Self-Management and Care of Heart Failure With Group Clinics (SMAC-HF)
| Status: | Archived |
|---|---|
| Conditions: | Cardiology |
| Therapuetic Areas: | Cardiology / Vascular Diseases |
| Healthy: | No |
| Age Range: | Any |
| Updated: | 7/1/2011 |
HF Group Clinic Appointments: Rehospitalization Prevention
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 will reduce rehospitalization, depression,
and improve problem solving related to heart failure symptoms.
Aim 1 Hypothesis:
1. The time to the 1st composite endpoint (HF Rehospitalization/death) will be longer for
HFcareGroup than standard care group at 12 months.
2. 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.
3. Health Services Use will be lower in HFcareGroup than standard care group at 12 months.
Aim 2 Hypothesis:
1. 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.
2. 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.
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