2024/07/01 by Rahel Eynan, Robert J. Petrella, Cheryl Forchuk +2 · 1 voice
Medicine · #Bipolar Disorder and Treatment #Heart Failure Treatment and Management #Medication Adherence and Compliance
paper · pdf · doi:10.1136/bmjoq-2024-002753
openalex publication_date 2024/07/01 · openalex created_date 2025/10/10 · openalex updated_date 2026/08/01
Ambulatory management of congestive heart failure (HF) continues to be a challenging clinical problem. Recent studies have focused on the role of HF clinics, nurse practitioners and disease management programmes to reduce HF readmissions. This pilot study is a pragmatic factorial study comparing a coach intervention, a SMARTPHONE REMINDER system intervention and BOTH interventions combined to Treatment as USUAL (TAU). We determined that both modalities were acceptable to patients prior to randomisation. Fifty-four patients were randomised to the four groups. The COACH group had no readmissions for HF 6 months after enrolment compared with 18% for the SMARTPHONE REMINDER Group, 8% for the BOTH intervention group and 13% for TAU. Medium-to-high medication adherence was maintained in all four groups although sodium consumption was lower at 3 months for the COACH and combined (BOTH) groups. This pilot study suggests a beneficial effect on rehospitalisation with the use of support measures including coaches and telephone reminders that needs confirmation in a larger trial.