Heart Failure Clinical Trial
Self-Management and Care of Heart Failure With Group Clinics (SMAC-HF)
Summary
The purpose of this study is to help people with heart failure (HF) to manage their HF and to prevent rehospitalizations. Another purpose is to test the usefulness of clinical appointments and educational videotapes in teaching patients how to manage their HF.
It is proposed that the group clinic intervention (HFcareGroup)will reduce rehospitalization, depression, and improve problem solving related to heart failure symptoms.
Full Description
Aim 1 Hypothesis:
The time to the 1st composite endpoint (HF Rehospitalization/death) will be longer for HFcareGroup than standard care group at 12 months.
The HFcareGroup will have higher score than standard care on patient outcomes i.e. functional health status, quality of life, satisfaction with health care at 12 months.
Health Services Use will be lower in HFcareGroup than standard care group at 12 months.
Aim 2 Hypothesis:
The HFcareGroup will have higher score than standard care on patients' HF self-management i.e., self-care behaviors, participation with health care professionals in HF management and problem-solving, HF knowledge and preparedness for home care at 6 and 12 months.
A greater proportion of HFcareGroup vs standard care subjects will report clinical or symptoms of HF decompensation (e.g. specific weight gain, shortness of breath, edema, fatigue, tachycardia, and medication side effects) to their health care provider.
Eligibility Criteria
Inclusion Criteria:
18 years or older
speak English/Spanish
receiving treatment for congestive heart failure
receiving IV diuretics
2 or more HF symptoms
be able to participate in follow up visits
Exclusion Criteria:
primary right-sided heart failure
HF transient & related to acute MI
HF due to correctable cause
being scheduled for coronary revascularization or any readmission
receiving infusion for HF therapy within 2 weeks
having co-morbidities, life expectancy < 12 months
severe cognitive impairment
D/C to nursing facilities or rehab unit
Currently enrolled in an intervention study or HF management program
being or planning to become pregnant within 12 months
severe cognitive impairment
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There is 1 Location for this study
Kansas City Kansas, 66160, United States
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