Testing the CHAT Program for Patients With Heart Failure

Weill Cornell Medicine (WCM)

Status: Invitation-only

Conditions: HFpEF - Heart Failure With Preserved Ejection Fraction

Treatments: Behavioral: Conversations Helpful for Awareness of Illness Trajectory (CHAT) Intervention; Behavioral: Standard of Care (SOC)

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT06994325

24-07027766

1R21AG077092-01A1 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The researchers are studying whether an intervention that involves video-based educational content and a health coach is acceptable, feasible, and effective for people with Heart Failure with Preserved Ejection Fraction (HFpEF).

Full description

This is a pilot randomized controlled trial of 50 subjects that will compare the CHAT intervention (video-based educational content and a health coach) with usual care. Video-based educational content was developed based on Adult Learning Theory and Social Cognitive Theory. Key content areas covered by the videos and health coach will include: HFpEF Overview, Signs and Symptoms of HFpEF, Medication Management, Physical Activity and Diet with HFpEF, and Planning for the Future (Advance Care Planning).

Enrollment: 50 estimated patients

Sex: All

Ages: 60+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Male or Female ≥ 60 years old
2. Documentation of HFpEF according to clinical practice guidelines (signs & symptoms of HF AND ejection fraction ≥50%)

Exclusion criteria

1. Previously referred to hospice care
2. Prior completion of advance directives
3. Moderate-severe dementia or psychiatric disorder precluding informed consent.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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50 participants in 2 patient groups

Standard of Care Group

Active Comparator group

Description:

Subjects randomized to the standard of care group will receive usual care (and will not receive the CHAT intervention).

Treatment:

Behavioral: Standard of Care (SOC)

CHAT Intervention Group

Experimental group

Description:

The group randomized to the CHAT intervention will be instructed to watch 7 short patient-facing videos and participate in four biweekly sessions with a trained health coach.

Treatment:

Behavioral: Conversations Helpful for Awareness of Illness Trajectory (CHAT) Intervention