Virtual Visits in Heart Failure Care Transitions (VIV-HF)

NeuroTherapia, Inc.

Status: Completed

Conditions: Heart Failure

Treatments: Behavioral: Virtual Visit

Study type: Interventional

Funder types: Other

Identifiers

NCT03675828

18-651

Details and patient eligibility

About

This study evaluates the use of virtual visits in the post-discharge care of patients with heart failure. Participants admitted to the hospital with a primary diagnosis of heart failure will be randomized at discharge to either a virtual visit or outpatient visit for their 7-day post discharge follow up visit.

Full description

Published guidelines recommend that patients being discharged home after hospitalization for HF should be offered a 7-day post-discharge outpatient clinic visit as a way to increase engagement with care and reduce risk of poor outcomes. Unfortunately no-show rates for the 7-day post-discharge outpatient visit in this population are high, suggesting poor engagement. The investigators have previously observed a 76% no-show rate at the Cleveland Clinic Main Campus. This study is to evaluate whether use of 7-day post-discharge virtual visit versus in-person visit can improve adherence with post-discharge appointment.

Enrollment: 116 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Hospitalized for primary diagnosis of HF;
2. Anticipated to be discharged home;
3. Agreeable to longitudinal post-discharge care at Cleveland Clinic Main Campus in the first few weeks after hospital discharge;
4. Patient or an individual in their social support network has the ability (equipment and connectivity) to do a virtual visit after hospital discharge;

Exclusion criteria

1. Being transferred to another hospital, or being discharged to an inpatient facility or nursing home;
2. Being discharged to hospice;
3. Subject currently enrolled in an interventional research study that requires an in-person clinical visit within 7 days post-discharge.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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116 participants in 2 patient groups

Virtual Visit

Experimental group

Description:

In this arm, the 7-day post discharge visit will be completed by a scheduled virtual visit with a member of the study team using the Cleveland Clinic Online Express Care application on a computer or a tablet/phone.

Treatment:

Behavioral: Virtual Visit

Outpatient Clinic

No Intervention group

Description:

In this arm, the 7-day post discharge visit will be completed by a standard-of-care, in-person outpatient visit with a member of the study team in the heart failure clinic.