NCT01275846

Brief Summary

This purposed of this study is to ascertain if the implementation of remote patient management systems utilizing American Heart Association (AHA) guideline-based heart failure protocols and educational content can improve the management of patients with congestive heart failure.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
26

participants targeted

Target at below P25 for not_applicable heart-failure

Timeline
Completed

Started Jun 2010

Shorter than P25 for not_applicable heart-failure

Geographic Reach
1 country

1 active site

Status
completed

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, 2010

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2011

Completed
11 days until next milestone

First Submitted

Initial submission to the registry

January 12, 2011

Completed
1 day until next milestone

First Posted

Study publicly available on registry

January 13, 2011

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2011

Completed
11.1 years until next milestone

Results Posted

Study results publicly available

March 31, 2022

Completed
Last Updated

March 31, 2022

Status Verified

March 1, 2022

Enrollment Period

7 months

First QC Date

January 12, 2011

Results QC Date

July 8, 2019

Last Update Submit

March 6, 2022

Conditions

Keywords

heart failurecongestive heart failuretelemedicine

Outcome Measures

Primary Outcomes (2)

  • Percentage of Days Participants Measured Vitals and Completed Protocol Sessions

    Measuring the percentage of available days the patient measures and records his/her vitals (weight, blood pressure, blood oxygen saturation level, glucose level) and completes his/her protocol sessions during the monitoring period. Utility was defined as days of activity and interaction of the patient with the monitor / days of actual monitoring possible.

    60 days

  • Percentage of Health Sessions That Patients Measured and Recorded Vitals

    Measuring the percentage of available health sessions that the patient measures and records his/her vitals (weight, blood pressure, blood oxygen saturation level, glucose level) and during the monitoring period. Adherence (or patient compliance) was defined as the percent of actual completed sessions from the number of scheduled sessions offered.

    60 days

Secondary Outcomes (2)

  • Patient Quality of Life Using the Kansas City Cardiomyopathy Questionnaire (KCCQ) Mean Clinical Summary Score Change

    Baseline is taken at the beginning of the study, 2nd is at 30 days and 3rd is at 60 days.

  • Patient Quality of Life Using the Kansas City Cardiomyopathy Questionnaire (KCCQ) Mean Overall Score Change

    Baseline is at the beginning of study, 2nd is at 30 days and 3rd is at 60 days.

Study Arms (1)

Health Guide using AHA protocols

EXPERIMENTAL

Participants in the study will receive the use of the Intel Health Guide, a telehealth device, with AHA customized heart failure protocols, response algorithms and educational content. Participants interact with the Intel Health Guide device, receiving immediate feedback when transmitting vitals measures and health question responses to a site monitored by their nurse case managers. Nurse case managers review and address concerns raised in vitals and/or question responses through standard care protocols established by their institution. Nurse case managers strive to enhance the participants quality of life, support continuity of care, facilitate provision of services in the appropriate setting to promote positive health outcomes.

Device: Health Guide using AHA heart failure protocols and content

Interventions

Participants in the study will receive the use of the Intel Health Guide, a telehealth device, with AHA customized heart failure protocols, response algorithms and educational content. Participants interact with the Intel Health Guide device, receiving immediate feedback when transmitting vitals measures and health question responses to a site monitored by their nurse case managers. Nurse case managers review and address concerns raised in vitals and/or question responses through standard care protocols established by their institution. Nurse case managers strive to enhance the participants quality of life, support continuity of care, facilitate provision of services in the appropriate setting to promote positive health outcomes.

Also known as: Intel Health Guide
Health Guide using AHA protocols

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Patient has a diagnosis of Heart Failure NYHA and is currently in functional class II- IV status.
  • Patient has been hospitalized for an episode of acute HF decompensation within the last 30 days.
  • Patients with other co-morbidities such as atrial fibrillation, diabetes, coronary artery disease, COPD, hypertension, may be included in this evaluation. These conditions shall be documented during enrollment.
  • Have telephone line or broadband internet availability to connect Intel® Health Guide.
  • Are physically and mentally capable to complete the monitoring process or have a caregiver capable of assisting in the use of the Intel® Health Guide.
  • Will be willing and able to sign an informed consent form to participate in this evaluation for a duration of 60 days.
  • Live within a reasonable distance (30 miles or less) from the institution.

You may not qualify if:

  • Have a life expectancy of less than six months.
  • Live in a nursing home or other multi-member assisted living facility.
  • Intend to be away from their home for more than 2 weeks (14 days) total during the 60 days.
  • Are unable to read English at a minimum 5th grade level.
  • Do not live within a reasonable distance (30 miles or less) from the institution.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University Hospitals Home Care Services

Warrensville Heights, Ohio, 44128, United States

Location

Related Links

MeSH Terms

Conditions

Heart Failure

Condition Hierarchy (Ancestors)

Heart DiseasesCardiovascular Diseases

Limitations and Caveats

Limitations of this study due to funding limitations included: very small patient sample size (26) from a single center enrollment in Northeast Ohio, with a short monitoring period (60 days), non-randomized and with no control group.

Results Point of Contact

Title
Ileana L. Piña, MD, MPH, FAHA, FACC
Organization
Detroit Medical Center, Detroit, MI

Study Officials

  • George E Kikano, MD, CPE

    Chair, Dept. of Family Medicine, Case Western Reserve University/University Hospitals

    PRINCIPAL INVESTIGATOR
  • Ileana L Piña, MD, MPH

    Professor, Medicine & Epi/Biostats, Case Western Reserve University/University Hospitals

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor of Medicine & Epidemiology and Population Health, Albert Einstein College of Medicine, Montefiore Medical Center

Study Record Dates

First Submitted

January 12, 2011

First Posted

January 13, 2011

Study Start

June 1, 2010

Primary Completion

January 1, 2011

Study Completion

March 1, 2011

Last Updated

March 31, 2022

Results First Posted

March 31, 2022

Record last verified: 2022-03

Locations