Although many studies have demonstrated the efficacy of disease management programs on mortality, morbidity, quality of life (Qol), and medical cost in patients with heart failure (HF), no study has focused on psychological status as an outcome of disease management in patients with HF. Disease management could lead to the reduction of psychological distress, thus improving the self-care ability and adherence of patients with HF. In addition, very little information is available on the effectiveness of disease management programs in areas other than the US and Europe.The Japanese Heart Failure Outpatients Disease Management and Cardiac Evaluation (J-HOMECARE) has designed a randomized controlled trial to evaluate the efficacy of home-based disease management programs compared with usual care in improving psychosocial status, mortality, HF hospitalization, and Qol in Japanese HF patients.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
156
Symptom monitoring, comprehensive advice, and counseling at home by nurses, as well as telephone follow-up by nurses
Psychosocial status (depression, anxiety)
Time frame: up to 12 months
Death
Time frame: up to 12 months
Readmission due to heart failure
Time frame: up to 12 months
Hospital admission
Time frame: up to 12 months
Quality of life
Time frame: up to 12 months
Physical activity
Time frame: up to 12 months
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