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A Disease Management Study Targeted to Reduce Health Care Utilization for Patients With Congestive Heart Failure

Primary Purpose

The Focus is to Investigate Effects of a Disease Management Intervention for Patients With Congestive Heart Failure

Status
Unknown status
Phase
Phase 3
Locations
Sweden
Study Type
Interventional
Intervention
Disease-Management intervention
Sponsored by
Health Navigator
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for The Focus is to Investigate Effects of a Disease Management Intervention for Patients With Congestive Heart Failure

Eligibility Criteria

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

Inclusion Criteria:

  • Patients with ≥1 unplanned inpatient occasion with primary diagnosis of heart failure ( I50) during the last 12 months
  • Heart failure grade NYHA II- III
  • Accurate heart failure diagnosis
  • Living in one of four Swedish counties where the trial is ongoing

Exclusion Criteria:

  • Deceased
  • In a moribund state
  • Significant cognitive loss and therefore cannot provide consent
  • Psychosis diagnosis
  • Severe hearing impairment
  • Language difficulties
  • Participants in another study

Sites / Locations

  • Stockholms Läns LandstingRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

Disease-Management intervention

No Intervention: Control arm

Arm Description

Behavioral: Disease-Management intervention The participants in the intervention group receive a nurse-managed disease-management intervention that is regularly delivered by telephone or, when necessary, in person

Control group not receiving any in

Outcomes

Primary Outcome Measures

Number of hospitalizations
Number of outpatient visits to medical doctor

Secondary Outcome Measures

Mortality
Length of hospital stays
Total health care cost

Full Information

First Posted
September 25, 2014
Last Updated
March 26, 2015
Sponsor
Health Navigator
Collaborators
Region Stockholm, Ostergotland County Council, Sweden, Vastra Gotaland Region, Uppsala County Council, Sweden
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1. Study Identification

Unique Protocol Identification Number
NCT02251899
Brief Title
A Disease Management Study Targeted to Reduce Health Care Utilization for Patients With Congestive Heart Failure
Official Title
A Disease Management Study Targeted to Reduce Health Care Utilization for Patients With Congestive Heart Failure
Study Type
Interventional

2. Study Status

Record Verification Date
March 2015
Overall Recruitment Status
Unknown status
Study Start Date
January 2010 (undefined)
Primary Completion Date
December 2015 (Anticipated)
Study Completion Date
June 2016 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Health Navigator
Collaborators
Region Stockholm, Ostergotland County Council, Sweden, Vastra Gotaland Region, Uppsala County Council, Sweden

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The aim of this study is to determine whether a nurse-managed telephone-based disease-management intervention can reduce healthcare utilization and improve self-assessed health status in patients with congestive heart failure.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
The Focus is to Investigate Effects of a Disease Management Intervention for Patients With Congestive Heart Failure

7. Study Design

Primary Purpose
Supportive Care
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
10000 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Disease-Management intervention
Arm Type
Experimental
Arm Description
Behavioral: Disease-Management intervention The participants in the intervention group receive a nurse-managed disease-management intervention that is regularly delivered by telephone or, when necessary, in person
Arm Title
No Intervention: Control arm
Arm Type
No Intervention
Arm Description
Control group not receiving any in
Intervention Type
Behavioral
Intervention Name(s)
Disease-Management intervention
Intervention Description
The participants in the intervention group receive a nurse-managed disease-management intervention that is regularly delivered by telephone or, when necessary, in person
Primary Outcome Measure Information:
Title
Number of hospitalizations
Time Frame
From randomization for up to 2 years
Title
Number of outpatient visits to medical doctor
Time Frame
From randomization for up to 2 years
Secondary Outcome Measure Information:
Title
Mortality
Time Frame
From randomization for up to 2 years
Title
Length of hospital stays
Time Frame
From randomization for up to 2 years
Title
Total health care cost
Time Frame
From randomization for up to 2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients with ≥1 unplanned inpatient occasion with primary diagnosis of heart failure ( I50) during the last 12 months Heart failure grade NYHA II- III Accurate heart failure diagnosis Living in one of four Swedish counties where the trial is ongoing Exclusion Criteria: Deceased In a moribund state Significant cognitive loss and therefore cannot provide consent Psychosis diagnosis Severe hearing impairment Language difficulties Participants in another study
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Gustaf Edgren
Email
gustaf@pheph.se
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Gustaf Edgren
Organizational Affiliation
gustaf@pheph.se
Official's Role
Principal Investigator
Facility Information:
Facility Name
Stockholms Läns Landsting
City
Stockholm
Country
Sweden
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Gustaf Edgren, MD PhD
Phone
+46708186862
Email
gustaf@pheph.se

12. IPD Sharing Statement

Citations:
PubMed Identifier
22960802
Citation
Reinius P, Johansson M, Fjellner A, Werr J, Ohlen G, Edgren G. A telephone-based case-management intervention reduces healthcare utilization for frequent emergency department visitors. Eur J Emerg Med. 2013 Oct;20(5):327-34. doi: 10.1097/MEJ.0b013e328358bf5a.
Results Reference
result

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A Disease Management Study Targeted to Reduce Health Care Utilization for Patients With Congestive Heart Failure

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