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Effectiveness of an interactive platform, and the ESC/HFA website in patients with heart failure: design of the multicentre randomized e-Vita heart failure trial
University of Medical Centre Utrecht, Netherlands.
University of Medical Centre Utrecht, Netherlands.
University of Bergen, Norway.
Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Medicine and Health Sciences.
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2015 (English)In: European Journal of Heart Failure, ISSN 1388-9842, E-ISSN 1879-0844, Vol. 17, no 12, 1310-1316 p.Article in journal (Refereed) PublishedText
Abstract [en]

AimsElectronic health support (e-health) may improve self-care of patients with heart failure (HF). We aim to assess whether an adjusted care pathway with replacement of routine consultations by e-health improves self-care as compared with usual care. In addition, we will determine whether the ESC/HFA (European Society of Cardiology/Heart Failure Association) website (HFM website) improves self-care when added to usual care. Finally, we aim to evaluate the cost-effectiveness of these interventions. MethodsA three-arm parallel randomized trial will be conducted. Arm 1 consists of usual care; arm 2 consists of usual care plus the HFM website; and arm 3 is the adjusted care pathway with an interactive platform for disease management (e-Vita platform), with a link to the HFM website, which replaces routine consultations with HF nurses at the outpatient clinic. In total, 414 patients managed in 10 Dutch HF outpatient clinics or in general practice will be included and followed for 12 months. Participants are included if they have had an established diagnosis of HF for at least 3 months. The primary outcome is self-care as measured by the European Heart Failure Self-care Behaviour scale (EHFScB scale). Secondary outcomes are quality of life, cardiovascular- and HF-related mortality, hospitalization, and its duration as captured by hospital and general practitioner registries, use of and user satisfaction with the HFM website, and cost-effectiveness. PerspectiveThis study will provide important prospective data on the impact and cost-effectiveness of an interactive platform for disease management and the HFM website. Clinical Trial Registrationunique identifier: NCT01755988

Place, publisher, year, edition, pages
WILEY-BLACKWELL , 2015. Vol. 17, no 12, 1310-1316 p.
Keyword [en]
Telemedicine; Heart Failure; Self-care; Mortality; Hospitalization
National Category
Sociology
Identifiers
URN: urn:nbn:se:liu:diva-123763DOI: 10.1002/ejhf.413ISI: 000366415700016PubMedID: 26424105OAI: oai:DiVA.org:liu-123763DiVA: diva2:892970
Available from: 2016-01-11 Created: 2016-01-11 Last updated: 2016-03-11

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The full text will be freely available from 2016-10-01 14:39
Available from 2016-10-01 14:39

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