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Patient-centered disease management (PCDM) for heart failure: study protocol for a randomised controlled trial
David B Bekelman1, Mary E Plomondon, Mark D Sullivan
1Department of Veterans Affairs, Eastern Colorado Health Care System, Research (151), 1055 Clermont Street, Denver, CO 80220, USA. david.bekelman@va.gov
BMC Cardiovascular Disorders
|July 11, 2013
Summary
This study tested a patient-centered approach for chronic heart failure (HF) management, incorporating depression care and improving patient-reported outcomes. The intervention aimed to enhance health status in HF patients with poor quality of life.
Area of Science:
- Cardiology
- Psychiatry
- Health Services Research
Background:
- Chronic heart failure (HF) disease management programs show inconsistent results.
- Existing programs often neglect comorbid depression and patient-reported outcomes.
- The Patient Centered Disease Management (PCDM) trial addresses these gaps.
Purpose of the Study:
- To test the effectiveness of collaborative care disease management.
- To improve health status (symptoms, functioning, quality of life) in HF patients.
- To specifically target patients with poor HF-specific health status.
Main Methods:
- Patients with HF and low Kansas City Cardiomyopathy Questionnaire (KCCQ) scores were randomized.
- Intervention included collaborative care, home telemonitoring, and depression management.
- Primary outcome was change in KCCQ score; secondary outcomes included depression, adherence, hospitalizations, and mortality.
Main Results:
- (Results not yet available in the provided abstract)
Conclusions:
- The PCDM trial prioritizes patient health status and collaborative care.
- It addresses depression as a barrier to optimal HF management.
- Designed as an effectiveness trial for potential healthcare system implementation.
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