- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01213862
Home Based Intervention Led by Nurse in Brazil (HFHELENI)
Home Visit Impact on Knowledge of Disease, Self-Care Skills and Quality of Life of Heart Failure Patients: Randomized Clinical Trial
Study Overview
Detailed Description
The epidemiological overview of cardiovascular diseases in which HF turns out to be the main cause of re-hospitalizations in the Unified Health System, which has not changed over the years, impairs the management of the limited resources of the public health system. Additionally, HF leads to substantial damage to the quality of life of patients, many of them at a socially productive age, resulting in early retirements and absences. In this study, the objective is to evaluate the impact of the follow-up of heart failure patients at home, interspersed with telephone contacts, by the nursing team, after hospital discharge, regarding knowledge of the disease, self-care skills and quality of life improvement, compared with the conventional follow-up of patients in a 6-month period without this intervention, as well as to build a mobile-technology computer structure to make the use of cardiology nursing evaluation forms viable; correlate sociodemographic and clinical characteristics with treatment compliance and re-hospitalization rates in both; and ascertain home follow-up costs.
With this purpose, a two-center randomized clinical trial, blinded for the endpoints re-hospitalization and costs, was designed.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients of both sexes
- Age equal to or above 18 years
- Diagnosis of heart failure with systolic dysfunction (ejection fraction ≤ 45%)
- Hospitalized for heart failure decompensation and who agree to participate in the study by signing a Free Informed Consent Form.
Exclusion Criteria:
- Patients presenting with communication barriers and suffering from degenerative neurological diseases.
- Patients who had Acute Coronary Syndrome (ACS) in the past 6 months before randomization
- Patients with renal/hepatic/pulmonary or systemic disease who may confuse the interpretation of findings or result in limited life expectancy
- Surgical or therapeutic treatment that may influence the follow-up
- Pregnancy
Diagnosis of Heart Failure secondary to:
- sepsis
- myocarditis
- acute myocardial infarction
- peripartum cardiomyopathy and other acute cause
- No interest in receiving home visits
- Living more than 10 km away for the original hospital
- No possibility of telephone contact.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: intervention and control
|
There will provided education about what is heart failure, its causes, how to recognize signs and symptoms, monitoring of weight and blood pressure, the importance of compliance to treatment.
Patients will be instructed about the medications; a guide to rest and exercise, sexual activity, vaccines, travel and diet will be provided.
The involvement of the family will be encouraged; the contact with the team should be done when: patient observes an increase of 1 or 2 kg of weight in 2-3 days, worsening of dyspnea on effort, edema in legs / abdomen, worsening of cough, persistent vomiting, syncope, sputum with blood, fever, persistent tachycardia.
In phone calls made between home visits, the compliance to treatment will be evaluated and reinforced.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Knowledge of the disease
Time Frame: Home visit 7 days after discharge
|
This primary outcome will be measured at each home visit, which will have different intervals, according to the research protocol.
|
Home visit 7 days after discharge
|
Self-care skills.
Time Frame: Home visit 7 days after discharge.
|
This primary outcome will be measured at each home visit, which will have different intervals, according to the research protocol.
|
Home visit 7 days after discharge.
|
Quality of Life
Time Frame: Home visit 7 days after discharge
|
This primary outcome will be measured at each home visit, which will have different intervals, according to the research protocol.
|
Home visit 7 days after discharge
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes in functional class.
Time Frame: Home visits (HV) starting 7days after discharge.
|
This secundary outcome will be measured at each visit and phone call, which will have different intervals, according to the research protocol.
|
Home visits (HV) starting 7days after discharge.
|
Presentation to emergency department
Time Frame: Home visits starting 7 days after discharge.
|
This secundary outcome will be measured at each visit and phone call, which will have different intervals, according to the research protocol.
|
Home visits starting 7 days after discharge.
|
Compliance score.
Time Frame: Home visits starting 7 days after discharge.
|
This secundary outcome will be measured at each visit and phone call, which will have different intervals, according to the research protocol.
|
Home visits starting 7 days after discharge.
|
Collaborators and Investigators
Investigators
- Principal Investigator: Eneida R Rabelo da Silva, RN, ScD, Federal University of Rio Grande do Sul
- Principal Investigator: Eneida R Rabelo da Silva, RN, ScD, Universidade Federal do Rio do Sul
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- UFRGS and HCPA 09111
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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