Automated digital counselling with social network support as a novel intervention for patients with heart failure: protocol for randomised controlled trial

• DOI: 10.1136/bmjopen-2021-059635
• Publication Date: 2022-11-29T12:29:52Z
• Authors: Rachel Grace Peiris; Heather Ross; Christopher T Chan; Stephanie Poon; Bourne Lewis Auguste; Valeria E Rac; Michael Farkouh; Michael McDonald; Janusz Kaczorowski; Jillianne Code; Juan Duero Posada; Stephanie Ong; Jeremy Kobulnik; George Tomlinson; Ella Huszti; JoAnne Arcand; Scott G Thomas; Ayub Akbari; Robert Maunder; Steven Grover; Emily Seto; Anne Simard; Brad Pope; Marc Bains; Carmen McIntyre; Chris Torbay; Fatima Syed; Robert P Nolan
• Keywords: Counseling; Heart Failure; Heart Diseases; R; Cardiovascular Medicine; 3. Good health; Social Networking; 03 medical and health sciences; 0302 clinical medicine; Quality of Life; Medicine; Humans; Randomized Controlled Trials as Topic

Heart failure (HF) symptoms improve through self-care, for which adherence remains low among patients despite the provision of education these behaviours by clinical teams. Open Access Digital Community Promoting Self-Care, Peer Support and Health Literacy (ODYSSEE-vCHAT) combines automated digital counselling with social network support to mortality morbidity, engagement self-care materials, health-related quality life. Use ODYSSEE-vCHAT via Internet-connected personal computer 162 HF will be compared a control condition over 22 months. The primary outcome is composite index score all-cause mortality, emergency department visits, HF-related hospitalisation at trial completion. Secondary outcomes include individual components index, patient-reported measures physical psychosocial well-being, disease management, health literacy, substance use. Patients are recruited from tertiary care hospitals in Toronto, Canada randomised on 1:1 ratio both arms trial. Online assessments occur baseline (t=0), months 4, 8 12, Ordinal logistic regression analyses generalised linear models evaluate secondary outcomes. has been approved research ethics boards University Network (20-5960), Sunnybrook Hospital (5117), Mount Sinai (21-022-E). Informed consent eligible occurs person or online. Findings shared key stakeholders public. Results allow preparation Canada-wide phase III efficacy improving raising standard outpatient care. NCT04966104.