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Home Care for the Patient With Heart Failure: Can Caregiver Education Prevent Hospital Admissions?

Primary Purpose

Heart Failure

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Education
Sponsored by
Maria Stella Padula
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Heart Failure focused on measuring home care services, comorbidity, heart failure, caregivers, health education, patient admission

Eligibility Criteria

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

Inclusion Criteria:

  • adults of any age and gender in NYHA (New York Heart Association) classes II, III, IV, assisted exclusively at home;
  • willingness and ability to sign a written informed consent;
  • presence of a person who cared for the patient in a prevalent and regular way;
  • willingness of the caregiver to attend a training meeting.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    No Intervention

    Arm Label

    Intervention

    No intervention

    Arm Description

    Education of the caregiver

    Usual care

    Outcomes

    Primary Outcome Measures

    Hospital admissions for any cause
    Hospital admissions for any cause

    Secondary Outcome Measures

    Hospital admissions for cardiovascular causes
    Hospital admissions for cardiovascular causes
    Mortality for general or cardiovascular causes
    Mortality for general or cardiovascular causes

    Full Information

    First Posted
    December 27, 2017
    Last Updated
    January 3, 2018
    Sponsor
    Maria Stella Padula
    Collaborators
    University of Modena and Reggio Emilia, Local Health Authority of Modena
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03389841
    Brief Title
    Home Care for the Patient With Heart Failure: Can Caregiver Education Prevent Hospital Admissions?
    Official Title
    Home Care for the Patient With Heart Failure: Can Caregiver Education Prevent Hospital Admissions? A Clinical Randomized Trial.
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    January 2018
    Overall Recruitment Status
    Completed
    Study Start Date
    August 1, 2013 (Actual)
    Primary Completion Date
    April 10, 2016 (Actual)
    Study Completion Date
    April 10, 2016 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor-Investigator
    Name of the Sponsor
    Maria Stella Padula
    Collaborators
    University of Modena and Reggio Emilia, Local Health Authority of Modena

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The study is aimed to evaluate if the education of the caregiver is able to reduce hospital admissions of patients with heart failure assisted at home.
    Detailed Description
    The primary objective of the study is to assess whether an educational intervention aimed at increasing the caregiver's skills is able to reduce hospital admissions for any cause in patients with heart failure assisted at home. The General Practitioners who agree to participate are randomized in two groups: a) intervention group, whose patients are assisted in accordance with the procedures established by the project; b) control group, whose patients continue to be assisted in the usual modality. The intervention consists of an educational session for each caregiver aimed at improving his ability to recognize early symptoms and signs of heart failure.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Heart Failure
    Keywords
    home care services, comorbidity, heart failure, caregivers, health education, patient admission

    7. Study Design

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

    8. Arms, Groups, and Interventions

    Arm Title
    Intervention
    Arm Type
    Active Comparator
    Arm Description
    Education of the caregiver
    Arm Title
    No intervention
    Arm Type
    No Intervention
    Arm Description
    Usual care
    Intervention Type
    Other
    Intervention Name(s)
    Education
    Intervention Description
    Education of the caregiver about early symptoms and signs of heart failure
    Primary Outcome Measure Information:
    Title
    Hospital admissions for any cause
    Description
    Hospital admissions for any cause
    Time Frame
    Twelve months
    Secondary Outcome Measure Information:
    Title
    Hospital admissions for cardiovascular causes
    Description
    Hospital admissions for cardiovascular causes
    Time Frame
    Twelve months
    Title
    Mortality for general or cardiovascular causes
    Description
    Mortality for general or cardiovascular causes
    Time Frame
    Twelve months

    10. Eligibility

    Sex
    All
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: adults of any age and gender in NYHA (New York Heart Association) classes II, III, IV, assisted exclusively at home; willingness and ability to sign a written informed consent; presence of a person who cared for the patient in a prevalent and regular way; willingness of the caregiver to attend a training meeting.

    12. IPD Sharing Statement

    Plan to Share IPD
    Yes
    IPD Sharing Plan Description
    all Individual Participant Data that underlie results in a publication
    Citations:
    PubMed Identifier
    30394960
    Citation
    Padula MS, D'Ambrosio GG, Tocci M, D'Amico R, Banchelli F, Angeli L, Scarpa M, Capelli O, Cricelli C, Boriani G. Home care for heart failure: can caregiver education prevent hospital admissions? A randomized trial in primary care. J Cardiovasc Med (Hagerstown). 2019 Jan;20(1):30-38. doi: 10.2459/JCM.0000000000000722.
    Results Reference
    derived

    Learn more about this trial

    Home Care for the Patient With Heart Failure: Can Caregiver Education Prevent Hospital Admissions?

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