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A Trial of Telemonitoring in Adults With Heart Failure

Primary Purpose

Heart Failure

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Honeywell HomMed Telemonitor
Sponsored by
Case Western Reserve University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Heart Failure

Eligibility Criteria

55 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Heart Failure (primary or secondary) diagnosis regardless of ejection fraction (EF) and New York Heart Association (NYHA) class II- IV at the time of Home Health Care (HHC) admission and HHC services initiated following a hospital stay

Exclusion Criteria:

  • Inability to stand on a scale, weight over 500 pounds, unable to hear and/or see, or no working land line phone in the residence.
  • Additional exclusion criteria were: patients with severe ischemic heart disease, Myocardial Infarction (MI) and/or Coronary artery bypass graft surgery(CABG) in the last 6 weeks, severe uncorrected valvular disease, home inotropic therapy, severe lung disease (oxygen dependent), active cancer, uncorrected thyroid disease, AIDS, or end stage renal disease on dialysis.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    No Intervention

    Arm Label

    Honeywell HomMed Telemonitor

    Usual care

    Arm Description

    TeleCareOhio Monitor (Honeywell HomeMed) system provides in-home medical monitoring for patients with chronic disease such as heart failure.

    These participants receive usual care which consists of usual home-care with educational package.

    Outcomes

    Primary Outcome Measures

    The Amount of Time Participants Are Readmitted to the Hospital or Visit the Emergency Department (ED).
    Median time to combined endpoint to see if/when the participants need to be readmitted to the hospital or visit the ED

    Secondary Outcome Measures

    Kansas City Cardiomyopathy Questionaire
    Health Status, Change in Overall Summary Score minimum: 0 maximum: 100 higher scores=better outcome

    Full Information

    First Posted
    July 1, 2011
    Last Updated
    July 18, 2022
    Sponsor
    Case Western Reserve University
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01393314
    Brief Title
    A Trial of Telemonitoring in Adults With Heart Failure
    Official Title
    A Randomized Controlled Trial of Telemonitoring in Older Adults With Heart Failure
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    March 2022
    Overall Recruitment Status
    Completed
    Study Start Date
    November 2007 (undefined)
    Primary Completion Date
    March 2010 (Actual)
    Study Completion Date
    March 2010 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Case Western Reserve University

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    This is a randomized controlled trial of telemonitoring vs usual care provided by home care agencies for patients with heart failure. The study hypothesis is that Telemonitoring will reduce hospital re-admission rates, urgent care visits, unscheduled physician appointments, Emergency Room visits in patients with heart failure over the 60 day post hospitalization period.
    Detailed Description
    A 60 day stratified, randomized clinical trial of a home-based telemonitoring system (TEP) vs. usual home-care with educational package (EP). Both Groups will receive intensive patient education and primary care physicians will be prompted to adhere to heart failure management guidelines. The study will be conducted on 100 patients receiving home care nursing services post-hospital discharge. Each participant will be randomized in equal amounts to treatment (TEP) or no treatment (EP).

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Heart Failure

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    99 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Honeywell HomMed Telemonitor
    Arm Type
    Active Comparator
    Arm Description
    TeleCareOhio Monitor (Honeywell HomeMed) system provides in-home medical monitoring for patients with chronic disease such as heart failure.
    Arm Title
    Usual care
    Arm Type
    No Intervention
    Arm Description
    These participants receive usual care which consists of usual home-care with educational package.
    Intervention Type
    Device
    Intervention Name(s)
    Honeywell HomMed Telemonitor
    Intervention Description
    telemonitoring post hospitalization
    Primary Outcome Measure Information:
    Title
    The Amount of Time Participants Are Readmitted to the Hospital or Visit the Emergency Department (ED).
    Description
    Median time to combined endpoint to see if/when the participants need to be readmitted to the hospital or visit the ED
    Time Frame
    Participants were followed for the duration of home care services up to 12 months
    Secondary Outcome Measure Information:
    Title
    Kansas City Cardiomyopathy Questionaire
    Description
    Health Status, Change in Overall Summary Score minimum: 0 maximum: 100 higher scores=better outcome
    Time Frame
    Participants were followed for the duration of home care services up to 12 months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    55 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Heart Failure (primary or secondary) diagnosis regardless of ejection fraction (EF) and New York Heart Association (NYHA) class II- IV at the time of Home Health Care (HHC) admission and HHC services initiated following a hospital stay Exclusion Criteria: Inability to stand on a scale, weight over 500 pounds, unable to hear and/or see, or no working land line phone in the residence. Additional exclusion criteria were: patients with severe ischemic heart disease, Myocardial Infarction (MI) and/or Coronary artery bypass graft surgery(CABG) in the last 6 weeks, severe uncorrected valvular disease, home inotropic therapy, severe lung disease (oxygen dependent), active cancer, uncorrected thyroid disease, AIDS, or end stage renal disease on dialysis.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Rebecca Boxer, MD
    Organizational Affiliation
    Case Western Reserve Univeristy
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    A Trial of Telemonitoring in Adults With Heart Failure

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