The idea behind the Future Patient research project is to develop a telerehabilitation program and tools for patients with heart failure. The hypothesis for this study is that participation in a telerehabilitation program for patients with heart failure will increase the patients' quality of life and multi-parametric (subjective and objective) individualized monitoring in a telerehabilitation program for patients with heart failure will increase detection of worsening of symptoms and avoid future hospitalization of the HF-patients.
The overall aim is to test, implement and evaluate a telerehabilitation program for patients with heart failure from clinical, psychosocial, health literacy and e-health literacy, inter-organizational, health economic and technical perspectives. Furthermore, this study has sub aims: * To increase the quality of life for patients with Heart Failure (HF) * To optimize the medical treatment of patients with HF * To perform multi-parametric (subjective and objective) individualized monitoring in order to detect worsening of symptoms and avoid hospitalizations * To increase physical activities for patients with heart failure in everyday life in a telerehabilitation program * To facilitate patient-initiated self-care management actions upon the following early detection of changes in source data (steps taken, weight, blood pressure, pulse, sleep, illness perception, motivation, anxiety and depression) * To evaluate patients health literacy and e-health literacy participating in a telerehabilitation program and rehabilitation program * To test and evaluate the Heart Portal - a digital toolbox for improved self-management for patients with heart failure and their relatives * To explore the experiences and perspectives of the patients and their relatives when being part of a telerehabilitation program * To test and evaluate a cross sector communication platform from a patient and healthcare professional perspective * To perform a cost-effectiveness analysis of total costs of healthcare and rehabilitation services
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
140
Blood pressure (A\&D Medical UA 767PBT), weight (A\&D Medical UC-321PBT), step counters(Fitbit Zip \& Charge), sleep sensor (Beddit 3), tablet (iPAD Air 2) \& transmitter (Qualcomm Life, QWH-HUB-V1.0E)
Cardiology Ward, Viborg Hospital
Viborg, Denmark
Increased quality of life
Increased quality of life as measured by a moderate change (10 points) in quality of life measured by Kansas City Questionnaire (KCCQ)
Time frame: Intervention group: At baseline, week 2,4,6,8,10,12,14,16,18,20,22,24,26,28,30,32, 34,36,38,40,42,44,46,48,50,52 Control group: Baseline, 6 & 12 months
Time from baseline to optimized medical treatment
Time for optimizing medicine
Time frame: For both intervention and control group: From date of randomization until the date of first documented progression with medical treatment, assessed up to 4 months
All cause hospitalization
All-cause hospitalization at end of rehabilitation
Time frame: For both intervention and control group: 6 months
Steps taken
Numbers of steps taken in the intervention group
Time frame: Intervention group: Everyday for 12 months
Development of bloodpressure
Intervention group: Blood pressure (mmHG)
Time frame: Intervention group: Blood pressure (mmHG) from date of randomization twice a week assessed up to 3 months
Development of pulse
Intervention group: Pulse ( numbers per minutes)
Time frame: Intervention group: Pulse from date of randomization and every day in 12 months
Development of weight
Intervention group: Weight (Kilograms)
Time frame: Intervention group: Weight from date of randomization and every day in 12 months
Sleep
Intervention group: Sleep ( numbers of hours per night)
Time frame: Intervention group: Sleep from date of randomization and accessed up to 12 months
Illness perception
Positive changes in illness perceptions, from dysfunctional to functional measured by Illness perception questionaire
Time frame: For Intervention and control group: At baseline, 6 & 12 months
Motivation
Changes from extrinsic to intrinsic motivation measured from baseline to end of rehabilitation and 6 months after end of rehabilitation measured by Health Climate Change Questionaire
Time frame: For both intervention and control group: At baseline, 6 & 12 months
Anxiety and depression
Explore whether levels of anxiety and depression in the intervention group are lower or equivalent to the control group measured by Hospital Anxiety and Depression Scale (HADS) questionnaire
Time frame: For both intervention and control group: At baseline, 6 & 12 months
Health- literacy
Health literacy in intervention and control group measured by Health Literacy Questionnaire (Danish validated version HLQ) by units on a scale
Time frame: For both intervention and control group: At baseline
eHealth literacy
Improvement in e-health literacy in intervention and control group measured by eHealth Literacy Questionnaire (Danish validated version eHLQ) by units on a scale
Time frame: For both intervention and control group: At baseline, 6 & 12 months
Experiences of using the Heart portal
Qualitative exploration of experiences of HF patients, relatives and healthcare professionals use of the Heart portal
Time frame: For intervention group: 6 & 12 months
Costs of healthcare and rehabilitation services
Number of hospitalizations, number of contacts with heart failure clinic, days at hospital, contacts with general practitioners, number of participations in rehabilitation activities at healthcare center between intervention and control group
Time frame: For both intervention and control group: 6 months
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