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A Nurse-led Coaching Programme With Telemonitoring in Heart Failure

Not Applicable
Recruiting
Conditions
Feasibility
Hospitalizations
Mentoring
Heart Failure
Telemonitoring
Interventions
Combination Product: Nurse-led telephone coaching intervention with home telemonitoring of vital signs
Registration Number
NCT06285565
Lead Sponsor
Alberto Dal Molin
Brief Summary

The goal of this pilot interventional study is to assess the feasibility and acceptability of a supportive intervention for patients affected by heart failure. The main questions it aims to answer are:

* Are implementation strategies effective in facilitating participant fidelity?

* What factors contribute to patients' satisfaction with the designed intervention, and how can these be optimized for improved patient experience and adherence?

* Are the methods and tools established the most appropriate to ensure the completeness of the data collection?

Participants will follow a combined intervention consisting of:

1. pre-discharge educational meeting;

2. telephone nurse-led coaching sessions;

3. home telemonitoring of vital signs.

In the main trial, researchers will compare data from the intervention group with a control group to assess whether it reduces hospitalization rates and improves self-care capabilities

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
45
Inclusion Criteria
  • aged 65 and over
  • hospitalized for cardiac decompensation, regardless of ejection fraction (FE) value (preserved or decreased)
  • expected to be discharged home will be considered eligible.
Exclusion Criteria
  • Individuals who lack the cognitive and/or physical capabilities (Mini-COG +) for self-monitoring of vital signs, and without a caregiver available to assist them
  • people who receive other medical services

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Nurse-led supported groupNurse-led telephone coaching intervention with home telemonitoring of vital signsA supportive program consisting of the following elements will be provided: 1. Pre-discharge educational meeting. After the patient is deemed stable, an in-hospital educational intervention will be provided by a trained nurse not involved in the clinical pathway. Key topics of self-care management recognized by the European Society of Cardiology will be discussed. 2. Telephone nurse-led coaching sessions. In this phase, patients will be encouraged to focus on their values and progress towards their goals. The intervention will be customized based on the objectives identified during the initial meeting. The scheduled sessions will occur weekly during the first months and then transition to twice a month thereafter. 3. Patients will receive education on measuring weight, blood pressure, heart rate, and oxygen saturation at rest, every morning before breakfast. All participants will be provided with a telemonitoring system that transmits data to a web platform via Bluetooth.
Primary Outcome Measures
NameTimeMethod
Recruitment rate6 months

the proportion of patients who agreed to participate relative to those who fulfilled the inclusion criteria.

Adherence to telemonitoring program4 months.

the proportion of days during which vital signs were measured and sent by the system relative to the total duration of the intervention

Completeness of data collectionbaseline, after 3 and 6 months

number of returned questionnaires.

Retention rate6 months

the proportion of patients who complete the study and those who consent to participate

Adherence to the coaching intervention4 months.

the number of coaching phone calls scheduled and actualized

Secondary Outcome Measures
NameTimeMethod
90- and 180-day Emergency Departments visitsData collection is planned at 3 and 6 months.
90- and 180-day heart failure-related hospital readmissionsData collection is planned at 3 and 6 months.
90- and 180-day oupatient visitsData collection is planned at 3 and 6 months.
90- and 180-day all-cause hospital readmissionsData collection is planned at 3 and 6 months.
90- and 180-day General Practioner visitsData collection is planned at 3 and 6 months.
Heart Failure Somatic Perception Scale v.3 (HFSPS)Data collection is planned at baseline, 3 and 6 months.

The detecion of somatic symptoms of the disease

MortalityData collection is planned at 3 and 6 months.
Quality of life (SF-12 scale)Data collection is planned at baseline, 3 and 6 months.

The quality of life is a value that integrates objective indicators (physical health, personal circumstances, social relationships, social and economic influences) and subjective ones (such as how the individual responds to objective conditions) related to various dimensions of life and personal values

Self-care capacity (Self-Care of Heart Failure Index )Data collection is planned at baseline, 3 and 6 months.

The self-care capacity of the patient encompasses three dimensions: self-care maintenance, self-care monitoring and symptom perception, and self-care management

Self Care - Self-Efficacy ScaleData collection is planned at baseline, 3 and 6 months.

Self-care capacity is mediated by self-efficacy perception, which is the individual's belief in their ability to achieve certain goals as a result of their actions, regardless of the challenges and difficulties they may face. A scale consisting of 10 items using a 5-response Likert scale will be utilized

Anxiety (Hamilton Anxiety Scale )Data collection is planned at baseline, 3 and 6 months.

The detection of anxiety symptoms (psychological and somatic).

Depression (Geriatric Depression Scale)Data collection is planned at baseline, 3 and 6 months.

The detection of depressive symptoms of the elderly

Trial Locations

Locations (2)

Azienda Ospedaliero-Universitaria maggiore della CaritĂ  di Novara

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Novara, Italy

UniversitĂ  del Piemonte Orientale Amedeo Avogadro

đŸ‡®đŸ‡¹

Novara, Italy

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