Evidence map›Paper›PMID 26125415›Full record

Trial reportMedical care2015

A randomized trial of mobile health support for heart failure patients and their informal caregivers: impacts on caregiver-reported outcomes.

John D Piette, Dana Striplin, Nicolle Marinec, Jenny Chen, James E Aikens

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Medical care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04054258 (Effectiveness of the Nurse-led Support Programme Using a Mobile Application Versus Telephone Advice on Patients at Risk of Coronary Heart Disease - a Pilot Randomized Controlled Trial), which is not on this map. Cited by 44 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 10 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04054258 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Effectiveness of the Nurse-led Support Programme Using a Mobile Application Versus Telephone Advice on Patients at Risk of Coronary Heart Disease - a Pilot Randomized Controlled Trial

TypeinterventionalSponsorThe Hong Kong Polytechnic UniversityRan2019 to 2021Enrolled60ConditionsCoronary Heart DiseaseArmsApp support Programme (ASP) group
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 10 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. mHealth education interventions in heart failure.The Cochrane database of systematic reviews · 2020
    Pooled it
  8. Pooled it
  9. Pooled it
  10. Pooled it
  11. Trial
  12. Trial
  13. Technology-Facilitated Depression Self-Management Linked with Lay Supporters and Primary Care Clinics: Randomized Controlled Trial in a Low-Income Sample.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2022
    Trial
  14. Trial
  15. Trial
  16. Trial
  17. Trial
  18. Trial
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

John D Piette*Ann Arbor Department of Veterans Affairs Center for Clinical Management Research †Department of Health Behavior and Health Education, School of Public Health, University of Michigan ‡Department of Internal Medicine, School of Medicine, University of Michigan §Department of Family Medicine, University of Michigan, Ann Arbor, MI.
Dana Striplin
Nicolle Marinec
Jenny Chen
James E Aikens

Funding

Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
Effective Care Management of Depressed Diabetes PatientsR18DK066166 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PIETTE, JOHN D. · 2005 to 2009
$2.7M
Enhancing Informal Caregiving to Support Diabetes Self-ManagementR18DK088294 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI AIKENS, JAMES E, PIETTE, JOHN D. · 2011 to 2015
$2.4M
HSRD VA IIR 07-185NIDDK NIH HHS P30 DK092926NIDDK NIH HHS P30DK092926NIDDK NIH HHS R18 DK066166NIDDK NIH HHS R18 DK088294
6 · The paper itself

Abstract

backgroundMobile health services may improve chronic illness care, but interventions rarely support informal caregivers' efforts.

objectivesTo determine whether automated feedback to caregivers of chronic heart failure patients impacts caregiving burden and assistance with self-management. RESEARCH

designRandomized comparative effectiveness trial. SUBJECTS: A total of 369 heart failure patients were recruited from a Veterans Health Administration health care system. All patients participated with a "CarePartner" or informal caregiver outside their household.

interventionPatients randomized to "standard mHealth" received weekly automated self-care support calls for 12 months with notifications about problems sent to clinicians. "mobile health+CarePartner" (mHealth+CP) patients received identical services, plus email summaries and suggestions for self-care assistance automatically sent to their CarePartners. MEASURES: At baseline, 6, and 12 months, CarePartners completed assessments of caregiving strain, depressive symptoms, and participation in self-care support.

resultsmHealth+CP CarePartners reported less caregiving strain than controls at both 6 and 12 months (both P≤0.03). That effect as well as improvements in depressive symptoms were seen primarily among CarePartners reporting greater burden at baseline (P≤0.03 for interactions between arm and baseline strain/depression at both endpoints). Although most mHealth+CP CarePartners increased the amount of time spent in self-care support, those with the highest time commitment at baseline reported decreases at both follow-ups (all P<0.05). mHealth+CP CarePartners reported more frequently attending patients' medical visits at 6 months (P=0.049) and greater involvement in medication adherence at both endpoints (both P≤0.032).

conclusionsWhen CarePartners experienced significant caregiving strain and depression, systematic feedback about their patient-partner decreased those symptoms. Feedback also increased most CarePartners' engagement in self-care.

Indexed as

Social SupportTelemedicineTelephoneActivities of Daily LivingAdaptation, PsychologicalAgedDepressionFemaleHeart FailureHumansMaleMiddle AgedPatient CareQuality of LifeSelf Care

Identifiers

PMID26125415
PMCPMC4503477

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.