A Family Intervention for Improving Self-Care of Patients With Heart Failure
Completed · Early Phase 1
Conditions studied: Heart Failure, Congestive
In brief
This is a pilot study of a family-based educational program for patients with heart failure, and their family members.
Key facts
- Study ID
- NCT00645489
- Run by
- US Department of Veterans Affairs
- People needed
- 40
- Starts
- 2008-03-01
- Expected to finish
- 2009-12-01
- Last updated by the study team
- 2010-01-06
Who can join
Age: 50 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Stage C Heart Failure,[34] which refers to past or current symptoms of heart failure with underlying structural heart disease. Indicated by chronic systolic dysfunction (left ventricle [LV] ejection fraction < 45%), diastolic dysfunction (with echo evidence of diminished compliance of the LV), or both.
- The patient's cardiologist has recommended or initiated one of the following to prevent decompensation: continuing diuretic treatment, fluid restrictions, and/or restriction/reduction of dietary sodium intake.
- A family member or members available for study participation with whom patient lives for at least 5 days a week. Emphasis will be given to the closest family members available (i.e., spouse).
- Subjects are able to give informed consent (see below for exclusion due to well-documented dementia or evidence of cognitive impairment).
- Patients will be age 50 or above. Younger patients may have a different family environment than the most common type of patient who is the target of the FPI intervention.
You may not qualify if…
- Patient has a well-documented diagnosis of dementia
- Moderate or greater cognitive impairment, based on the Blessed Test of Orientation, Memory, and Concentration (BOMC)[26] score of 16.
- Patient's family member has BOMC score of 10 (i.e., mild or greater cognitive impairment).
- Inability to communicate verbally, major visual impairment, uncorrected hearing loss.
- Patient and/or family member reports "frequent use" illicit substance abuse within the past year. Scores on the AUDIT-C 4 indicating alcohol abuse/dependence.[30]
- Patient or family member has a current diagnosis of schizophrenia spectrum psychiatric disorder (e.g., schizophrenia, schizoaffective disorder).
- Patient indicates active suicidal ideation and evaluated as a clinical risk.
- Patient is in the Philadelphia VAMC home-telehealth program or some other incompatible intervention.
- Patient has an unstable medical condition that would likely prevent the subject from completing the study.
Where it is running
- VA Medical Center, Philadelphia — Philadelphia, Pennsylvania, United States
Full record on ClinicalTrials.gov
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