Establishing fidelity for the creating opportunities for personal empowerment: Symptom and technology management resources (COPE-STAR) intervention.
Regena Spratling, Melissa S Faulkner, Rebecca Chambers and 3 others
PMID 32989802WHAT IT FOUND
All reviewers rated the caregiver modules useful, easy to use, and acceptable.
No patient outcomes were tested, so it cannot show COPE-STAR improves care.
Key findings
01All 13 reviewers agreed or strongly agreed that the modules were useful (98-100% per module), easy to use (85-92% per module), and acceptable (92-100% per module).
02Reviewers estimated that modules took 5-10 minutes (67-85% per module).
03The five caregiver reviewers all had adequate health literacy, scoring four on the Newest Vital Sign.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only five caregiver reviewers completed the feedback form, so this is a very small sample. Caregivers came from the same clinic and state, and were insured by entities in the same state, so their care pathway may not match other families. No characteristics were collected for expert reviewers, and their expertise and years of experience varied. All caregiver reviewers had adequate health literacy and most had some college to postgraduate study, so findings may not apply to families with limited health literacy or lower education. The review focused on tracheostomy and feeding tube care, not other medical technologies. The study tested fidelity and usability, not patient outcomes or effectiveness.
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not read this as evidence that COPE-STAR improves caregiver management or child outcomes. It reports only reviewer ratings, and no patient outcomes were tested.