Telemonitoring of Heart Failure Patients and Their Caregivers: A Pilot Randomized Controlled Trial

Schwarz, Karen A.; Mion, Lorraine C.; Hudock, Debra; Litman, George I.

doi:10.1111/j.1751-7117.2008.tb00527.x

Cited by 12 publications

(16 citation statements)

References 28 publications

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“…Telemedicine has advanced significantly since the 1990s. It now has clinical applications in most medical specialties, including cardiology,6–9 chronic wound care,10 dermatology,5, 11 ophthalmology,12, 13 and trauma care 14. Teleradiology has become a common and effective way of providing radiology night coverage in hospitals throughout the United States 15.…”

Section: Introductionmentioning

confidence: 99%

Telemedicine—An efficient and cost‐effective approach in parathyroid surgery

2011

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Section: Introductionmentioning

confidence: 99%

Telemedicine—An efficient and cost‐effective approach in parathyroid surgery

2011

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“…The two studies published have only included smaller sample sizes (Dunbar et al. 2005, Schwarz et al. 2008).…”

Section: Discussionmentioning

confidence: 99%

Cost‐effectiveness of a nurse‐led education and psychosocial programme for patients with chronic heart failure and their partners

Ågren

Evangelista

Davidson

et al. 2013

Journal of Clinical Nursing

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Aims and objectives This randomised controlled trial was conducted to estimate the cost-effectiveness of a nurse-led education and psychosocial support programme for patients with heart failure (HF) and their partners. Background There are few studies evaluating cost-effectiveness of interventions among HF patient–partner dyads. Methods Dyads randomised to the experimental group received nurse-led counselling, computer-based education and written materials aimed at developing problem-solving skills at two, six and 12 weeks after hospitalisation with HF exacerbation. The dyads in the control group received usual care. A cost-effectiveness analysis that included costs associated with staff time to deliver the intervention and travel costs was conducted at 12 months. Quality-adjusted life-year (QALY) weights for patients and partners were estimated by SF-6D. Results A total of 155 dyads were included. The intervention cost was €223 per patient. Participants in both groups showed improvements in QALY weights after 12 months. However, no significant difference in QALY weights was found between the patients in the two groups, nor among their partners. Conclusion The intervention was not proven cost-effective, neither for patients nor for partners. The intervention, however, had trends (but not significant) effects on the patient–partner dyads, and by analysing the QALY gained from the dyad, a reasonable mean cost-effectiveness ratio was achieved. Relevance to clinical practice The study shows trends of a cost-effective education and psychosocial care of HF patient–partner dyads.

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“…Third, the sparse work on care recipient outcomes have neglected the large population of "military caregivers" who care for wounded, ill, and injured military personnel and veterans [13][14][15]. Finally, the majority of caregiver trials developed to reduce emergency department visits, hospitalizations, and nursing home placements have focused on efficacy and effectiveness of the intervention itself, which Guralnick [16] refers to as first-generation research; with one exception [17], all have failed to show significant reductions in either hospitalization or nursing home placement [18,19]. One explanation of non-significant findings, aside from concerns about inadequate power, is that caregiver supports have yet to appropriately target individuals at risk for institutionalization during a vulnerable time in the care continuum.…”

Section: Significant Gaps In Caregiver Researchmentioning

confidence: 99%

Moderators of Treatment Outcomes from Family Caregiver Skills Training: Secondary Analysis of a Randomized Controlled Trial

Cary¹,

Smith²,

Shepherd‐Banigan³

et al. 2019

obm geriatr

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Background: Moderator analyses may be helpful for evaluating intervention effects. The objective of this study was to evaluate whether the effect of a caregiver skills training intervention-Helping Invested Families Improve Veterans' Experience Study (HI-FIVES)-on care recipient outcome and caregiver outcome is moderated by the veteran's risk for hospitalization or level of functional impairment. Methods: Secondary data analysis of HI-FIVES. Outcomes included veteran days in the community (cumulative days in the community at 12 months alive and not in the emergency department, hospital, or post-acute facility) and caregiver burden (Zarit Burden Interview at baseline, 3, 6, and 12 months). Moderators, risk for hospitalization and functional impairment, was assessed using their Care Assessment Need (CAN) score and the Older Americans Resources and Services (OARS) Questionnaire, respectively. Negative binomial and linear mixed models were used to assess intervention effects on community days and caregiver burden, respectively. Results: Of 241 dyads, veteran (caregiver) mean age was 73 (61) years, 53% (54%) were Black, and 4% (89%) were female. Medium hospitalization-risk (91-98 CAN score) participants who received HI-FIVES had 3.75 times more community days vs. medium risk participants in the control group. By contrast, the high hospitalization-risk (99+ CAN score) participants who received HI-FIVES had 4.39 times fewer community days vs. high-risk participants in the control group. The CAN score did not have a significant moderating effect on caregiver burden. OARS did not have a significant moderating effect on community days or caregiver burden. Conclusions: Targeting the HI-FIVES based on hospitalization risk may be an effective strategy for keeping veterans in the community longer.

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Telemonitoring of Heart Failure Patients and Their Caregivers: A Pilot Randomized Controlled Trial

Cited by 12 publications

References 28 publications

Telemedicine—An efficient and cost‐effective approach in parathyroid surgery

Telemedicine—An efficient and cost‐effective approach in parathyroid surgery

Cost‐effectiveness of a nurse‐led education and psychosocial programme for patients with chronic heart failure and their partners

Moderators of Treatment Outcomes from Family Caregiver Skills Training: Secondary Analysis of a Randomized Controlled Trial

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