Randomized trial of Telemonitoring to Improve Heart Failure Outcomes (Tele-HF): study design

November 2007  | Chaudhry SI, Barton B, Mattera J, Spertus J, Krumholz HM

J Card Fail. 2007 Nov;13(9):709-14.

Abstract:
BACKGROUND: Telemonitoring, the use of communication technology to monitor clinical status, is gaining attention as a strategy to improve the care of patients with heart failure. A system of frequent monitoring could alert clinicians to early heart failure decompensation, providing the opportunity for intervention before patients become severely ill and require hospitalization. Moreover, patients' participation in a daily monitoring program could have a favorable effect on their health behaviors. The literature on telemonitoring for heart failure, however, is quite limited. METHODS AND MATERIALS: Telemonitoring to Improve Heart Failure Outcomes (Tele-HF) is a randomized, controlled, trial designed to compare an automated, daily symptom, and self-reported weight monitoring intervention with usual care in reducing (all-cause) hospital readmissions and mortality among patients recently hospitalized with decompensated heart failure. The intervention will be implemented and all outcomes will be assessed over a 6-month period. The purpose of the intervention is to collect information about symptoms, clinical status and weight and to engage participants in their own self-care. Participants are recruited from general cardiology, heart failure specialty, and primary care practices across the United States. CONCLUSIONS: The results of this study may inform future policy decisions regarding implementation of telemonitoring in treatment of heart failure.

PubMed abstract