TEXT4HF: a Randomized Controlled Trial of a Tailored Text Messaging Intervention to Improve Self-Care in Older Adult Patients with Heart Failure

Description

The goal of this study is to determine whether an individually tailored text messaging intervention can improve self-care in older adult patients with heart failure. The main question it aims to answer are: * Is a tailored text messaging intervention feasible and acceptable among older adult patients with heart failure? * Does tailored text messaging improve self-care in adult patients with heart failure? Participants will be randomly assigned to one of two groups for 12 weeks: 1) intervention (text messaging); or 2) control group. Both groups will receive usual care, which includes regular follow-up visits at the heart failure clinic (standard care), plus a "Discharge Packet for Patients Diagnosed with Heart Failure", developed by the American Heart Association. Both groups will be asked via text messages and/or telephone calls to complete questionnaires at baseline/start, 4 weeks and 12 weeks, about self-care, quality of life, health beliefs, medications, diet, etc. Participants assigned to the intervention group will also receive approximately 5 text messages/week targeting medication adherence, heart-healthy diet, and daily HF symptoms monitoring for 12 weeks.

Conditions

Heart Failure

Study Overview

Study Details

Study overview

The goal of this study is to determine whether an individually tailored text messaging intervention can improve self-care in older adult patients with heart failure. The main question it aims to answer are: * Is a tailored text messaging intervention feasible and acceptable among older adult patients with heart failure? * Does tailored text messaging improve self-care in adult patients with heart failure? Participants will be randomly assigned to one of two groups for 12 weeks: 1) intervention (text messaging); or 2) control group. Both groups will receive usual care, which includes regular follow-up visits at the heart failure clinic (standard care), plus a "Discharge Packet for Patients Diagnosed with Heart Failure", developed by the American Heart Association. Both groups will be asked via text messages and/or telephone calls to complete questionnaires at baseline/start, 4 weeks and 12 weeks, about self-care, quality of life, health beliefs, medications, diet, etc. Participants assigned to the intervention group will also receive approximately 5 text messages/week targeting medication adherence, heart-healthy diet, and daily HF symptoms monitoring for 12 weeks.

TEXT4HF: a Randomized Controlled Trial of a Tailored Text Messaging Intervention to Improve Self-Care in Older Adult Patients with Heart Failure

TEXT4HF: a Randomized Controlled Trial of a Tailored Text Messaging Intervention to Improve Self-Care in Older Adult Patients with Heart Failure

Condition
Heart Failure
Intervention / Treatment

-

Contacts and Locations

Chicago

University of Illinois, Chicago, Chicago, Illinois, United States, 60612

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * ≥50 years of Age
  • * HF Stage C, NYHA Class I-IV and on a loop diuretic
  • * Own a Mobile phone with Text message plan
  • * Ability to speak and read English
  • * Low self-care scores (SCHFI Score 3 or less in at least 2 items of any subscale Maintenance, Monitoring, or Management)
  • * Heart transplant, SAVR/TAVR or Ventricular Assist Device, or Cardiac Resynchronization Therapy (CRT) - implantation, and/or heart transplantation (HTx) within the next 3 months
  • * Coronary revascularization, and/or CRT-implantation within the last 30 days (EMR Review)
  • * Psychosis
  • * Hospice or End-of-life care
  • * Advanced Renal disease (i.e. Stage IV, eGFR \<25 or Hemodialysis)
  • * Cognitive impairment
  • * Unable to self-manage (take medication, bathe, use the toilet, etc.)
  • * Currently living in a nursing home

Ages Eligible for Study

50 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

University of Illinois at Chicago,

Jonathan W Leigh, MPH, MSHI, PRINCIPAL_INVESTIGATOR, University of Illinois Chicago

Spyros Kitsiou, PhD, STUDY_CHAIR, University of Illinois Chicago

Study Record Dates

2025-06-30