Multi-Site Feasibility Testing of the Ventricular Assist Device Anticipatory Guidance Tool

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age19+
SponsorBryan Heart

About this trial

There are a variety of educational documents available to help in a participant's decision for VAD implant, however there is little information available to potential participants to help understand areas of satisfaction and concern following a VAD implant as various time points. The investigators want to provide better patient care through increased education and awareness beyond surgical outcomes and contribute to patient understanding of "what to expect" following a VAD implant.

The investigators have created an anticipatory guidance (AG) tool based upon previous responses recorded in a local program's database, from the Quality of Life with a Left Ventricular Assist Device (QoLVAD) questionnaire. This questionnaire has five different domains (physical, social, emotional, cognitive thinking and spiritual/well-being). Investigators have previously analyzed responses to determine common areas of satisfaction and concern at 3-, 6-, 12- and 24-months post-VAD implant to better understand quality of life when living with a VAD. Investigators have had both VAD clinicians and VAD patients initially evaluate the tool to determine accuracy and effectiveness of the anticipatory guidance (AG) tool.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

scheduled for a VAD implantation

English-speaking as the VAD AG Tool v5.0 has not yet been translated beyond English age ≥19 years at the time of implant as most states in North America have an age of majority for consent signing.

Disqualifiers

Not scheduled for VAD surgery

Non English speaking

<19 yrs of age (Not a VAD Clinician for the clinician evaluation process)

Trial population

Advanced heart failure patients will be approached by their internal VAD teams who have been scheduled for a VAD implantation. Only age requirement is \>/= 19 as the age of majority in most states for consenting is 19. The goal is to consent consecutively so as to limit selection bias as much as able to. This is a feasibility study so consecutive approaching is key.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

10 Participants
are grouped into 2 trial groups
Group A: VAD Clinician Cohort
Group B: VAD Patient Cohort

Trial outcomes

Primary outcomes

1

Clinician perspectives

Evaluate clinician perspectives of the Ventricular Assist Device Anticipatory Guidance Tool (VAD AG Tool) v5.0 for accuracy, by completing an evaluation where each item will be scored 1-4, as follows: 1 Not Relevant, 2 Somewhat Relevant, 3 Quite Relevant, 4 Highly Relevant

Time frame
First two weeks of study initiation.

Secondary outcomes

Other outcomes

1

Distribution of the Ventricular Assist Device Anticipatory Guidance Tool (VAD AG Tool) v5.0

Each site investigator will validate that the Ventricular Assist Device Anticipatory Guidance Tool (VAD AG Tool) v5.0 was preoperatively distributed.

Time frame
12 months
2

Postoperative patient perceptions of Ventricular Assist Device Anticipatory Guidance Tool (VAD AG Tool) v5.0

Consented patients will provide prospectives of the Ventricular Assist Device Anticipatory Guidance Tool (VAD AG Tool) v5.0, through a patient evaluation form where all tool items will be scored on a 1-4 scale, where 1 is Not Important, 2 is Somewhat Important, 3 is Quite Important, 4 is Highly Important

Time frame
12 months
3

Complete post-operative Quality of Life with a Left Ventricular Assist Device (QoLVAD)

All consented participants will complete the QoLVAD questionnaire at three time points (3-6-12 months)

Time frame
12 months
4

Complete post-operative Generalized Anxiety Disorder 7-item scale at three different time points

All consented participants will complete the GAD-7 assessment at three time points (3-6-12 months)

Time frame
12 months

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Bryan Heart

Lead sponsor

International Consortium of Circulatory Assist Clinicians

Collaborator

International Society for Heart and Lung Transplantation

Collaborator