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Effectiveness of a transitional care support program

Effectiveness of a Transitional Care Support Program for People with Heart Failure: A Randomized Controlled Trial

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
TCTR
Registry ID
TCTR20250319006
Enrollment
66
Registered
2025-03-19
Start date
2022-12-05
Completion date
Unknown
Last updated
2026-08-03

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

Conditions

People with heart failure Hospital readmission, Patients with heart failure, Quality of life, Self-care behavior, Transitional care program

Interventions

The principal investigator developed the program based on the TCM by Naylor et al. and a review of relevant literature. The experimental group received the program from the principal investigator in c
(2) continuous care post-discharge, focused on promoting continuous self-care, managing symptoms, and ensuring adherence to the treatment plan. It was implemented over four weeks and consisted of eigh
s experience
Experimental Behavioral,No Intervention Behavioral
A Transitional Care Program in Patients with Heart Failure,Standard of care

Sponsors

None listed

Eligibility

Sex/Gender
All
Age
18 Years to 80 Years

Inclusion criteria

Inclusion criteria: 1. Participants aged 18 years and older were diagnosed with heart failure by a physician., 2. Patients with heart failure severity and activity capability are classified as New York Heart Association functional class II or III., 3. The patients symptoms have been stable for at least 24 hours, and the patient has stable vital signs and no dyspnea., 4. Participants could communicate in Thai and had no cognitive impairments. Patients over 60 years old were assessed for cognitive impairment using the Six-item Cognitive Impairment Test total score had to be less than 8 points., 6. Participants could communicate via telephone and Line applications., 7. Consent was required to participate in the research.

Exclusion criteria

Exclusion criteria: 1. Patients whose condition worsened or who died during hospitalization or the research process., 2. Patients who were unable to be contacted after discharge from the hospital., 3. Patients who withdrew from the study during the research period., 4. Patients with heart failure who received other care programs during the research process.

Design outcomes

Primary

MeasureTime frame
Quality of Life 4 weeks post-discharge (immediately after the program ended), 12 weeks post-discharge (8 weeks after the program ended) The Minnesota Living with Heart Failure Score

Secondary

MeasureTime frame
Self-care behavior 4 weeks post-discharge (immediately after the program ended), 12 weeks post-discharge (8 weeks after the program ended) The Self-Care of Heart Failure score,Hospital readmission within 28 days after discharge Number of times

Countries

Thailand

Contacts

Public ContactRatchaneekorn Sunonnam

Mahidol University

Ratchaneekorn.sun@student.mahidol.ac.th0811850358

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 10, 2026