Randomised pilot study comparing a coach to SMARTPhone reminders to aid the management of heart failure (HF) patients: humans or machines
- PMID: 38955396
- PMCID: PMC11217996
- DOI: 10.1136/bmjoq-2024-002753
Randomised pilot study comparing a coach to SMARTPhone reminders to aid the management of heart failure (HF) patients: humans or machines
Abstract
Ambulatory management of congestive heart failure (HF) continues to be a challenging clinical problem. Recent studies have focused on the role of HF clinics, nurse practitioners and disease management programmes to reduce HF readmissions. This pilot study is a pragmatic factorial study comparing a coach intervention, a SMARTPHONE REMINDER system intervention and BOTH interventions combined to Treatment as USUAL (TAU). We determined that both modalities were acceptable to patients prior to randomisation. Fifty-four patients were randomised to the four groups. The COACH group had no readmissions for HF 6 months after enrolment compared with 18% for the SMARTPHONE REMINDER Group, 8% for the BOTH intervention group and 13% for TAU. Medium-to-high medication adherence was maintained in all four groups although sodium consumption was lower at 3 months for the COACH and combined (BOTH) groups. This pilot study suggests a beneficial effect on rehospitalisation with the use of support measures including coaches and telephone reminders that needs confirmation in a larger trial.
Keywords: Checklists; Chronic disease management; Healthcare quality improvement; Mobile Applications; Outpatients.
© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Conflict of interest statement
Competing interests: None declared.
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References
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- Feltner C, Jones CD, Cené CW, et al. . Transitional care interventions to prevent readmissions for people with heart failure. Comparative effectiveness review No.133. (Prepared by the Research Triangle Institute–University of North Carolina Evidencebased Practice Center under Contract No.290-2012- 00008-I). AHRQ Publication No.14-EHC021-EF. Rockville, MD: Agency for Healthcare Research and Quality, 2014. Available: www.effectivehealthcare.ahrq.gov - PubMed
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