Project Summary

This research project is in progress. PCORI will post the research findings on this page within 90 days after the results are final.

What is the research about?

Heart failure is a long-term health problem that can cause shortness of breath, fatigue, and rapid heartbeat. Patients with heart failure often go to their healthcare providers, such as doctors and nurses, or the emergency room to manage their symptoms.

In this study, the research team is looking to see how well a telehealth support program called I-COACH helps patients manage heart failure compared with enhanced usual care. Telehealth helps with providing care to patients remotely using phone, video, or monitoring devices.

Who can this research help?

Results may help providers, patients, and caregivers when considering ways to manage heart failure.

What is the research team doing?

The research team is assigning 400 patient-caregiver pairs by chance to take part in the I-COACH program or receive enhanced usual care.

The I-COACH program helps patients remotely monitor their blood pressure, heart rate, weight, pulse, and oxygen levels. It also lets providers see patients’ health data in real time. I-COACH sends automatic patient updates to a call center. If results are higher or lower than normal, a nurse at the call center checks with the patient and contacts the patient’s provider if needed. Patients communicate with their providers through I-COACH video appointments and messaging.

Patients and caregivers receiving enhanced usual care attend their regular appointments in person or by phone as needed. These patients are also receiving home equipment and a logbook to record vital signs and monitor weight, blood pressure, and pulse.

Patients and caregivers complete a survey at the start of the study and again three and six months later. The patient survey asks about self-care for heart failure and other outcomes such as depression, pain, and physical function. The caregiver survey asks about caregiver burden, health, and satisfaction with care.

Patients with heart failure, caregivers, and healthcare professionals are helping to plan and conduct this study.

Research methods at a glance

Design Element Description
Design Randomized controlled trial
Population 400 patients ages 55 and older with heart failure and their caregivers
Interventions/
Comparators
  • I-COACH management model
  • Provider-directed management (usual care)
Outcomes

Primary: self-care for heart failure

Secondary: patient-reported anxiety, depression, fatigue, pain interference, pain intensity, physical function, sleep disturbance, ability to participate in social roles and activities, health distress, and quality of life; caregiver burden and health; health system outcomes including patient satisfaction with care received, number of medical treatment visits, and mortality

Timeframe 6-month follow-up for primary outcome

Project Information

Judy Weber
University of Arkansas for Medical Sciences
$4,310,972
Innovative Care Model for Older Adults with Chronic Heart Failure (I-Coach): A Comparative Effectiveness Clinical Trial

Key Dates

August 2019
February 2024
2019

Study Registration Information

Tags

Award Type
Health Conditions Health Conditions These are the broad terms we use to categorize our funded research studies; specific diseases or conditions are included within the appropriate larger category. Note: not all of our funded projects focus on a single disease or condition; some touch on multiple diseases or conditions, research methods, or broader health system interventions. Such projects won’t be listed by a primary disease/condition and so won’t appear if you use this filter tool to find them. View Glossary
Populations Populations PCORI is interested in research that seeks to better understand how different clinical and health system options work for different people. These populations are frequently studied in our portfolio or identified as being of interest by our stakeholders. View Glossary
Intervention Strategy Intervention Strategies PCORI funds comparative clinical effectiveness research (CER) studies that compare two or more options or approaches to health care, or that compare different ways of delivering or receiving care. View Glossary
Research Priority Area
State State The state where the project originates, or where the primary institution or organization is located. View Glossary
Last updated: March 4, 2022