A Strategy of Home Telehealth for Management of Congestive Heart Failure(STARTEL)
1 other identifier
interventional
150
1 country
1
Brief Summary
To demonstrate the safety, feasibility, quality of life, primary caregiver satisfaction, and cost effectiveness of integrated Home Telehealth care versus standard care in a heart failure clinic.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable heart-failure
Started Nov 2007
Longer than P75 for not_applicable heart-failure
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 30, 2005
CompletedFirst Posted
Study publicly available on registry
November 1, 2005
CompletedStudy Start
First participant enrolled
November 1, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2012
CompletedOctober 31, 2022
February 1, 2006
1.9 years
October 30, 2005
October 26, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
A composite of total all-cause hospitalizations and total mortality at one year.
1 year
Secondary Outcomes (11)
Heart failure morbidity and mortality
1 year
Cardiovascular hospitalization
1 year
Total number days in hospital
1 year
Total outpatient physician visits
1 year
Number of non-scheduled health visits outside the home
1 year
- +6 more secondary outcomes
Study Arms (2)
1
ACTIVE COMPARATORHome teleheatlh for heart failure management
2
ACTIVE COMPARATORUsual care for the management of Heart Failure
Interventions
Eligibility Criteria
You may qualify if:
- Male or female subject's ≥ 18 years of age with a diagnosis of Heart Failure
- Subject must reside in either the Province of Nova Scotia or New Brunswick
- Subject has been hospitalized for heart failure during the past two years or has a known history of heart failure for a minimum of two years.
- Subject must have a dedicated working telephone line in their primary place of residence.
- Subject must have a grounded electrical power supply in their primary place of residence.
- Primary care physician provides their agreement to participate in STARTEL
You may not qualify if:
- Inability to understand the English or French language or understand the study and provide informed consent.
- Absence of a suitable area to conduct the home telehealth visit in the patient's place of residence.
- Physical impairment, which would prohibit the successful completion of a home telehealth visit, including attachment of the peripheral equipment (BP cuff, ability to stand on a scale, etc).
- In cases 1 \& 3 only: a live in caregiver whose presence may overcome these limitations may allow the patient to be included in the study, however, only the patient's next of kin or duly appointed guardian (with documentation and with patient assent) may provide informed consent to participate).
- Subject has a planned cardiac procedure such as open-heart surgery or percutaneous coronary intervention (PCI) within the next 6 months.
- Subject has had cardiac surgery, percutaneous coronary intervention or a diagnosis of acute myocardial infarction within 1 month before randomization).
- Condition where existing routine follow up occurs more than once weekly (i.e. hemodialysis, cancer treatment including: chemotherapy/radiation treatment). .
- Patient is institutionalized (includes chronic care facility)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Nova Scotia Health Authoritylead
- Atlantic Health Sciences Corporationcollaborator
- Heart and Stroke Foundation of Canadacollaborator
- Canada Health Infowaycollaborator
- Continuing Care Nova Scotiacollaborator
- Nova Scotia Telehealth Programcollaborator
- AstraZenecacollaborator
Study Sites (1)
New Brunswick Heart Centre, Atlantic Health Sciences Corporation
Saint John, New Brunswick, B2L 4L2, Canada
MeSH Terms
Conditions
Study Officials
- PRINCIPAL INVESTIGATOR
Jonathan G Howlett, M.D.,FRCPC
Capital District Health Authority, QEII Health Sciences Centre
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- FACTORIAL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 30, 2005
First Posted
November 1, 2005
Study Start
November 1, 2007
Primary Completion
October 1, 2009
Study Completion
October 1, 2012
Last Updated
October 31, 2022
Record last verified: 2006-02