EMPOWER Study, a Personalized Home Care Intervention for Older Heart Failure Patients

Not Applicable

Withdrawn

• Conditions: Heart Failure
• Interventions: Behavioral: EMPOWER

• Registration Number: NCT03971149
• Lead Sponsor: University of Rochester

Brief Summary

The purpose of this study is to see how investigators may best improve treatment adherence and disease management for heart failure after hospital discharge. This is because the period after hospital discharge is critical to long-term recovery, overall quality of life, and prevention of future hospitalizations. In this study, a trained nurse interventionist will work with the participants to develop a personalized adherence enhancement strategy for heart failure diagnosis. The personalized adherence enhancement strategy is called EMPOWER.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2019-05-29
• Study First Submitted QC: 2019-05-29
• Study First Posted: 2019-06-03
• Study Start: 2021-01-01
• Status Verified: 2021-04
• Last Update Submitted: 2021-04-17
• Last Update Posted: 2021-04-20
• Primary Completion: 2021-12-31
• Study Completion: 2021-12-31

Recruitment & Eligibility

• Status: WITHDRAWN
• Sex: All
• Target Recruitment: Not specified

Inclusion Criteria

• diagnosis of moderate/severe heart failure at hospital admission, defined by ICD codes (ICD-9 428 or ICD-10 150), New York Heart Association class III/IV, and left ventricular ejection fraction less than or equal to 40% (i.e., echocardiography)
• discharge from heart failure-led hospitalization to home health care in approximately the previous week
• intact or mildly impaired cognitive function (Montreal Cognitive Assessment eligibility scores greater than or equal to 18)
• primary residence in four counties within 30 minutes distance to the University of Rochester

Exclusion Criteria

• end-of-life prognosis in the following 6 months that make it difficult to examine the changes in heart failure outcomes
• currently receiving hospice care
• conditions that impact the receipt of the intervention such as active suicidal ideation that is identified at baseline using the Geriatric Depression Scale and the Geriatric Suicide Ideation Scale
• being non-English speaking
• having serious visual and or hearing impairment

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Behavorial intervention	EMPOWER	-

Primary Outcome Measures

Name	Time	Method
Mean change in medication adherence	week 1 to 3 months	Adherence will be calculated either by manual pill counting or by the Medication Event Monitoring System, a microelectronic monitoring device on the cap of medication containers.
mean change in adherence to low-sodium diet	week 1 to 3 months	Adherence to low sodium diet will be assessed by the Dietary Sodium Restriction Questionnaire (DSRQ). The DSRQ is composed of 3 subscales: 1) attitude toward the behavior, 2) subjective norm, and 3) perceived behavioral control.; Attitude. There are 6 items in the Attitude subscale. The scores on this subscale ranged from 6 to 30, where a higher score indicates correct attitudes (better knowledge) about following a low-sodium diet.; Subjective norm. There are 3 items in the Subjective Norm subscale. The scores on this subscale ranged from 3 to 15, where a higher score indicates heavier influence of subjective norm of social contacts on one's adherence to low-sodium diet.; Perceived behavioral control. There are 7 items in the Perceived Behavioral Control subscale. The scores on this subscale ranged from 7 to 35, a higher score indicates a higher likelihood for each item to be a barrier in adherence to low-sodium diet.

Trial Locations

Locations (1)

UR Medicine Home Care; 🇺🇸 Rochester, New York, United States