Medication Adherence Telemonitoring to Reduce Heart Failure Readmissions (TEAM-HF)
Heart Failure
About this trial
This is an interventional treatment trial for Heart Failure focused on measuring Medication adherence, Hospital readmissions
Eligibility Criteria
Inclusion Criteria:
- Hospitalized for heart failure
- Prescribed loop diuretic medication at discharge
Exclusion Criteria:
- Age less than 21 years
- New York Heart Association Class IV heart failure
- Terminal illness (<6 mo prognosis)
- Unable to self-administer medications due to mental illness or cognitive impairment
- Non-English/Spanish speaking
- Discharged to an institutional setting (e.g., nursing home)
- Cardiologist or primary care provider refusal
- Unavailable for follow-up
- No access to telephone
- Enrolled in another cardiac trial
Sites / Locations
- Columbia University Medical Center
Arms of the Study
Arm 1
Arm 2
No Intervention
Experimental
Usual care
Medication adherence telemonitoring
Participants assigned to usual care will also be provided with a GlowCap prior to discharge and will be instructed to take their loop diuretic from this bottle and to notify the study team about prescribed dose changes. This information, however, will solely be used to measure medication adherence and will not be provided to a member of the study team nor to any of the participants' health care providers until the completion of the study period, at least 1 month later. Participants will not be provided with any advice on heart failure adherence.
At discharge, participants in the intervention group will be instructed to take their loop diuretic exclusively from the GlowCap in the manner prescribed by their physician. A study team member will review the adherence data on a daily basis (except holidays and weekends) during the first 7 days after discharge, and then on, at minimum, a weekly basis. The study team member will respond to adherence data using clinical judgment as they would if the information was obtained during clinical care. Specifically, when contacting nonadherent participants, the member of the study team will provide participants with feedback on their electronic adherence; will inquire about potential consequences of missed doses; and will assess and respond to reasons for missed doses.