A Randomized Controlled Trial of Home Health Monitoring for Patients with Heart Failure
What is TEC4Home Heart Failure?
- TEC4Home Heart Failure is a research project studying how Home Health Monitoring can support the transition of care from hospital to home for heart failure patients.
- TEC4Home Heart Failure uses Home Health Monitoring equipment supplied by TELUS Health. The patient kit includes a tablet, weight scale, blood pressure cuff, and pulse oximeter to collect and send biometric measurements daily for 60 days post-discharge from hospital.
- A monitoring clinician reviews the data remotely, monitoring symptoms and following up with patients to detect early deterioration, thereby avoiding unnecessary Emergency Department (ED) readmissions and hospitalizations.
- Results from the TEC4Home Feasibility Study have been used to inform the implementation and design of the trial.
How will the TEC4Home Heart Failure trial work?
- TEC4Home Heart Failure will recruit patients from 20 hospital sites across Fraser Health, Interior Health, Providence Healthcare and Vancouver Coastal Health. The target number of patient participants is 900 (450 control group/ 450 intervention group) over a 15-month period.
- The study population are patients with Heart Failure presenting to the ED because of their Heart Failure symptoms. Patients directly discharged from the ED or who are admitted to the hospital will be eligible to participate.
- Patients will be enrolled into the control group (usual care) or the intervention group (usual care + technology).
- The control groupwill be asked to complete an enrollment (pre-) survey prior to discharge and a completion (post-) survey 90 days after discharge, but will otherwise receive usual care.
- The intervention groupwill be asked to complete the enrollment (pre-) survey and completion (post-) survey. They will also receive the Home Health Monitoring equipment and be monitored for 60 days post discharge.
At the beginning of the study, all 20 sites will enroll participants into the control group. At 3-month intervals, clusters of 4 to 5 sites will begin enrolling participants into the intervention group. By the end of the study, all 20 sites will be enrolling participants into the intervention group.
What does the Home Health Monitoring intervention look like?