Randomized trial of telemonitoring to improve heart failure outcomes (Tele-HF): Study design

JOURNAL OF CARDIAC FAILURE

卷:13

Article

Barton, Barbara¹  Mattera, Jennifer^1,2  Spertus, John³  Krumholz, Harlan M.^1,4,5,6 

[1] Yale New Haven Med Ctr, Ctr Outcomes Res & Evaluat, New Haven, CT USA

[2] St Lukes Hosp, Mid Amer Heart Inst, Cardiovasc Educ & Outcomes Res, Kansas City, MO 64111 USA

[3] Univ Missouri, Dept Internal Med, Sect Cardiovasc Med, Kansas City, MO 64110 USA

[4] Yale Univ, Sch Med, Dept Internal Med, Sect Cardiovasc Med, New Haven, CT 06510 USA

[5] Yale Univ, Sch Med, Dept Epidemiol & Publ Hlth, Sect Hlth Policy & Adm, New Haven, CT 06510 USA

[6] Yale Univ, Sch Med, Robert Wood Johnson Clin Scholars Program, New Haven, CT USA

关键词: heart failure;    disease management;    self-care;   

DOI  :  10.1016/j.cardfail.2007.06.720

来源: Elsevier

【 摘 要 】

Background: Telemonitoring, the use of communication technology to monitor clinical status, is gaining attention as a strategy to improve the care of patients with heart failure. A system of frequent monitoring could alert clinicians to early heart failure decompensation, providing the opportunity for intervention before patients become severely ill and require hospitalization. Moreover, patients' participation in a daily monitoring program could have a favorable effect on their health behaviors. The literature on telemonitoring for heart failure, however, is quite limited. Methods and Materials: Telemonitoring to Improve Heart Failure Outcomes (Tele-HF) is a randomized, controlled, trial designed to compare an automated, daily symptom, and self-reported weight monitoring intervention with usual care in reducing (all-cause) hospital readmissions and mortality among patients recently hospitalized with decompensated heart failure. The intervention will be implemented and all outcomes will be assessed over a 6-month period. The purpose of the intervention is to collect information about symptoms, clinical status and weight and to engage participants in their own self-care. Participants are recruited from general cardiology, heart failure specialty, and primary care practices across the United States. Conclusions: The results of this study may inform future policy decisions regarding implementation of telemonitoring in treatment of heart failure.

【 授权许可】

Free