Group Medical Visits in Heart Failure
NCT02481921 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 242
Last updated 2024-07-24
Summary
The primary goal of this proposal is to improve the quality of care and outcomes for patients discharged with heart failure using an innovative multidisciplinary group intervention approach. Heart failure is a complex chronic illness where comprehensive patient-centered care is difficult and resource intensive. One potential solution is to use shared medical appointments (SMA), where a group of patients with the same disease process shared the same medical or clinic appointment. This can be provided by a multi-disciplinary team of providers with expertise in nutrition, nursing, behavior and medication management join to manage heart failure. The investigators will enroll patients from Providence, Cleveland and Phoenix VA Hospitals who were within 12 weeks of discharge from a heart failure hospitalization and/or an outpatient encounter (clinic, emergent or urgent care) that required IV diuretic therapy. Patients were randomized them to receive SMA intervention or usual care. Results from this project are expected to add an innovative intervention that could improve outcomes important for both the patient and the VA: health status, hospitalizations, and mortality.
Conditions
Interventions
- BEHAVIORAL
-
Group medical visits
Group clinics or shared medical appointments where a multidisciplinary team of providers with expertise in nutrition, nursing, behavior and/or medication management join to manage heart failure in addition to and in support of, the patient's regular individual clinic visits.
Sponsors & Collaborators
-
VA Office of Research and Development
lead FED
Principal Investigators
-
Wen-Chih Hank Wu, MD · Providence VA Medical Center, Providence, RI
-
Sherry Ball, PhD · Cleveland VA Health Care System, Cleveland, OH
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-05-01
- Primary Completion
- 2021-10-01
- Completion
- 2021-12-31
Countries
- United States
Study Locations
More Related Trials
-
A Family Intervention for Improving Self-Care of Patients With Heart Failure
NCT00645489 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Telephone Intervention in Heart Failure Patients
NCT00057057 ·Status: COMPLETED ·Phase: NA
-
Teach-Back Discharge Education to Improve Self-Care and Reduce 30-Day Readmissions in Heart Failure Patients
NCT07280208 ·Status: COMPLETED ·Phase: NA
-
Supporting Health in Veterans With Heart Failure
NCT05839067 ·Status: RECRUITING ·Phase: NA
-
Self-management and Cognitive Function in Adults With Heart Failure
NCT01461629 ·Status: COMPLETED
-
Dietary Prevention of Heart Failure in Hypertensive Metabolic Syndrome
NCT03170375 ·Status: COMPLETED ·Phase: NA
-
Effectiveness of Peer Support in Improving Heart Failure Self-Management and Care
NCT00508508 ·Status: COMPLETED ·Phase: NA
-
Heart Failure Medication Adherence
NCT03402750 ·Status: COMPLETED ·Phase: NA
-
Examining the Cognitive Benefits of Cardiac Rehabilitation in People With Heart Failure (The CHF CaRe Study)
NCT00871897 ·Status: UNKNOWN
-
Using Videos to Facilitate Advance Care Planning for Patients With Heart Failure
NCT01589120 ·Status: UNKNOWN ·Phase: NA
-
Patient-Centered Heart Failure Trial
NCT00461513 ·Status: COMPLETED
-
Effect of Post Discharge Follow-up on Readmission Rates for Congestive Heart Failure Patients
NCT01529463 ·Status: COMPLETED
-
Patient and Family Partners in Heart Failure Care: Pilot Test of a Pre-visit Question Prompt List to Enhance Engagement During Medical Visits
NCT03491800 ·Status: COMPLETED ·Phase: NA
-
The Congestive Heart Failure Adherence Redesign Trial
NCT01698242 ·Status: COMPLETED ·Phase: PHASE3
-
Promoting Patient-Centered Care Through a Heart Failure Simulation Study
NCT01917188 ·Status: COMPLETED ·Phase: NA
-
"Hub and Satellite" Heart Failure Provider's Network Study
NCT01246050 ·Status: COMPLETED ·Phase: NA
-
Feasibility and Acceptability of Three Component Intervention for the Heart Failure Care for Rural Dwelling Participants
NCT07103239 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Implementing a Digitally-enabled Community Health Worker Intervention for Patients With Heart Failure
NCT05130008 ·Status: COMPLETED ·Phase: NA
-
Creating A Cardiorenal Multidisciplinary Team for Management HF and CKD Patients
NCT05531214 ·Status: COMPLETED ·Phase: NA
-
CR: Developing an Intervention to Improve Acceptance of Referral in HF
NCT04276675 ·Status: COMPLETED
-
Effect of a Quality Improvement Initiative to Address Social Determinants of Health on Rehospitalization Rates in Patients With Heart Failure
NCT05388097 ·Status: RECRUITING ·Phase: NA
-
Geriatric-CO-mAnagement for Cardiology Patients in the Hospital
NCT02890927 ·Status: COMPLETED ·Phase: NA
-
Goals of Care Communication
NCT02466100 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
A Tele-Health Symptom Management Program for Patients With Heart Failure: Pall-Heart
NCT04120857 ·Status: COMPLETED ·Phase: NA
-
The Effectiveness of Collaborative Health Management Model on Heart Failure Patient
NCT04860596 ·Status: UNKNOWN ·Phase: NA