Programmingmentioning

confidence: 99%

Just-in-time postnatal education programmes to improve newborn care practices: needs and opportunities in low-resource settings

Subramanian

Murthy²,

Bogam³

et al. 2020

BMJ Glob Health

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Worldwide, many newborns die in the first month of life, with most deaths happening in low/middle-income countries (LMICs). Families’ use of evidence-based newborn care practices in the home and timely care-seeking for illness can save newborn lives. Postnatal education is an important investment to improve families’ use of evidence-based newborn care practices, yet there are gaps in the literature on postnatal education programees that have been evaluated to date. Recent findings from a 13 000+ person survey in 3 states in India show opportunities for improvement in postnatal education for mothers and families and their use of newborn care practices in the home. Our survey data and the literature suggest the need to incorporate the following strategies into future postnatal education programming: implement structured predischarge education with postdischarge reinforcement, using a multipronged teaching approach to reach whole families with education on multiple newborn care practices. Researchers need to conduct robust evaluation on postnatal education models incorporating these programee elements in the LMIC context, as well as explore whether this type of education model can work for other health areas that are critical for families to survive and thrive.

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“…The program is currently running in 327 6 Government health facilities in six states of India and has reached over a million patients and caregivers. This intervention has demonstrated efficacy across different conditions, showing a reduction in post-surgical cardiac complications by 71%, 7 maternal complications by 12%, newborn complications by 16% and newborn readmissions by 56%. 8 COVID-19 precautions and restrictions necessitated a telephonic method of deploying the CCP.…”

Section: Introductionmentioning

confidence: 99%

Can training over phone calls help improve outcomes for COVID-19 positive patients under home isolation? An analysis of the COVID-19 Care Companion Program in Punjab, India

Murthy¹,

Chandrasekar²,

Yan³

et al. 2023

Clinical Epidemiology and Global Health

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Impact of a family caregiver training program in Kolkata, India on post-operative health perceptions and outcomes of cardiothoracic surgical patients

Cited by 5 publications

References 29 publications

Improving neonatal health with family-centered, early postnatal care: A quasi-experimental study in India

Improving neonatal health with family-centered, early postnatal care: A quasi-experimental study in India

Just-in-time postnatal education programmes to improve newborn care practices: needs and opportunities in low-resource settings

Can training over phone calls help improve outcomes for COVID-19 positive patients under home isolation? An analysis of the COVID-19 Care Companion Program in Punjab, India

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