Effect of a Collaborative Care Intervention vs Usual Care on Health Status of Patients With Chronic Heart Failure
Why the study?
Does a collaborative care intervention (CASA) improve heart failure-specific health status in outpatients with symptomatic chronic heart failure?
Population
314 outpatients with symptomatic chronic heart failure and reduced health status, mean age 65.5 years, 247…
Comparison
Collaborative Care to Alleviate Symptoms and… vs Usual care
Design
RCT, 1:1, single-blind
Follow-up
6 months
Authors
Discussion
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Member takes
Implication
Does not support routine CASA use for heart failure health status; leaves open benefits for depression and fatigue.
Structured PICO
Does a collaborative care intervention (CASA) improve heart failure-specific health status in outpatients with symptomatic chronic heart failure?
P
Population
314 outpatients with symptomatic chronic heart failure and reduced health status, mean age 65.5 years, 247 men (78.7%), recruited in Colorado. 178 (56.7%) had reduced ejection fraction.
I
Intervention
Collaborative Care to Alleviate Symptoms and Adjust to Illness (CASA) intervention (collaborative symptom care provided by a nurse and psychosocial care provided by a social worker, supervised by a primary care clinician, cardiologist, and palliative care physician)
C
Comparator
Usual care
O
Outcome
Patient-reported heart failure-specific health status, measured by difference in change scores on the Kansas City Cardiomyopathy Questionnaire (range, 0-100) at 6 monthspatient reported
A collaborative care intervention did not significantly improve overall heart failure-specific health status at 6 months, though it did improve secondary outcomes of depression and fatigue.
Cite This Study
Bekelman et al. (2018) studied this question.