Patient Activation in High-Risk Patients With Heart Failure

Completed · Not applicable

Conditions studied: Heart Failure

In brief

The purpose of this study was to determine the efficacy of a self-management program, called the Heart PACT Program, compared to usual health care in patients with heart failure. Outcomes measured were patient activation (skills needed to maintain function, collaborate with providers, and access care), self-care management, hospitalizations and emergency department visits.

Key facts

Study ID

NCT00260650

Run by

VA Office of Research and Development

People needed

84

Starts

2006-09-01

Expected to finish

2010-09-01

Last updated by the study team

2019-10-08

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• This study was done at the VA San Diego Healthcare System only. Participants must live in San Diego and meet all of the following inclusion criteria:
• Has VA primary care provider for heart failure care
• Hospitalization or emergency department visit for treatment of HF within past 12 months. Hospital discharge must be at least one month prior to study enrollment.
• Hospitalization diagnoses may include: acute myocardial infarction (MI) or acute coronary syndrome with LV dysfunction (EF <40%); status post coronary bypass graft surgery with LV dysfunction (EF < 40%)
• Documented heart failure (systolic or diastolic dysfunction) by echocardiogram or physician diagnosis and Stage C heart failure
• 18 years of age or older
• Read and speak English
• Have telephone access

You may not qualify if…

• Patients will be excluded if they meet any of these criteria:
• Are unable to give written informed consent
• Have had a major acute medical problem (e.g., stroke, acute MI, CABG, or percutaneous intervention), or are considered medically unstable within the prior month
• Have a history of severe pulmonary disease, renal disease requiring dialysis, severe hepatic disease, severe aortic or mitral stenosis, constrictive pericarditis, or cardiac transplant
• Have a left ventricular assist device (LVAD)
• Have a bi-ventricular pacemaker or implantable cardioverter defibrillator (ICD) placement in the past 1 month
• Have a life expectancy of less than 1 year
• Have current acute psychiatric problems, active substance abuse or homelessness
• Are participating in an ongoing clinical drug trial.
• Enrolled in specialty HF care via the HF Program or telehealth

Where it is running

• VA San Diego Healthcare System — San Diego, California, United States

Full record on ClinicalTrials.gov

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