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Sponsors and Collaborators: |
Department of Veterans Affairs Indiana University School of Medicine |
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Information provided by: | Department of Veterans Affairs |
ClinicalTrials.gov Identifier: | NCT00013026 |
Congestive heart failure is a serious health problem in the United States and is associated with excessive morbidity and mortality. Several classes of medications have been shown to improve mortality in patients with CHF. Despite this these medications are widely under prescribed. Guidelines have been shown to improve patient outcomes and several guidelines on the management of CHF have been published. Implementation of guidelines is challenging and most strategies have focused on changing physician behavior. Patient-based interventions have been shown to be effective in implementing guidelines on CHF but they have been very labor intensive. A computer based intervention to implement CHF guidelines, if effective, would be beneficial.
Condition | Intervention |
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Heart Failure |
Behavioral: CHF Self-management Education (Web-based Education) |
Study Type: | Interventional |
Study Design: | Randomized, Single Blind, Active Control, Parallel Assignment, Efficacy Study |
Official Title: | Trial of a Tailored Message Program to Implement CHF Guidelines |
Estimated Enrollment: | 700 |
Study Completion Date: | March 2004 |
Arms | Assigned Interventions |
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1 | Behavioral: CHF Self-management Education (Web-based Education) |
Background:
Congestive heart failure is a serious health problem in the United States and is associated with excessive morbidity and mortality. Several classes of medications have been shown to improve mortality in patients with CHF. Despite this these medications are widely under prescribed. Guidelines have been shown to improve patient outcomes and several guidelines on the management of CHF have been published. Implementation of guidelines is challenging and most strategies have focused on changing physician behavior. Patient-based interventions have been shown to be effective in implementing guidelines on CHF but they have been very labor intensive. A computer based intervention to implement CHF guidelines, if effective, would be beneficial.
Objectives:
Patients with CHF consume a significant proportion of healthcare resources, with exacerbations of CHF being the second most common reason for medical admission to VA medical centers. Therefore, the main objective is to understand the impact of a tailored education message program designed for direct use by patients on medical resource use. Other objectives include understanding the tools impact on patient compliance and quality of life.
Methods:
Patients have been randomized to one of two groups: 1) intervention group or the 2) control group. The intervention group receives the tailored education messages program. This program assesses patients� beliefs about compliance with medications, diet, and self-monitoring. Based on identified barriers to compliance, intervention patients receive a tailored educational message to dispel these beliefs and improve compliance. The control group interacts with a generic healthcare website. Patients in both groups are monitored for hospitalization; emergent care visits, compliance with prescribed treatment and quality of life
Status:
Project work is ongoing.
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
EF <40%, getting majority care at the VA, not enrolled in another CHF study, ability to read English.
Exclusion Criteria:
United States, Alabama | |
VA Medical Center | |
Birmingham, Alabama, United States, 35233 |
Principal Investigator: | Terrence M. Shaneyfelt, MPH MD | Department of Veterans Affairs |
Responsible Party: | Department of Veterans Affairs ( Shaneyfelt, Terrence - Principal Investigator ) |
Study ID Numbers: | CPI 99-124 |
Study First Received: | March 14, 2001 |
Last Updated: | January 30, 2009 |
ClinicalTrials.gov Identifier: | NCT00013026 History of Changes |
Health Authority: | United States: Federal Government |
Congestive Heart Failure |
Heart Failure Heart Diseases |
Heart Failure Heart Diseases Cardiovascular Diseases |