EMPOWER Study, a Personalized Home Care Intervention for Older Heart Failure Patients

University of Rochester

Status

Withdrawn

Conditions

Heart Failure

Treatments

Behavioral: EMPOWER

Study type

Interventional

Funder types

Other

Identifiers

NCT03971149

RSRB00003400

Details and patient eligibility

About

The purpose of this study is to see how investigators may best improve treatment adherence and disease management for heart failure after hospital discharge. This is because the period after hospital discharge is critical to long-term recovery, overall quality of life, and prevention of future hospitalizations. In this study, a trained nurse interventionist will work with the participants to develop a personalized adherence enhancement strategy for heart failure diagnosis. The personalized adherence enhancement strategy is called EMPOWER.

Sex

All

Ages

60+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

diagnosis of moderate/severe heart failure at hospital admission, defined by ICD codes (ICD-9 428 or ICD-10 150), New York Heart Association class III/IV, and left ventricular ejection fraction less than or equal to 40% (i.e., echocardiography)
discharge from heart failure-led hospitalization to home health care in approximately the previous week
intact or mildly impaired cognitive function (Montreal Cognitive Assessment eligibility scores greater than or equal to 18)
primary residence in four counties within 30 minutes distance to the University of Rochester

Exclusion criteria

end-of-life prognosis in the following 6 months that make it difficult to examine the changes in heart failure outcomes
currently receiving hospice care
conditions that impact the receipt of the intervention such as active suicidal ideation that is identified at baseline using the Geriatric Depression Scale and the Geriatric Suicide Ideation Scale
being non-English speaking
having serious visual and or hearing impairment