Self-management Adherence in Heart Failure Patients
Completed · Not applicable
Conditions studied: Heart Failure
In brief
Non-adherence to self-management behaviors is prevalent and accounts for hospital readmissions in heart failure (HF) patients 65 years of age and older. The mechanism to activate and engage HF patients in managing their own care is uncertain. Yet post-acute care service that is vital to improve HF patients' self-management adherence and HF outcomes is suboptimal in rural hospitals (primarily critical access hospitals). The investigators central hypothesis is that patients with higher activation level will have significantly better self-management adherence. This study will test whether Patient AcTivated Care at Home (PATCH) will improve self-management adherence and health outcome (reduced hospital readmissions), as well as the feasibility to translate the research findings to a home based post-acute care service in rural communities.
Key facts
- Study ID
- NCT01964053
- Run by
- University of Nebraska
- People needed
- 105
- Starts
- 2013-10-01
- Expected to finish
- 2016-03-01
- Last updated by the study team
- 2023-09-06
Who can join
Age: 21 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- have HF as one of their discharge diagnoses;
- have New York Heart Association (NYHA) class II to IV symptoms or have NYHA class I symptoms
- have had at least one other HF-related hospitalization or emergency department visit in the previous year;
- are discharged to home;
- pass a mini-cog screen
- understand English;
- have access to a phone.
You may not qualify if…
- Have scheduled procedures and/or surgeries during hospitalization;
- Have depressive symptoms (receive a score of 3 or above on the Patient Health Questionnaire-2 (PHQ-2) have documented medical diagnosis or diagnostic evidence of liver cirrhosis;
- Have renal failure (serum creatinine greater than 2.0mg/dl)
Where it is running
- Beatrice Community Hospital & Health Center — Beatrice, Nebraska, United States
- Jefferson Community Health Center — Fairbury, Nebraska, United States
Full record on ClinicalTrials.gov
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