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Competing trials
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The purpose of this study is to determine the efficacy and feasibility of using a smartphone application to monitor symptoms and weight in patients with advanced heart failure.
Attention to symptoms of heart failure and weight gain are central tenets in heart failure patient education and self-care. A key self-care skill for heart failure patients is the early detection of subtle changes in symptoms. Daily diary use can be one method for patients to acknowledge and attend to their symptoms. This study is examining if the use of a diary in the form of an app on a mobile phone will improve patient outcomes. Participants will be randomized to one of two groups-- usual care or the Movn mobile application. Participants randomized to the mobile app will be asked to record their weight and any symptoms every day over the course of two months.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Usual Care | No Intervention | Participants randomized to the Usual Care arm will receive educational handouts. | |
| Movn Mobile App | Experimental | Participants randomized to the Movn Mobile App arm will have the Movn app downloaded to their cell phone. Participants will enter in their weight and symptoms into the app every day. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Movn Mobile App | Behavioral | Movn is a mobile application that is downloaded to a cell phone where participants can enter their weight and symptoms every day. |
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| Measure | Description | Time Frame |
|---|---|---|
| Change in Health Care Utilization | Health Care Utilization will be measured by a questionnaire that asks about number of office visits, emergency room visits, and hospitalization in the last 60 days. | Health Care Utilization will be measured at two timepoints-- baseline and month 3. |
| Measure | Description | Time Frame |
|---|---|---|
| Quality of Life | Quality of life will be measured by the 20-item Short Form Survey (SF-20). Scores range from 0 to 100 with high values indicating higher functioning. | Quality of life will be measured at two timepoints-- baseline and month 3. |
| Depression |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| John Muir Medical Center | Concord | California | 94520 | United States |
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| ID | Term |
|---|---|
| D006333 | Heart Failure |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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Depression will be measured by the Patient Health Questionnaire (PHQ-9). Scores can range from 5 to greater than 20 with 5 indicating minimal symptoms and 20 indicating severe major depression. |
| Depression will be measured at baseline and month 3. |
| Satisfaction with the app | Participation satisfaction with the mobile app will be assessed through individual interviews. | Satisfaction with the app will be measured at month 3. |