The Focus is to Investigate Effects of a Disease Management Intervention for Patients With Congestive Heart Failure
Conditions
Brief summary
The aim of this study is to determine whether a nurse-managed telephone-based disease-management intervention can reduce healthcare utilization and improve self-assessed health status in patients with congestive heart failure.
Interventions
BEHAVIORALDisease-Management intervention
The participants in the intervention group receive a nurse-managed disease-management intervention that is regularly delivered by telephone or, when necessary, in person
Sponsors
Region Stockholm
Ostergotland County Council, Sweden
Vastra Gotaland Region
Uppsala County Council, Sweden
Health Navigator
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients with ≥1 unplanned inpatient occasion with primary diagnosis of heart failure ( I50) during the last 12 months * Heart failure grade NYHA II- III * Accurate heart failure diagnosis * Living in one of four Swedish counties where the trial is ongoing
Exclusion criteria
* Deceased * In a moribund state * Significant cognitive loss and therefore cannot provide consent * Psychosis diagnosis * Severe hearing impairment * Language difficulties * Participants in another study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of hospitalizations | From randomization for up to 2 years |
| Number of outpatient visits to medical doctor | From randomization for up to 2 years |
Secondary
| Measure | Time frame |
|---|---|
| Mortality | From randomization for up to 2 years |
| Length of hospital stays | From randomization for up to 2 years |
| Total health care cost | From randomization for up to 2 years |
Countries
Sweden
Contacts
Primary ContactGustaf Edgren
Outcome results
None listed