Nurse's Role Clinical Trial
Official title:
Individually Tailored Remote Monitoring at Home After Hospitalisation for HEART Failure in Multi-morbid Patients (IT-HEART): a Randomised Clinical Trial
Heart failure (HF) is a leading cause of hospitalisation and disability-adjusted life years lost, with mortality rates exceeding most cancers. Despite compelling evidence and recommendations, less than 20% of the HF patients are followed-up by the specialist healthcare after hospital discharge. Due to limited outpatient capacity, human resources and increasing incidence of HF over the next decades, new care models are obviously needed. Remote monitoring (i.e. telemonitoring) encompasses the use of audio, video and other telecommunication technologies to monitor patient status at a distance. Remote monitoring is a promising strategy that can facilitate rapid access to care when needed and reduce patient travel to hospital consultations. It also promotes self-care behaviour, psychosocial support, and early detection of cardiac decompensation. Despite intensive research for >10 years, randomised trials show conflicting results, and European HF guidelines are confined to a weak (class IIb, level of evidence B) recommendation. More knowledge about the role of remote monitoring strategies in HF management, especially in the transition from hospital to home, is thus requested in the most recent European and US guidelines. In particular, studies of high-risk patients integrating the community health services are largely lacking. Furthermore, the components of the intervention that mediate the effect need to be identified. The proposed study aims to address these gaps in evidence and assess whether individually tailored remote monitoring at home (IT-HEART) is improves clinical outcomes in patients hospitalized with decompensated HF. We also aim to identify modifiable clinical and behavioural (drug adherence, self-care, psychological factors) outcome predictors. A prospective, multicentre, randomized, open-label, blinded endpoint adjudication (PROBE) intervention study is designed and powered to include at least150 patients with at least one HF hospitalization in the 12 months preceding enrolment. To ensure generalizability, patients will be included regardless of comorbidity, frailty and ejection fraction. We have conducted a pilot-study providing empirical evidence for the expected participation rate, readmission rate and barriers to HF management in current clinical practice that will be targets for the intervention. This will promote high adherence to the intervention and positive long-term clinical and health economic effects.
n/a
Status | Clinical Trial | Phase | |
---|---|---|---|
Recruiting |
NCT06079853 -
Nurse Suicide: Physiologic Sleep Health Promotion Trial
|
N/A | |
Active, not recruiting |
NCT06004492 -
Technology-assisted Blended Learning on Motivational Interviewing for Mental Health Nurses.
|
N/A | |
Completed |
NCT05634343 -
Laughter Therapy and Mindfulness Practices in Nurses
|
N/A | |
Completed |
NCT04176822 -
Designing Animated Movie for Preoperative Period
|
N/A | |
Not yet recruiting |
NCT05766215 -
Nurse-led Therapeutic Education Effects in Glycemic Control and Knowledge of Type 1 Diabetes Mellitus Patients Under Hospital Transition
|
N/A | |
Active, not recruiting |
NCT05053191 -
Advancing Nursing Practices in Hospital Oncology Care
|
N/A | |
Completed |
NCT03219151 -
Evaluation of a Gamified Electronic Medication Administration Record (eMAR) System
|
N/A | |
Completed |
NCT05517148 -
Effects of an Immersive Virtual Reality Intervention Combined With Mindfulness-based Stress Reduction
|
N/A | |
Not yet recruiting |
NCT06047652 -
Development of Electronic Continuing Professional Development for Indonesian Clinical Nurses
|
N/A | |
Withdrawn |
NCT04043468 -
Audit and Feedback Interventions With Primary Care Nursing Teams
|
N/A | |
Completed |
NCT05100524 -
Motivational Interview for Daily Living Activities in Elderly People Undergoing Total Knee Replacement
|
N/A | |
Completed |
NCT03269331 -
Feasibility and Effectiveness of the Advancing Research and Clinical Practice Through Close Collaboration (ARCC)
|
||
Recruiting |
NCT05577767 -
Does Longitudinal Nursing Follow-up Improve Smoking Cessation in Patients Referred for COPD Screening
|
||
Completed |
NCT05759091 -
Effect of Applying Cognitive Defusion Techniques on Mindful Awareness, Cognitive Fusion and Believability of Delusions Among Clients With Schizophrenia
|
N/A | |
Completed |
NCT05705622 -
The Effect of Nursing Education on Oral Mucositis in Bone Marrow Transplant Patients
|
N/A | |
Completed |
NCT05711368 -
Effect of Distress Tolerance Training on Problematic Internet Use and Psychological Wellbeing Among Faculty Nursing Students
|
N/A | |
Completed |
NCT05721339 -
Virtual Acceptance and Commitment Therapy Impact on Social Adjustment and Work-Family Conflict Among Intern Nurses
|
N/A | |
Completed |
NCT05297721 -
Nurses' Level of Knowledge on Skin Tears: A Cross-Sectional Study
|
||
Not yet recruiting |
NCT04396951 -
Optimal Heating Temperature in Major Burns Patients
|
N/A | |
Completed |
NCT04918485 -
Effect of Preoperative Psychological Intervention on the Degree of Cooperation During Tracheal Catheter Extubation in Patients
|
N/A |