Educational Program to Improve Heart Failure Outcomes in Adults Living in Rural Areas (REMOTE-HF)
Recruitment status was Recruiting
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Purpose
Heart failure patients living in rural areas usually do not have adequate access to formal heart failure management programs. This study will compare two versions of an educational intervention aimed at improving self-care management techniques among individuals with heart failure who are living in rural areas.
| Condition | Intervention | Phase |
|---|---|---|
|
Heart Failure, Congestive |
Behavioral: Fluid Watchers LITE Educational Intervention Behavioral: Fluid Watchers PLUS Educational Intervention |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Health Services Research |
| Official Title: | Improving Self Care Behavior and Outcomes in Rural Patients With Heart Failure |
- Hospitalization for heart failure and cardiac mortality [ Time Frame: Measured at Year 2 ] [ Designated as safety issue: No ]
- Heart failure-related emergency department visits (without hospitalization) [ Time Frame: Measured at Year 2 ] [ Designated as safety issue: No ]
- Unplanned physician visits [ Time Frame: Measured at Year 2 ] [ Designated as safety issue: No ]
- Heart failure severity (New York Heart Association [NYHA] class and brain natriuretic peptide) [ Time Frame: Measured at Year 2 ] [ Designated as safety issue: No ]
- Quality of life [ Time Frame: Measured at Year 2 ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 710 |
| Study Start Date: | January 2007 |
| Estimated Study Completion Date: | April 2012 |
| Estimated Primary Completion Date: | April 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
Fluid Watchers LITE program
|
Behavioral: Fluid Watchers LITE Educational Intervention
Patients in Fluid Watchers LITE will receive counseling about HF and self-monitoring, and coaching on seeking care. They will receive written material, a diary, a scale and a telephone follow-up to answer any questions they might have about the educational session.
|
|
Experimental: 2
Fluid Watchers PLUS program
|
Behavioral: Fluid Watchers PLUS Educational Intervention
Patients in Fluid Watchers PLUS will receive counseling about HF and self-monitoring, and coaching on seeking care. They will receive written materials, a diary, a scale, an audio tape of the session and telephone followup. Participants in the PLUS program will receive additional counseling, audio tapes, and follow-up telephone calls on a biweekly basis, as compared to participants in the LITE program.
|
|
No Intervention: 3
Usual care control group
|
Detailed Description:
Heart failure is a life-threatening condition in which the heart can no longer pump enough blood to the rest of the body. It is important for individuals with heart failure to closely monitor their symptoms and seek out medical attention when appropriate. Swelling and weight gain are common heart failure symptoms that indicate excess fluid buildup in the body and worsening heart function. Closely monitoring and responding to these symptoms can be a strategic way to prevent heart failure exacerbations. However, many patients ignore symptoms and are reluctant to seek care. Specialized monitoring programs can help heart failure patients to respond more appropriately to their symptoms.
Traditionally, heart failure patients living in rural areas have had limited access to formal monitoring programs. Fluid Watchers is a program designed to help heart failure patients living in rural areas improve self-management of symptoms, specifically excess fluid buildup. The purpose of this study is to compare the effectiveness of two versions of Fluid Watchers at improving the hospitalization and death rates of individuals with heart failure who live in rural areas.
In this 2-year study, 710 participants will be randomly assigned to either the Fluid Watchers LITE program, the Fluid Watchers PLUS program, or a usual care control group. Individuals in both Fluid Watchers groups will attend a one-on-one educational session that will include heart failure counseling and information on self-monitoring and care-seeking strategies. Participants in the PLUS program will receive additional counseling, audio tapes, and follow-up telephone calls on a biweekly basis. All participants will record self-monitoring adherence and contact with healthcare providers. Outcome measures will be assessed during either clinic or home visits at study entry and Months 3, 12, and 24, and will include number of emergency department visits, number of physician visits, heart failure severity, and quality of life.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Hospitalized for heart failure in the 6 months prior to study entry
- Able to read and write English
- Lives independently
Exclusion Criteria:
- Current participation in a heart failure management program
- Impaired cognition
- Serious co-morbidity
Contacts and Locations| Contact: Kathleen A. Dracup, DNSc | 415-476-1805 | kathy.dracup@nursing.ucsf.edu |
| Contact: Jessica Zegre, MS | 415-476-4745 | jessica.zegre@nursing.ucsf.edu |
| United States, California | |
| University of California, Davis | Recruiting |
| Davis, California, United States, 95817 | |
| Contact: Thomas Nesbitt, MD 916-734-3251 thomas.nesbitt@ucdmc.ucdavis.edu | |
| Contact: Lorraine Pellagrino, MPH 916-734-2327 lorraine.pellegrino@ucdmc.ucdavis.edu | |
| Principal Investigator: Thomas Nesbitt, MD | |
| United States, Kentucky | |
| University of Kentucky | Recruiting |
| Lexington, Kentucky, United States, 40526 | |
| Contact: Debra Moser, DNSc 859-323-6687 dmoser@uky.edu | |
| Principal Investigator: Debra Moser, DNSc | |
| United States, Nevada | |
| Washoe Health Care System | Recruiting |
| Reno, Nevada, United States, 89523 | |
| Contact: Michele Pelter, PhD 775-982-4221 mpelter@washoehealth.com | |
| Contact: Kimberly Stephens, MS 775-982-4221 kstephens@washoehealth.com | |
| Principal Investigator: Michele Pelter, PhD | |
| Principal Investigator: | Kathleen A. Dracup, DNSc | University of California, San Francisco |
More Information
Publications:
| Responsible Party: | Kathleen Dracup/Principal Investigator, University of California, San Francisco |
| ClinicalTrials.gov Identifier: | NCT00415545 History of Changes |
| Other Study ID Numbers: | 423, R01 HL083176-01A1 |
| Study First Received: | December 21, 2006 |
| Last Updated: | July 10, 2009 |
| Health Authority: | United States: Federal Government |
Keywords provided by National Heart, Lung, and Blood Institute (NHLBI):
|
Heart Failure Patient Education |
Additional relevant MeSH terms:
|
Heart Failure Heart Diseases Cardiovascular Diseases |
ClinicalTrials.gov processed this record on May 19, 2013