Ignite Creation Date:
2024-05-05 @ 11:28 AM
Last Modification Date:
2024-10-26 @ 9:08 AM
Study NCT ID:
NCT00057200
Status:
COMPLETED
Last Update Posted:
2015-04-07
First Post:
2003-03-27
Brief Title:
Evaluating Telehealth Home Care for Elderly Veterans With Congestive Heart Failure
Sponsor:
US Department of Veterans Affairs
Organization:
VA Office of Research and Development
Study Overview
Official Title:
Evaluating Telehealth Home Care for Elderly Veterans With Congestive Heart Failure
Status:
COMPLETED
Status Verified Date:
2007-02
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Congestive heart failure CHF is one of the most common reasons for hospitalization in patients aged 65 years and older Many hospitalizations for CHF are potentially preventable if the warning signs of decompensation are recognized and treated before the situation becomes emergent Home-based intervention programs have reduced unplanned readmission rates for patients with CHF by up to 50 percent Using advanced telecommunications technologies it is now possible to provide greatly improved access and availability of services in a more timely and cost effective manner directly to patients homes Although telehealth offers a number of theoretical advantages few empirical studies have compared telehealth to traditional delivery modes and virtually no studies have compared the effectiveness of alternative telehealth applications
Detailed Description:
Background
Congestive heart failure CHF is one of the most common reasons for hospitalization in patients aged 65 years and older Many hospitalizations for CHF are potentially preventable if the warning signs of decompensation are recognized and treated before the situation becomes emergent Home-based intervention programs have reduced unplanned readmission rates for patients with CHF by up to 50 percent Using advanced telecommunications technologies it is now possible to provide greatly improved access and availability of services in a more timely and cost effective manner directly to patients homes Although telehealth offers a number of theoretical advantages few empirical studies have compared telehealth to traditional delivery modes and virtually no studies have compared the effectiveness of alternative telehealth applications
Objectives
The purpose of this study is to compare the effectiveness and resource use of two telehealth interventions to traditional care provided for recently discharged outpatients with CHF Four hypotheses will be tested Compared to subjects who receive usual care subjects who receive telehealth interventions telephone or interactive video following discharge will 1 have lower readmission rates 2 report improved quality of life self-efficacy and satisfaction with care 3 use fewer resources including hospital days urgent care visits and telephone calls and 4 have higher survival rates
Methods
The study is a randomized controlled clinical trial We will compare usual care to an intervention delivered by either telephone or interactive video to veterans following discharge from the hospital A total of 198 subjects will be enrolled over three years Subjects in the treatment groups telephone or interactive video will receive the intervention for 90 days following discharge from the hospital Data to be collected includes measures of quality of life self-efficacy satisfaction resource use and mortality
Status
Project work is ongoing
Congestive heart failure CHF is one of the most common reasons for hospitalization in patients aged 65 years and older Many hospitalizations for CHF are potentially preventable if the warning signs of decompensation are recognized and treated before the situation becomes emergent Home-based intervention programs have reduced unplanned readmission rates for patients with CHF by up to 50 percent Using advanced telecommunications technologies it is now possible to provide greatly improved access and availability of services in a more timely and cost effective manner directly to patients homes Although telehealth offers a number of theoretical advantages few empirical studies have compared telehealth to traditional delivery modes and virtually no studies have compared the effectiveness of alternative telehealth applications
Objectives
The purpose of this study is to compare the effectiveness and resource use of two telehealth interventions to traditional care provided for recently discharged outpatients with CHF Four hypotheses will be tested Compared to subjects who receive usual care subjects who receive telehealth interventions telephone or interactive video following discharge will 1 have lower readmission rates 2 report improved quality of life self-efficacy and satisfaction with care 3 use fewer resources including hospital days urgent care visits and telephone calls and 4 have higher survival rates
Methods
The study is a randomized controlled clinical trial We will compare usual care to an intervention delivered by either telephone or interactive video to veterans following discharge from the hospital A total of 198 subjects will be enrolled over three years Subjects in the treatment groups telephone or interactive video will receive the intervention for 90 days following discharge from the hospital Data to be collected includes measures of quality of life self-efficacy satisfaction resource use and mortality
Status
Project work is ongoing
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None