An Electronically delivered, Patient-activation tool for Intensification of medications for Chronic Heart Failure with reduced ejection fraction: Rationale and design of the EPIC-HF trial
| Autor: | Jocelyn S. Thompson, Lance Richards, Christopher E. Knoepke, Pamela N. Peterson, Grace Venechuk, James R. Strader, Katy E. Trinkley, Janice Huang, David P. Kao, Laura Helmkamp, Colleen K. McIlvennan, Prateeti Khazanie, Kenneth Pierce, Peter M. Buttrick, Larry A. Allen, Robert L. Page, Tristan J. Dow, David J. Magid, Daniel D. Matlock |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Quality management MEDLINE Psychological intervention Context (language use) 030204 cardiovascular system & hematology EPIC Health Services Misuse 03 medical and health sciences Ventricular Dysfunction Left 0302 clinical medicine Intervention (counseling) Medicine Humans 030212 general & internal medicine Practice Patterns Physicians' Intensive care medicine Randomized Controlled Trials as Topic Heart Failure Physician-Patient Relations Ejection fraction business.industry Stroke Volume medicine.disease Quality Improvement Heart failure Female Patient Participation Cardiology and Cardiovascular Medicine business Decision Making Shared Internet-Based Intervention |
| Zdroj: | American heart journal. 229 |
| ISSN: | 1097-6744 |
| Popis: | Background Heart failure with reduced ejection fraction (HFrEF) benefits from initiation and intensification of multiple pharmacotherapies. Unfortunately, there are major gaps in the routine use of these drugs. Without novel approaches to improve prescribing, the cumulative benefits of HFrEF treatment will be largely unrealized. Direct-to-consumer marketing and shared decision making reflect a culture where patients are increasingly involved in treatment choices, creating opportunities for prescribing interventions that engage patients. Hypothesis Encouraging patients to engage providers in HFrEF prescribing decisions will improve the use of guideline-directed medical therapies. Design The Electronically delivered, Patient-activation tool for Intensification of Chronic medications for Heart Failure with reduced ejection fraction (EPIC-HF) trial randomizes patients with HFrEF to usual care versus patient-activation tools—a 3-minute video and 1-page checklist—delivered prior to cardiology clinic visits that encourage patients to work collaboratively with their clinicians to intensify HFrEF prescribing. The study assesses the effectiveness of the EPIC-HF intervention to improve guideline-directed medical therapy in the month after its delivery while using an implementation design to also understand the reach, adoption, implementation, and maintenance of this approach within the context of real-world care delivery. Study enrollment was completed in January 2020, with a total 305 patients. Baseline data revealed significant opportunities, with Summary The EPIC-HF trial assesses the implementation, effectiveness, and safety of patient engagement in HFrEF prescribing decisions. If successful, the tool can be easily disseminated and may inform similar interventions for other chronic conditions. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect