Emory University
This project aims to adapt a computer-interface telephonic interactive voice response system that monitors symptoms and provides real-time, self-management coaching messages based on heart failure patient-reported outcomes.
Keeping heart failure (HF) patients at home with a low symptom burden after hospital discharge is challenging. HF patients may suffer worsening symptoms over time without seeking medical advice leading to poor quality of life and readmission to the hospital. Evidence shows that delay in HF symptom recognition and poor self-management are associated with unplanned HF-related emergency department (ED) visits and rehospitalizations. Clinical trials aimed at preventing rehospitalization using telemonitoring of physical changes, such as daily weights, have shown limited utility. Understanding pati…
Inclusion Criteria: * Medical diagnosis of heart failure * New York Heart Association (NYHA) Classification of the Stages of Heart Failure Class I - IV * Ability to read, understand, and speak in English * Will be discharged home * Has daily access to any type of telephone Exclusion Criteria: * A score of 0 or 1-2 with an abnormally drawn clock on the Mini-Cog * Discharged home on hospice care * End-stage renal failure * Wait list for heart transplant
Participants receive real-time self-management coaching messages based on the severity of their symptoms. When participants call, the IVR system will ask them about each of the selected symptoms, and the patient will report symptom presence and severity numerically with the touch-tone keypad.
Participants report daily symptoms and symptom severity. There are three categories of severity based on a numeric scale of 1 to 3 for mild symptoms, 4 to 7 for moderate symptoms, and 8 to 10 for severe symptoms.
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