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Total Cardiac Care: a smartphone-based remote monitoring system for Heart Failure Patients

Total Cardiac Care for Heart Failure Patients: Evaluation of the implementation of a comprehensive smartphone application-centric model of remote monitoring for vulnerable patients with heart failure (TCC-HF) in the community

Status
Not yet recruiting
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12620000888965
Enrollment
200
Registered
2020-09-10
Start date
2020-10-01
Completion date
2020-10-01
Last updated
2020-09-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The primary purpose of the study is to evaluate the implementation of a smartphone-app based model of care. Participants with heart failure will be provided with a smartphone app as well as equipment including a blood pressure machine, weighing scale and pulse oximeter. Participants will use the app to send their results daily to a monitoring team who will check for abnormal readings. Abnormal readings will be discussed with a doctor or nurse who is familiar with the participant, and treatment may be provided if necessary.

Interventions

“TCC-Heart Failure” comprises a smartphone application which collects and transmits health data (oxygen saturation, blood pressure and weight) to a web-based server, where it can be monitored by a central research team. These data can be used to facilitate early review of participants whose parameters fall outside individualised, preset parameters (preset by the participant’s treating cardiologist). If such an event occurs, the participant will be contacted by a registered nurse, who will escala

“TCC-Heart Failure” comprises a smartphone application which collects and transmits health data (oxygen saturation, blood pressure and weight) to a web-based server, where it can be monitored by a central research team. These data can be used to facilitate early review of participants whose parameters fall outside individualised, preset parameters (preset by the participant’s treating cardiologist). If such an event occurs, the participant will be contacted by a registered nurse, who will escalate the issue to the patient’s cardiologist or nurse practitioner if required. Further, it provides summary feedback to the participant about their collected parameters and delivers educational messages regarding the management of heart failure via push notifications. Participants will be provided with the smartphone application which they will either download by instruction, or have downloaded for them by a member of the research team. Participants will also be provided with 1) A blood pressure machine 2) A weighing scale and 3) a pulse oximeter. Participants will be provided with Bluetooth enabled devices (where available) so that the data is automatically transmitted to the application. Manual data entry will take place for participants who are not provided a Bluetooth device (due to lack of availability). Participants will be required to provide data daily (where possible). The process will take less than 5 minutes per day. Participants will be requested to enter data daily for a total of 6 months. The intervention is administered by a multicentre research team comprising doctors, nurse practitioners and nurses at the local hospital that the participant is cared for at. Adherence to the intervention can be measured by analysis of the data, as all transmitted readings are available to the research team to view.

Sponsors

Prince of Wales Hospital
Lead SponsorHospital

Study design

Allocation
Non-randomised trial
Primary purpose
Treatment

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

• Patient who is under the care of, or newly referred to, the community heart failure service at one of the three involved hospitals OR a patient with heart failure who is directly referred to the research team by the treating cardiologist. • Patient owns a smartphone or iPad that has the capability to operate the TCC application • Age over 18 years • Able to provide written informed consent

Exclusion criteria

• Inability to use the TCC app and peripheral devices due to reasons including but not limited to: o Cognitive impairment o Impaired dexterity to operate the app o Visual impairment that would not allow adequate operation of the app • Lack of fluency with English language

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026