Heart PACT: Patient Activation in High-Risk Patients With Heart Failure
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 84
- 试验地点
- 2
- 主要终点
- patient activation
研究概览
简要总结
The purpose of this study was to determine the efficacy of a self-management program, called the Heart PACT Program, compared to usual health care in patients with heart failure. Outcomes measured were patient activation (skills needed to maintain function, collaborate with providers, and access care), self-care management, hospitalizations and emergency department visits.
详细描述
Background:
Heart failure (HF) places an enormous burden on patients, their families, health care systems and society. Readmission for HF occurs within 30 days following 20 percent of discharges from the VA system with similar rates in the Medicare health care system. Few studies have examined whether chronic heart failure (HF) outcomes can be improved by increasing patient engagement (known as activation) in care and capabilities for self-care management.
Objectives:
The objective was to determine the efficacy of a patient activation (Heart PACT) intervention compared to usual care on activation, self-care management, hospitalizations and emergency room visits in patients with HF.
Methods:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •This study was done at the VA San Diego Healthcare System only. Participants must live in San Diego and meet all of the following inclusion criteria:
- •Has VA primary care provider for heart failure care
- •Hospitalization or emergency department visit for treatment of HF within past 12 months. Hospital discharge must be at least one month prior to study enrollment.
- •Hospitalization diagnoses may include: acute myocardial infarction (MI) or acute coronary syndrome with LV dysfunction (EF <40%); status post coronary bypass graft surgery with LV dysfunction (EF < 40%)
- •Documented heart failure (systolic or diastolic dysfunction) by echocardiogram or physician diagnosis and Stage C heart failure
- •18 years of age or older
- •Read and speak English
- •Have telephone access
排除标准
- •Patients will be excluded if they meet any of these criteria:
- •Are unable to give written informed consent
- •Have had a major acute medical problem (e.g., stroke, acute MI, CABG, or percutaneous intervention), or are considered medically unstable within the prior month
- •Have a history of severe pulmonary disease, renal disease requiring dialysis, severe hepatic disease, severe aortic or mitral stenosis, constrictive pericarditis, or cardiac transplant
- •Have a left ventricular assist device (LVAD)
- •Have a bi-ventricular pacemaker or implantable cardioverter defibrillator (ICD) placement in the past 1 month
- •Have a life expectancy of less than 1 year
- •Have current acute psychiatric problems, active substance abuse or homelessness
- •Are participating in an ongoing clinical drug trial.
- •Enrolled in specialty HF care via the HF Program or telehealth
研究组 & 干预措施
Heart PACT Program
Heart PACT Program - patient activation intervention
干预措施: Heart PACT Program (Behavioral)
Usual Care
Usual Care
结局指标
主要结局
patient activation
时间窗: baseline, 3 months, 6 months
次要结局
- self-management(baseline, 3 months, 6 months)