Empowering Elders Through Technology

This study has been completed.
Sponsor:
Collaborator:
University of Pennsylvania
Information provided by:
Robert Wood Johnson Foundation
ClinicalTrials.gov Identifier:
NCT00261664
First received: December 2, 2005
Last updated: July 25, 2011
Last verified: July 2011
  Purpose

Telehomecare is a technology that individuals use in their homes to communicate with health providers electronically. This technology can help them function at a higher level and avoid undesirable hospitalizations by making changes in their everyday behaviors, but research is needed to understand how telehomecare supports health behavior change and leads to improved health status.

The hypothesis being tested is that the use of an electronic method of monitoring and transmitting health information facilitates patient empowerment, with subsequent effects on the patient's ability to manage her/his treatment regimen more effectively. The study will explore the relationship between telehomecare and acquisition of knowledge, and will show whether changes in knowledge levels translate to changes in behaviors and improved health outcomes. The effects of two different telehomecare systems (nurse-directed vs. patient-directed) on knowledge, self-management, and health status will be compared. A further goal is to illuminate the attitudes of physicians regarding the use of telehomecare in the treatment of their elderly, community dwelling patients.

Results will inform managers and policymakers who are responsible for integrating eHealth mechanisms into chronic disease protocols, funding health care programs, and creating policies that support the use of information technology by all Americans.


Condition Intervention Phase
Congestive Heart Failure
Device: telehomecare
Phase 1
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Single Blind
Primary Purpose: Treatment
Official Title: Empowering Elders Through Technology

Resource links provided by NLM:


Further study details as provided by Robert Wood Johnson Foundation:

Primary Outcome Measures:
  • Self-management of heart failure

Estimated Enrollment: 290
Study Start Date: September 2003
Study Completion Date: July 2005
Detailed Description:

This study, funded by the Robert Wood Johnson Foundation through its Health e-Technologies Initiative (www.hetinitiative.org) is investigating the impact of telehomecare on health outcomes of persons with heart failure. The study began on September 1, 2003 and ends on February 28, 2006.

This study targets elderly persons with congestive heart failure (CHF), a major health problem affecting more than 4 million Americans. The research hypothesis being tested is that the use of an electronic method of monitoring and transmitting health information facilitates patient empowerment, with subsequent effects on the patient's ability to manage her/his treatment regimen more effectively. The study will explore the linkages between telehomecare and acquisition of knowledge, and will show whether changes in knowledge levels translate to changes in behaviors and improved health outcomes.

The effects of two different telehomecare systems (nurse-directed vs. patient-directed) on knowledge, self-management, and health status will be compared. A further goal is to illuminate the attitudes of physicians regarding the use of telehomecare in the treatment of their elderly, community dwelling patients.

Specific objectives are:

  1. To evaluate the impact of telehomecare on patients' knowledge and self-management of heart failure, and cardiovascular health outcomes;
  2. To compare the effect of two different telehomecare systems on patients' knowledge and self-management of heart failure, and cardiovascular health outcomes;
  3. To investigate how the personal characteristics of older persons influence human-computer interaction and user satisfaction;
  4. To describe and predict the attitudes and intentions of physicians regarding the use of telehomecare applications; and,
  5. To analyze relationships among individual characteristics, information use, self-management of heart-failure and health status.
  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • clinical diagnosis of congestive heart failure
  • must have telephone line in home

Exclusion Criteria:

  • none
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00261664

Locations
United States, Pennsylvania
Pennsylvania State University
University Park, Pennsylvania, United States, 16802
Sponsors and Collaborators
Robert Wood Johnson Foundation
University of Pennsylvania
Investigators
Principal Investigator: Kathryn Dansky Penn State University
  More Information

No publications provided

ClinicalTrials.gov Identifier: NCT00261664     History of Changes
Other Study ID Numbers: 49150
Study First Received: December 2, 2005
Last Updated: July 25, 2011
Health Authority: United States: Institutional Review Board

Additional relevant MeSH terms:
Heart Failure
Heart Diseases
Cardiovascular Diseases

ClinicalTrials.gov processed this record on July 22, 2014