Danger Signs in Heart Failure- Effects of Video Education
Heart Failure; With Decompensation
About this trial
This is an interventional treatment trial for Heart Failure; With Decompensation focused on measuring video education, self care management, symptom recognition
Eligibility Criteria
Inclusion Criteria:
- Not referred for cardiac transplantation or ventricular assist device placement during the index hospitalization,
- Cognitively intact and able to view videos (adequate eyesight and hearing) with correction, if needed,
- Discharge to home, assisted living facility or to a family member's home and can control dietary sodium and fluids as needed,
- Willing to participate; which may require up to three (3) follow-up telephone calls post-discharge.
Exclusion Criteria:
- Chart documented psychiatric or cognitive conditions that limit ability to understand video content or adhere to self-care recommendations (Alzheimer's condition, dementia, schizophrenia, other neurological history that impairs memory or concentration),
- Plans to discharge to skilled nursing facility or hospice care,
- Receiving home hospice or palliative care; or has a medical condition reflecting less than 1 year of survival (cachexia, end stage liver disease or cancer or non-ambulatory New York Heart Association functional class IV HF),
- Hospitalized but at admission, in New York Heart Association functional class I or II HF
- Post-cardiac transplantation or ventricular assist device placement,
- Currently enrolled in another experimental HF research study,
- Chronic renal failure and receiving chronic hemodialysis therapy for an estimated glomerular filtration rate < 15 mL/minute/1.73 m2,
- A non-traditional form of HF (hypertrophic or restrictive forms of cardiomyopathy, congenital heart disease or Takotsubo cardiomyopathy).
Sites / Locations
- Medical Center Navicent Health
- Cleveland Clinic Fairview Hospital
- Cleveland Clinic main campus
- Cleveland Clinic Marymount Hospital
- Cleveland Clinic Hillcrest Hospital
- Cleveland Clinic Medina Hospital
- Cleveland Clinic South Pointe Hospital
- WellSpan Health
Arms of the Study
Arm 1
Arm 2
No Intervention
Active Comparator
usual care group
video education group
Usual care consists of patient's receiving a Heart Failure Handbook before hospital discharge + verbal education delivered by multiple care providers (including a group education class at 1 site). The handbook is consistent; however, verbal education may vary between care providers based on their knowledge and time available, and perceived patient needs
Will receive usual care, plus will watch 2 short Wellflix, Inc. Danger Signs of Heart Failure videos (via iPAD) on dyspnea, fatigue + a Danger Sign "edema" video, when applicable. Each video describes how to recognize if the sign/symptom is new or worsening and how to self-manage at home (via diet, fluid management and activity instructions)