January 1, 2021Circulation Heart Failure
Automated E-Counseling for Chronic Heart Failure
Key result
Internet-based e-counseling fails to improve 12-month KCCQ-OS over conventional e-based education in CHF patients.
- P=0.51
- n=231
Why the study?
International task force statements advocate telehealth programs to promote health-related quality of life for patients with chronic heart failure, prompting evaluation of an automated e-counseling program.
Does internet-based e-counseling improve 12-month KCCQ-OS in patients with chronic heart failure compared to conventional e-based education?
Population
231 patients with chronic heart failure
Comparison
Usual care plus e-counseling vs usual care plus e-based conventional CHF self-care education
Design
Multi-site double-blind randomized trial
Follow-up
12-month
Authors
Discussion
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Member takes
Implication
E-counseling confers no QoL benefit over e-education in chronic HF; challenges assumptions about automated digital interventions.
Study Design
Type
RCT (n=231)
Blinding
Double-blind
Randomization
randomized
Multicenter
Yes
Structured PICO
Does internet-based e-counseling improve 12-month KCCQ-OS in patients with chronic heart failure compared to conventional e-based education?
P
Population
231 patients with chronic heart failure (median age 59.5 years, 22% female) followed for 12 months.
I
Intervention
Usual care plus internet-based e-counseling (motivational and cognitive-behavioral tools for CHF self-care)
C
Comparator
Usual care plus e-based conventional CHF self-care education (e-UC)
O
Outcome
12-month Kansas City Cardiomyopathy Questionnaire Overall Summary (KCCQ-OS) improvement (increase ≥5 points)patient reported
Main Result
Absolute Event Rate: 29.6% vs 34%
p-value: p=0.51
An automated e-counseling program did not significantly improve 12-month quality of life (KCCQ-OS) compared to conventional e-based education in patients with chronic heart failure, although it did increase program engagement.
Cite This Study
Nolan et al. (2021) conducted an RCT in chronic heart failure (CHF) (n=231). internet-based e-counseling vs. e-based conventional CHF self-care education (e-UC) was evaluated on 12-month Kansas City Cardiomyopathy Questionnaire Overall Summary (KCCQ-OS) increase ≥5 points (p=0.51). Internet-based e-counseling did not significantly improve the 12-month KCCQ-OS by ≥5 points compared to conventional e-based education in patients with chronic heart failure (29.6% vs 34.0%, P=0.51).