Total logon hours in the initial 4-month segment of the CHF-CePPORT digital counseling program were associated with an increased 12-month KCCQ-OS tertile (OR 1.31).
RCT (n=117)
Double-blind
Randomized
Yes
Does digital counseling usage (specifically videos and interactive tools) improve health-related quality of life in patients with chronic heart failure?
In a digital counseling program for chronic heart failure, patient engagement with interactive tools and videos based on cognitive behavioral therapy and motivational interviewing during the first 4 months is associated with improved health-related quality of life at 12 months.
Effect estimate: OR 1.31 (95% CI 1.1-1.5)
p-value: p=0.001
Background Task force statements support the use of cognitive behavioral therapy (CBT) and motivational interviewing (MI) to promote self-care in chronic heart failure (CHF) patients. Digital counseling interventions have the potential to complement conventional programs. However, therapeutic components of digital programs associated with improved outcomes are not clearly established. Objective Identify therapeutic components of the Canadian e-Platform to Promote Behavioral Self-Management in Chronic Heart Failure (CHF-CePPORT) protocol that were associated with improved health-related quality of life (HRQL). Materials and methods Ordinal logistic regression was used to identify therapeutic components of the CHF-CePPORT protocol. The primary outcome was the 12-month Kansas City Cardiomyopathy Questionnaire Overall Summary (KCCQ-OS) tertile. Logistic regressions determined the association between 12-month KCCQ-OS tertile, using logon hours for key segments of the protocol, modality of content delivery, and clinical themes. Results A total of 117 patients were enrolled in the e-Counseling arm of the CHF-CePPORT trial. Median age was 60 years (IQR 52–69). Total logon hours in the initial 4-month segment of CHF-CePPORT (Sessions 1–16) was associated with increased 12-month KCCQ-OS tertile (Odds Ratio, OR = 1.31, 95% CI, 1.1–1.5, P = 0.001). Within sessions 1–16, improved KCCQ-OS was associated with logon hours for self-assessment tools/trackers (OR = 1.49, 95% CI, 1.1–2.0, P = 0.007), and videos (OR = 1.57, 95% CI, 1.03–2.4, P = 0.04), but not for CHF information pages. Conclusion This study highlights the importance of using evidence-based guidelines from CBT and MI as core components of digital counseling, delivered through videos and interactive tools/trackers, to improve HRQL with CHF.
Fezza et al. (Thu,) conducted a rct in Chronic heart failure (n=117). CHF-CePPORT digital counseling protocol vs. e-Info Control + Usual Care was evaluated on 12-month Kansas City Cardiomyopathy Questionnaire Overall Summary (KCCQ-OS) tertile (OR 1.31, 95% CI 1.1-1.5, p=0.001). Total logon hours in the initial 4-month segment of the CHF-CePPORT digital counseling program were associated with an increased 12-month KCCQ-OS tertile (OR 1.31).