About this trial
Non-pharmacological, randomized, nonprofit medical device intervention. The study aims to identify the positive impacts (co-creation), and negative impacts (co-destruction), resulting from the use of telemedicine, and, in particular, the telemonitoring service for patients with heart failure
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Have been diagnosed with chronic CS according to the ESC guidelines;
Over 18 years of age;
Patients admitted to hospital or with access to first aid within the last year;
Smartphome that meets the digital requirements (ie Android or iOS able to download and use the application);
Disqualifiers
Severe psychiatric disorder
Inability to use portable technologies
Patients unable to use the equipment provided
Patients who deny consent to study participation
Trial design
Parallel
Treatments tested in this trial
Telemonitoring app
Deviceperiodic measurement of blood pressure and body weight
Treatment groups
Trial outcomes
Primary outcomes
PAM13-I
The Patient Activation Measure (PAM13-I) is a brief, validated instrument that assesses patient knowledge, skills, and confidence for disease self-management. It consists of 13 items on a Likert scale. According to the American version of PAM 13, each item has five response categories with scores from 1 to 5: (1) "Strongly Disagree", (2) "Disagree", (3) "Agree", (4) "Strongly Agree" and (5) "Not Applicable". The instrument design reflects the four stages of activation in a progressing difficulty of the items: level 1 (patients believe that their role is important: items 1 and 2), level 2 (patients have confidence and knowledge to take action: items 3-8) level 3 (taking action: items 9-11) and level 4 (staying on course under stress: items 12 and 13).
Sponsors and contacts
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Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico
Lead sponsor
ASST Grande Ospedale Metropolitano Niguarda
Collaborator
University of Milan
Collaborator