Determine Return on Investment in Heart Failure Remote Monitoring Program

NCT ID: NCT02475577

Last Updated: 2016-03-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

163 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-06-30

Study Completion Date

2017-08-31

Brief Summary

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The study will test a hypothesis that the remote monitoring with text and email alerts sent to study subject and optional family/other caregiver (Intervention 1) will have a higher return on investment compared to remote monitoring with nurse researcher follow-up telephone communication to study subject (on Blue alerts) or study subject's healthcare professional (on Red alerts) (Intervention 2) and self-monitoring without intervention (Control).

Detailed Description

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The objective of this remote monitoring study is to evaluate return on investment and end-user clinical outcomes associated with the use of self-monitoring peripherals and tablet/smartphone-based Welch Allyn HealthInterlink technology without intervention (Control), HealthInterlink remote monitoring with text and email alerts sent to study subject and optional family/other caregiver (Intervention 1), and HealthInterlink remote monitoring with nurse research assistant follow-up telephone communication to study subject (on Blue alerts) or study subject's healthcare professional (on Red alerts) (Intervention 2 added to Intervention 1).

Conditions

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Heart Failure

Keywords

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telemedicine heart failure home blood pressure monitoring

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Participants

Study Groups

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Control

Control: Peripherals with HealthInterlink technology will record and transmit data, without intervention. Subject is able to view graphed data, bring the HealthInterlink tablet/smartphone to the physician's office and share data with family/other caregiver.

Group Type EXPERIMENTAL

Peripherals with HealthInterlink technology

Intervention Type DEVICE

home remote monitoring

Intervention 1

Intervention 1: Peripherals with HealthInterlink technology will record and transmit data and send out-of-range data (Red) alerts to subject via HealthInterlink tablet/smartphone and also text/email to family/other caregiver, and nonconformity (Blue) alerts to subject's personal text/email and also text/email to family/other caregiver.

Group Type EXPERIMENTAL

Peripherals with HealthInterlink technology

Intervention Type DEVICE

home remote monitoring

Intervention 2

Intervention 2: Peripherals with HealthInterlink technology will record and transmit data and send out-of-range data (Red) alerts to subject via HealthInterlink tablet/smartphone and also text/email to family/other caregiver, and nonconformity (Blue) alerts to subject's personal text/email and also text/email to family/other caregiver, and a call will be placed by the nurse research assistant to study subject (on Blue alerts) or study subject's healthcare professional (on Red alerts). The physicians will have access to the subject's data on a web-based program.

Group Type EXPERIMENTAL

Peripherals with HealthInterlink technology

Intervention Type DEVICE

home remote monitoring

Interventions

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Peripherals with HealthInterlink technology

home remote monitoring

Intervention Type DEVICE

Other Intervention Names

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Welch Allyn Blood Pressure monitor Weight Scale Pulse Oximeter tablet/smartphone-based technology

Eligibility Criteria

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Inclusion Criteria

* Absence of significant vision, hearing, or other communication deficits
* English speaking;
* Capable and willing to give informed consent;
* Participated in the in-patient heart failure class within the last three months. Acceptable candidate for elective, non-emergent, remote monitoring as determined by ordering physician;
* Living in a private home;
* Hospital admission for Heart Failure or decompensation in the previous 12 months
* New York Heart Association (NYHA) classes II-IV, as assigned by the nurse researcher, trained by a cardiologist
* Cardiac aetiology: ischaemic, idiopathic, hypertensive, or valvular
* Left ventricular ejection fraction \<40% s an index of systolic dysfunction, combined or not with a left ventricular filling pattern supporting the presence of diastolic dysfunction, according to the American College of Cardiology/American Heart Association Guidelines for chronic heart failure.

or

* NYHA class II-III who had an ejection fraction \>40% and evidence of diastolic left ventricular dysfunction.
* Optional subject with a diagnosis of diabetes (indicated by HbA1c \>7).

Exclusion Criteria

* Currently involved in other investigational clinical trials (unless permission is granted by other study PI);
* Females who are pregnant, planning to become pregnant within 3 months, or lactating;
* Requirement for emergent placement other than private home (subject's condition would be compromised if there is a delay in placement).
* Myocardial infarction, revascularization or Implantable Cardioverter Defibrillator (ICD) implantation in the previous 6 months angina or objective myocardial ischaemia requiring future revascularization implanted ventricular or atrial pacemaker (except dual chamber ICD pacemakers with good sinus activity);
* End-stage heart failure requiring regular inotropic drug infusions;
* Chronic renal failure requiring dialysis treatment and
* Unstable angina.
Minimum Eligible Age

18 Years

Maximum Eligible Age

89 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Welch Allyn

INDUSTRY

Sponsor Role collaborator

NCH Healthcare System, Inc. dba Naples Comprehensive Health and dba NCH

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Theresa Morrison, PhD

Role: PRINCIPAL_INVESTIGATOR

NCH Healthcare System Inc

Locations

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NCH Healthcare System

Naples, Florida, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Theresa Morrison, PhD

Role: CONTACT

Phone: 239-624-4384

Email: [email protected]

Laurie Zone-Smith, PhD

Role: CONTACT

Phone: 239-624-4986

Email: [email protected]

Facility Contacts

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Theresa L Morrison, PhD

Role: primary

Laurie Zone-Smith, PhD

Role: backup

Related Links

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http://nchmd.org

Healthcare system web site

Other Identifiers

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15-001

Identifier Type: -

Identifier Source: org_study_id