Heart Failure Self-care Mobile Application to Reduce Readmissions Trial (HF-SMART)

August 4, 2021 updated by: Amber Johnson, University of Pittsburgh
This is a patient-centered comparative effectiveness feasibility pilot designed to examine an intervention to increase heart failure self-care and symptom recognition. The investigators will randomize 100 participants to receive either usual care at the time of discharge after heart failure admission or a smartphone application that enhances self-care.

Study Overview

Status

Terminated

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

32

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • Pennsylvania
      • Pittsburgh, Pennsylvania, United States, 15213
        • University of Pittsburgh

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Inpatient admission for acute decompensated heart failure
  • Left ventricular systolic or diastolic heart failure
  • Owns a smartphone with a data plan

Exclusion Criteria:

  • Hospice or life expectancy less than 6 months
  • Palliative inotrope use
  • Heart transplant listed, or status post transplant
  • Ventricular assist devise present, or awaiting placement
  • Not being discharged to home
  • Unable to provide consent or comply with the intervention
  • Current enrollment in a remote monitoring/ telehealth program

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Supportive Care
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: Usual care
Consists of routine care at the time of hospital discharge, to be provided at the discretion of the clinicians caring for the participant.
Other: Usual care
Routine care at the time of hospital discharge, to be provided at the discretion of the clinicians caring for the participant.
Experimental: Application
Participants will be provided a special link to navigate to the online content and resources.
Other: Mobile Health Technology Platform
When the participant navigates to the program, s/he will follow the directions on how to use the program, sign the terms of agreement, put in a password and begin the welcome page. The participant will receive daily prompts to complete brief questionnaires and review specialized content.
Other Names:
  • Smartphone Program

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Percent of participants readmitted within 30 days
Time Frame: 30 days post index discharge
30-day readmission rate as determined by participant report or medical record query
30 days post index discharge
Percent of participants readmitted within 90 days
Time Frame: 90 days post index discharge
90-day readmission rate as determined by participant report or medical record query
90 days post index discharge
Time to readmission
Time Frame: from the date of enrollment until the date of first documented admission or date of death from any cause, whichever comes first, assessed up to 90 days
time to readmission
from the date of enrollment until the date of first documented admission or date of death from any cause, whichever comes first, assessed up to 90 days
Kansas City Cardiomyopathy Questionnaire at 30 days post enrollment
Time Frame: 30 days post index discharge
Quality of life, subjective level of function
30 days post index discharge
Kansas City Cardiomyopathy Questionnaire at 90 days post enrollment
Time Frame: 90 days post index discharge
Quality of life, subjective level of function
90 days post index discharge

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

University of Pittsburgh

Collaborators

Agency for Healthcare Research and Quality (AHRQ)

Investigators

  • Principal Investigator: Amber E Johnson, MD, University of Pittsburgh

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

July 12, 2019

Primary Completion (Actual)

July 30, 2020

Study Completion (Actual)

July 30, 2020

Study Registration Dates

First Submitted

June 7, 2019

First Submitted That Met QC Criteria

June 7, 2019

First Posted (Actual)

June 11, 2019

Study Record Updates

Last Update Posted (Actual)

August 12, 2021

Last Update Submitted That Met QC Criteria

August 4, 2021

Last Verified

August 1, 2021

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • STUDY18110012
  • K12HS019461 (U.S. AHRQ Grant/Contract)

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

No

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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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