Why the study?
Does a multimodal technology intervention including home telemonitoring and nurse coaching reduce readmissions in heart failure patients?
Population
30 heart failure patients, mean age 75
Comparison
Home telemonitoring devices, telephonic nurse… vs Telephonic nurse coach and motivational…
Design
RCT, Three-arm randomized controlled trial
Key result
A home telemonitoring and motivational interviewing intervention resulted in a 20% readmission rate compared to 56% in the control group over 4 months, though this difference was not statistically significant.
Authors
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Small RCT shows no readmission benefit; leaves open whether HT plus MI coaching improves depression or self-care in larger trials.
RCT (n=30)
Open-label
Random table of numbers
No
Does a multimodal technology intervention including home telemonitoring and nurse coaching reduce readmissions in heart failure patients?
Absolute Event Rate: 20% vs 56%
p-value: p=not significant
A multimodal home telemonitoring and nurse coaching intervention did not significantly reduce readmissions in a small pilot of heart failure patients, but showed potential benefits for depression and telemedicine satisfaction.
Hawkins et al. (2015) conducted an RCT in Heart failure (n=30). Home telemonitoring and telephonic nurse coach motivational interviewing vs. Telephonic nurse coach health promotion only (Group C) or HF self-care without telemonitoring (Group B) was evaluated on Hospital readmission within 4 months (p=not significant). A home telemonitoring and motivational interviewing intervention resulted in a 20% readmission rate compared to 56% in the control group over 4 months, though this difference was not statistically significant.