Mobile App With Patient Financial Incentives for Adherence to Heart Failure Medications & Daily Self-Weighing

Withdrawn before enrolling · Not applicable

Conditions studied: Heart Failure, Heart Failure, Congestive, Heart Failure, Systolic

In brief

The goal of this study is to test the efficacy of a financial incentives-based telehealth intervention to reduce 30- and 90-day heart failure (HF) readmissions by tracking and increasing adherence to patient self-care - specifically by incentivizing adherence to prescribed cardiac medication regimen and daily self-weighing. Patients randomized to the treatment arm will be given a cellular-connected scale to use at home, as well as a mobile app on their smartphone that tracks their adherence to daily self-weighing through the scale and cardiac medications via patient photo submission. The health care team will intervene if a sudden increase in weight is detected (2 lbs/day or 5 lbs/week). Financial incentives of $150 are offered for full adherence over 90 days. Each day where the patient does not step on the scale and complete a medication check-in will result in a deduction of $2 per day from the incentive amount to be paid out. The control group will receive the usual discharge instructions as prescribed by their health care team.

Key facts

Study ID

NCT03034551

Run by

Wellth Inc.

People needed

0

Starts

2017-01-30

Expected to finish

2019-12-31

Last updated by the study team

2019-05-09

Who can join

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

You may qualify if…

• Admitted to or discharged from University Medical Center of Princeton at Plainsboro (UMPCC) with the primary diagnosis of heart failure with reduced ejection fraction (ICD-10 code I50.2x)
• Standard of care medications for heart failure with reduced ejection fraction
• Own a smart phone with a sufficient data plan or home Wi-Fi. Up to 30 phones can be provided if needed.
• Able to speak and understand either English or Spanish and able to learn the Wellth app.

You may not qualify if…

• Diagnosis of HF following non-cardiac admission
• Discharge to a care facility (anywhere that is not home)
• Inability to step on a scale and steady oneself to obtain an accurate weight
• Cognitive impairment or documented psychiatric illness that limits ability to understand and respond to health-related questions
• Inability to operate a mobile phone

Where it is running

• University Medical Center of Princeton at Plainsboro — Plainsboro, New Jersey, United States

Full record on ClinicalTrials.gov

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