A Self-Management Intervention for Mild to Moderate Heart Failure
HART
Heart Failure Adherence and Retention Trial (HART)
2 other identifiers
interventional
902
1 country
1
Brief Summary
This study will test whether a self-management (SM) intervention, compared to usual care, will reduce the risk for adverse clinical outcome in patients with mild to moderate heart failure.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3 cardiovascular-diseases
Started Jun 2001
Typical duration for phase_3 cardiovascular-diseases
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2001
CompletedFirst Submitted
Initial submission to the registry
June 26, 2001
CompletedFirst Posted
Study publicly available on registry
June 26, 2001
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2007
CompletedOctober 22, 2012
October 1, 2012
June 26, 2001
October 19, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Time until all-cause death or heart-failure hospitalization
This is a composite outcome, measuring time from randomization to occurrence of death due to any cause or a hospitalization that is adjudicated to be due to heart-failure, among participants who experience either (or both) of these events. Only the first occurrence of either of these events is considered.
Measured over the two years of study follow-up.
Secondary Outcomes (4)
Progression of heart failure
Measured over the two years of study follow-up
Quality of life
Measured over the two years of study follow-up
Health care costs
Measured over the two years of study follow-up
Time until all-cause death or all-cause hospitalization
Measured over the two years of study follow-up
Interventions
18 in-person group sessions providing self-management training.
18 educational mailings follow by a a telephone call.
Eligibility Criteria
You may qualify if:
- NYHA classification of II or III
- LVEF of 40% or less
You may not qualify if:
- Uncertain 12-month prognosis
- Potential cardiac transplant within 1 year of study entry
- Severe aortic stenosis
- Uncontrolled ventricular tachycardia
- Non-cardiac causes of heart failure symptoms (i.e., peripheral vascular disease, chronic obstructive pulmonary disease, and arthritis)
- Major psychiatric co-morbidity
- Unstable angina, myocardial infarction, coronary artery bypass graft, or percutaneous transluminal coronary angioplasty within 1 month prior to study entry
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Rush-Presbyterian-St. Lukes Medical Center
Chicago, Illinois, 60612, United States
Related Publications (4)
Doukky R, Mangla A, Ibrahim Z, Poulin MF, Avery E, Collado FM, Kaplan J, Richardson D, Powell LH. Impact of Physical Inactivity on Mortality in Patients With Heart Failure. Am J Cardiol. 2016 Apr 1;117(7):1135-43. doi: 10.1016/j.amjcard.2015.12.060. Epub 2016 Jan 18.
PMID: 26853954DERIVEDDoukky R, Avery E, Mangla A, Collado FM, Ibrahim Z, Poulin MF, Richardson D, Powell LH. Impact of Dietary Sodium Restriction on Heart Failure Outcomes. JACC Heart Fail. 2016 Jan;4(1):24-35. doi: 10.1016/j.jchf.2015.08.007.
PMID: 26738949DERIVEDPowell LH, Calvin JE Jr, Richardson D, Janssen I, Mendes de Leon CF, Flynn KJ, Grady KL, Rucker-Whitaker CS, Eaton C, Avery E; HART Investigators. Self-management counseling in patients with heart failure: the heart failure adherence and retention randomized behavioral trial. JAMA. 2010 Sep 22;304(12):1331-8. doi: 10.1001/jama.2010.1362.
PMID: 20858878DERIVEDPowell LH, Calvin JE Jr, Mendes de Leon CF, Richardson D, Grady KL, Flynn KJ, Rucker-Whitaker CS, Janssen I, Kravitz G, Eaton C; Heart Failure Adherence and Retention Trial Investigators. The Heart Failure Adherence and Retention Trial (HART): design and rationale. Am Heart J. 2008 Sep;156(3):452-60. doi: 10.1016/j.ahj.2008.05.011.
PMID: 18760125DERIVED
MeSH Terms
Conditions
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Lynda H. Powell
Rush-Presbyterian-St. Lukes Medical Center
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Chair, Department Preventive Medicine
Study Record Dates
First Submitted
June 26, 2001
First Posted
June 26, 2001
Study Start
June 1, 2001
Study Completion
June 1, 2007
Last Updated
October 22, 2012
Record last verified: 2012-10