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October 1, 2003Family & Community Health

Comparison of Health Buddy® with Traditional Approaches to Heart Failure Management

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Why the study?

Does an in-home telehealth communication device (Health Buddy) improve self-efficacy, functional status, depression, and health-related quality of life compared to traditional home management strategies in heart failure patients?

Population

Heart failure patients (n=90 completed)

Comparison

In-home telehealth communication device for… vs Traditional home management strategies

Design

Cohort

Follow-up

2 months

Key result

Delivering heart failure management via the Health Buddy telehealth device was feasible and as effective as traditional methods over 2 months, though 30% of participants withdrew due to device issues.

Authors

LLLouise LaFramboiseCTCatherine ToderoLZLani Zimmerman

Discussion

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Overview

Should not yet change practice due to withdrawals; leaves open telehealth efficacy for HF in randomized trials.

Key Points

  • To evaluate the feasibility and efficacy of delivering a heart failure disease management program via an in-home telehealth device compared with traditional home visits and telephone support.
  • Enrolled participants with heart failure into a 2-month pilot study comparing an in-home telehealth communication device (Health Buddy) against traditional telephone management and home visits (N=90 completed).
  • Evaluated patient self-efficacy, functional status, depression, and health-related quality of life over time using mixed-model ANOVA.
  • Participants assigned to telephone management experienced decreased self-efficacy confidence, whereas telehealth and home-visit groups both showed increased confidence in managing heart failure.
  • Functional status, depression, and health-related quality of life improved over time across all cohorts with no statistically significant differences between groups.
  • Thirty percent of potential participants were excluded prior to or withdrawn after enrollment due to issues related to the telehealth communication device.

Structured PICO

Does an in-home telehealth communication device (Health Buddy) improve self-efficacy, functional status, depression, and health-related quality of life compared to traditional home management strategies in heart failure patients?

P
Population
Heart failure patients (n=90 completed)
I
Intervention
In-home telehealth communication device (Health Buddy) for heart failure disease management
C
Comparator
Traditional home management strategies (telephonic, home visit)
O
Outcome
Feasibility and selected patient outcomes (self-efficacy, functional status, depression, and health-related quality of life) at 2 monthspatient reported

Delivering a heart failure disease management program through a telehealth communication device is feasible and may be as effective as traditional methods for patient-reported outcomes.

Limitations

  • Thirty percent of participants were either eliminated prior to or withdrawn after enrollment from the study based on Health Buddy issues.
  • 30% of participants were either eliminated prior to or withdrawn after enrollment based on Health Buddy issues

Cite This Study

LaFramboise et al. (2003) studied Heart failure (n=90). Health Buddy (in-home telehealth communication device) vs. Traditional home management strategies (telephonic, home visit) was evaluated on Feasibility, self-efficacy, functional status, depression, and health-related quality of life. Delivering heart failure management via the Health Buddy telehealth device was feasible and as effective as traditional methods over 2 months, though 30% of participants withdrew due to device issues.

synapsesocial.com/papers/6a12b3d549a1b84031a4267dhttps://doi.org/10.1097/00003727-200310000-00005
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Managing Heart Failure Patients After Formal Homecare2009 · 32 citations
  2. 2Impact of a Telehealth and Care Management Program on All-Cause Mortality and Healthcare Utilization in Patients with Heart Failure2015 · 36 citations
  3. 3A multimodal technology intervention for heart failure patients to reduce readmissions2015 · 1 citations
  4. 4Effects of Care Management and Telehealth: A Longitudinal Analysis Using Medicare Data2013 · 39 citations
  5. 5A randomized controlled trial to assess effectiveness of a nurse-led home-based heart failure management program2017 · 10 citations