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Randomised pilot study comparing a coach to SMARTPhone reminders to aid the management of heart failure (HF) patients: humans or machines

Authors :
Merrick Zwarenstein
Cheryl Forchuk
Robert Petrella
James Calvin
Rahel Eynan
Source :
BMJ Open Quality, Vol 13, Iss 3 (2024)
Publication Year :
2024
Publisher :
BMJ Publishing Group, 2024.

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.

Subjects

Subjects :
Medicine (General)
R5-920

Details

Language :
English
ISSN :
23996641
Volume :
13
Issue :
3
Database :
Directory of Open Access Journals
Journal :
BMJ Open Quality
Publication Type :
Academic Journal
Accession number :
edsdoj.9ddfe96062bb4d6ead53262dbecce952
Document Type :
article
Full Text :
https://doi.org/10.1136/bmjoq-2024-002753