Evidence map›Paper›PMID 38955396›Full record

Trial reportBMJ open quality2024

Randomised pilot study comparing a coach to SMARTPhone reminders to aid the management of heart failure (HF) patients: humans or machines.

Rahel Eynan, Robert Petrella, Cheryl Forchuk, Merrick Zwarenstein, James Calvin

Abstract readRandomized Controlled TrialPragmatic Clinical Trial
In one paragraph

Trial report in BMJ open quality, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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.

Rahel EynanSchulich School of Medicine & Dentistry, Western University, London, Ontario, Canada.
Robert PetrellaFaculty of Medicine, The University of British Columbia, Vancouver, British Columbia, Canada.
Cheryl ForchukFaculty of Health Sciences, Western University, London, Ontario, Canada.
Merrick ZwarensteinSchulich School of Medicine & Dentistry, Western University, London, Ontario, Canada.
James CalvinDepartment of Medicine, Western University Schulich School of Medicine & Dentistry, London, Ontario, Canada james.calvin@lhsc.on.ca.ORCID http://orcid.org/0009-0003-7620-3330

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ambulatory management of congestive heart failure (HF) continues to be a challenging clinical problem. Recent studies have focused on the role of HF clinics, nurse practitioners and disease management programmes to reduce HF readmissions. This pilot study is a pragmatic factorial study comparing a coach intervention, a SMARTPHONE REMINDER system intervention and BOTH interventions combined to Treatment as USUAL (TAU). We determined that both modalities were acceptable to patients prior to randomisation. Fifty-four patients were randomised to the four groups. The COACH group had no readmissions for HF 6 months after enrolment compared with 18% for the SMARTPHONE REMINDER Group, 8% for the BOTH intervention group and 13% for TAU. Medium-to-high medication adherence was maintained in all four groups although sodium consumption was lower at 3 months for the COACH and combined (BOTH) groups. This pilot study suggests a beneficial effect on rehospitalisation with the use of support measures including coaches and telephone reminders that needs confirmation in a larger trial.

Indexed as

Heart FailureReminder SystemsSmartphoneAgedDrug MonitoringFemaleHumansMaleMiddle AgedPatient ReadmissionPilot ProjectsChecklistsChronic disease managementHealthcare quality improvementMobile ApplicationsOutpatients

Identifiers

PMID38955396
PMCPMC11217996

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.