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Trial record 15 of 1373 for:    rural

Improving Heart Failure Outcomes Rural (IHO Rural)

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ClinicalTrials.gov Identifier: NCT02395588
Recruitment Status : Completed
First Posted : March 23, 2015
Last Update Posted : September 26, 2017
Sponsor:
Information provided by (Responsible Party):
University of Maryland, Baltimore ( University of Maryland, College Park )

Brief Summary:
This study will test if standardized care helps patients feel better, if it can be implemented in rural hospitals, and find out which healthcare processes and outcomes are most important to heart failure patients.

Condition or disease Intervention/treatment
Heart Failure Other: Guideline based care

Detailed Description:
The aims of this research are to: 1) Conduct a quasi-experimental study of rural hospitals to test if guideline-based care (standardized patient education, making a post discharge appointment with the patient's provider and calling the patient at 48 hours to reinforce HF education) improves patient outcomes (better self-care, and lower readmissions at 7 and 30 days post discharge); 2) Identify hospital (staffing, practice environment, costs) and provider (evidence-based practices) characteristics associated with better implementation of heart failure patient care processes; and 3) Determine which healthcare processes and outcomes are most important to heart failure patients. A quasi-experimental study with mixed methods will be used. The sample consists of HF patients (N=40, 20 each hospital) and nurses who care for HF patients on study units (N=90, 45 each hospital) from 2 rural hospitals. Survey data will be collected from patients (baseline, discharge, 48 hours and 7 days post discharge) and nurses (baseline, during patient education, on patient discharge). Secondary data will be collected quarterly on nurse staffing and once for patient readmission within 30 days of discharge. Structured patient interviews will be conducted with 10 HF patients in person to determine which health care processes and outcomes are most important to them. Both patients and nurses will be engaged to inform study procedures and outcomes consistent with the tenants of patient-centered outcomes research.

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Study Type : Observational
Actual Enrollment : 26 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Improving Heart Failure Outcomes (IHO)
Study Start Date : April 2014
Actual Primary Completion Date : June 2015
Actual Study Completion Date : June 2015

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Heart Failure

Group/Cohort Intervention/treatment
Guideline based care

Prior to discharge. Survey data will include descriptive characteristics, depression, heart failure knowledge. After patient education is complete prior to discharge patients will complete a readiness for discharge scale and heart failure self-care survey.

Phone call 48 hours after discharge. Discharge instructions will be reinforced.

Phone call 7 days after discharge. Survey data will include self management, complications, and satisfaction care.

Secondary data 30 days post discharge. The hospital electronic medical record system will be queried to determine if the patient has been readmitted within 30 days of discharge for heart failure or non-heart failure causes.

Other: Guideline based care
Patient education using guideline based teaching guides




Primary Outcome Measures :
  1. Self-management [ Time Frame: 7 Days ]
    Self-care of Heart Failure Index


Secondary Outcome Measures :
  1. Readmission [ Time Frame: 7 and 30 days post discharge ]
    Readmission to the hospital (all cause and heart failure related)



Information from the National Library of Medicine

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Ages Eligible for Study:   21 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Adult patients admitted to participating rural hospitals with a diagnosis of heart failure.
Criteria

Inclusion Criteria:

  • Admitted to hospital with a diagnosis of heart failure
  • Age > 20
  • Cognitively intact
  • English speaking
  • Plan for discharge to home, assisted living or intermediate care

Exclusion Criteria:

  • Patients with planned discharge to sub-acute or nursing home facilities
  • Patients enrolled in another research study to test interventions to improve heart failure knowledge, self-management or reduce readmission to the hospital within 30 days post discharge
  • Patients that are cognitively impaired
  • Patients that are transferred to another unit in the hospital, and will be discharged from that unit
  • Patients who undergo or have a planned surgical intervention during their hospital stay

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02395588


Locations
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United States, Virginia
Riverside Shore Memorial Hospital
Nassawadox, Virginia, United States, 23413
Riverside Tappahannock Hospital
Tappahannock, Virginia, United States, 22560
Sponsors and Collaborators
University of Maryland, College Park
Investigators
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Principal Investigator: Robin P Newhouse, PhD, RN University of Maryland School of Nursing

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Responsible Party: University of Maryland, College Park
ClinicalTrials.gov Identifier: NCT02395588     History of Changes
Other Study ID Numbers: HP-00055798
First Posted: March 23, 2015    Key Record Dates
Last Update Posted: September 26, 2017
Last Verified: September 2017
Additional relevant MeSH terms:
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Heart Failure
Heart Diseases
Cardiovascular Diseases