Heart Failure
Conditions
Keywords
readmission, quality of life, self-care
Brief summary
This is a patient-centered comparative effectiveness feasibility pilot designed to examine an intervention to increase heart failure self-care and symptom recognition. The investigators will randomize 100 participants to receive either usual care at the time of discharge after heart failure admission or a smartphone application that enhances self-care.
Interventions
OTHERMobile Health Technology Platform
When the participant navigates to the program, s/he will follow the directions on how to use the program, sign the terms of agreement, put in a password and begin the welcome page. The participant will receive daily prompts to complete brief questionnaires and review specialized content.
OTHERUsual care
Routine care at the time of hospital discharge, to be provided at the discretion of the clinicians caring for the participant.
Sponsors
Agency for Healthcare Research and Quality (AHRQ)
University of Pittsburgh
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
* Inpatient admission for acute decompensated heart failure * Left ventricular systolic or diastolic heart failure * Owns a smartphone with a data plan
Exclusion criteria
* Hospice or life expectancy less than 6 months * Palliative inotrope use * Heart transplant listed, or status post transplant * Ventricular assist devise present, or awaiting placement * Not being discharged to home * Unable to provide consent or comply with the intervention * Current enrollment in a remote monitoring/ telehealth program
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percent of participants readmitted within 30 days | 30 days post index discharge | 30-day readmission rate as determined by participant report or medical record query |
| Percent of participants readmitted within 90 days | 90 days post index discharge | 90-day readmission rate as determined by participant report or medical record query |
| Time to readmission | from the date of enrollment until the date of first documented admission or date of death from any cause, whichever comes first, assessed up to 90 days | time to readmission |
| Kansas City Cardiomyopathy Questionnaire at 30 days post enrollment | 30 days post index discharge | Quality of life, subjective level of function |
| Kansas City Cardiomyopathy Questionnaire at 90 days post enrollment | 90 days post index discharge | Quality of life, subjective level of function |
Countries
United States
Outcome results
None listed