Group Medical Visits in Heart Failure
Completed · Not applicable
Conditions studied: Heart Failure
In brief
The primary goal of this proposal is to improve the quality of care and outcomes for patients discharged with heart failure using an innovative multidisciplinary group intervention approach. Heart failure is a complex chronic illness where comprehensive patient-centered care is difficult and resource intensive. One potential solution is to use shared medical appointments (SMA), where a group of patients with the same disease process shared the same medical or clinic appointment. This can be provided by a multi-disciplinary team of providers with expertise in nutrition, nursing, behavior and medication management join to manage heart failure. The investigators will enroll patients from Providence, Cleveland and Phoenix VA Hospitals who were within 12 weeks of discharge from a heart failure hospitalization and/or an outpatient encounter (clinic, emergent or urgent care) that required IV diuretic therapy. Patients were randomized them to receive SMA intervention or usual care. Results from this project are expected to add an innovative intervention that could improve outcomes important for both the patient and the VA: health status, hospitalizations, and mortality.
Key facts
- Study ID
- NCT02481921
- Run by
- VA Office of Research and Development
- People needed
- 242
- Starts
- 2015-05-01
- Expected to finish
- 2021-12-31
- Last updated by the study team
- 2024-07-24
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- All subjects >18 years old,
- within 12 weeks of discharge from a heart failure hospitalization and/or an outpatient encounter (clinic, emergent or urgent care) that required IV diuretic therapy
- able to participate in a group setting and
- able to sign informed consent, will be eligible for enrollment
You may not qualify if…
- Unable to attend the group sessions due to either psychiatric instability (acutely suicidal, psychotic) or organic brain injury (e.g., severe dementia, encephalopathy) that precludes self-reporting on health status
- Discharged to hospice or long-term nursing home facilities (as opposed to short-term rehab), or patients with a code status of comfort-measures-only
- Recipients of heart transplant or ventricular assist devices, patients receiving intravenous inotropic infusions for heart support, women who are pregnant, and patients with end-stage liver disease or renal disease on dialysis since these conditions would preclude them from standard HF care. All women of childbearing age will have a pregnancy test before study enrollment.
Where it is running
- Phoenix VA Health Care System, Phoenix, AZ — Phoenix, Arizona, United States
- Louis Stokes VA Medical Center, Cleveland, OH — Cleveland, Ohio, United States
- Providence VA Medical Center, Providence, RI — Providence, Rhode Island, United States
Full record on ClinicalTrials.gov
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