Key result
Nurse-coordinated telephone monitoring achieves ~66% adherence in elderly chronic heart failure patients over 12 months.
Why the study?
The feasibility of receiving healthcare by structured telephone support or telemonitoring in elderly chronic heart failure patients was not well established.
Does a nurse-coordinated telephone-monitoring strategy achieve good adherence, adaptation, and acceptability in elderly patients with chronic heart failure?
Population
79 elderly CHF patients, mean age 74.7 years, recruited by 30 GPs (70% rural)
Comparison
Standard care plus nurse-coordinated telephone-monitoring intervention vs standard care
Design
Cohort study with randomization of GPs to intervention
Follow-up
12 months
Authors
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Supports telephone monitoring feasibility in elderly CHF patients; leaves open whether it improves clinical outcomes.
RCT (n=79)
Randomized
Yes
Does a nurse-coordinated telephone-monitoring strategy achieve good adherence, adaptation, and acceptability in elderly patients with chronic heart failure?
p-value: p=0.001
Elderly patients with chronic heart failure can successfully adapt to and maintain high adherence with a nurse-coordinated telephone-monitoring strategy over 12 months.
Clark et al. (2007) conducted an RCT in Chronic heart failure (n=79). Nurse-coordinated telephone-monitoring (CHAT) plus standard care vs. Standard care was evaluated on Adherence to the study protocol (95% CI 0.54-0.75, p=0.001). A nurse-coordinated telephone-monitoring strategy for elderly chronic heart failure patients achieved an overall protocol adherence of 65.8% (95% CI 0.54-0.75; p=0.001) over 12 months.
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