Chronic Heart Failure Clinical Trial
Official title:
Efficacy and Cost Effectiveness of Relaxation and Response to CHF
Despite the development of significant pharmaceutical treatments, morbidity and mortality of chronic heart failure (CHF) patients remain high, patients� quality of life is poor, and their health care utilization is heavy. It is therefore important to find a cost effective non-pharmaceutical treatment to help CHF patients manage the disease. The relaxation response has been found to be effective in managing CHF-related conditions. With its favorable physiological changes, the relaxation response is likely to benefit CHF patients.
Background:
Despite the development of significant pharmaceutical treatments, morbidity and mortality of
chronic heart failure (CHF) patients remain high, patients� quality of life is poor, and
their health care utilization is heavy. It is therefore important to find a cost effective
non-pharmaceutical treatment to help CHF patients manage the disease. The relaxation
response has been found to be effective in managing CHF-related conditions. With its
favorable physiological changes, the relaxation response is likely to benefit CHF patients.
Objectives:
1. To evaluate the effects of a 15-week relaxation response intervention program on
improving functional capacity and health-related quality of life as compared with an ongoing
15-week educational program for cardiac disease management, and a control group of usual
cardiac care; 2. To identify the costs of conducting the intervention and the cardiac care
education and the costs associated with cardiac care services; and to compare cost among
three study groups.
Methods:
This is a single-blind three-armed randomized trial in CHF patients who receive care at the
Boston VA Medical Center. Enrolled patients are randomly assigned, with equal numbers, to
one of the three study groups. Outcomes include cardiac functional capacity and
self-reported health-related quality of life. We also conduct a qualitative study to
interview patients by phone about their experience in the study.
Status:
This project has completed the data collection phase and is in the data analysis phase.
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Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label
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