RecruitingNot ApplicableNCT06244953

Timely Interventions to Enable and Reach Patients With Heart Failure, and Their Caregivers With Palliative Care

Sponsor

National Cancer Centre, Singapore

Enrollment

240 participants

Start Date

Aug 14, 2024

Study Type

INTERVENTIONAL

Conditions

Heart Failure

Summary

There is evidence for the effectiveness and feasibility of the individual components of TIER-HF-PC, however there is a need to test how these individual components interact to allow the researchers to deliver TIER-HF-PC as a model of care in its totality. In the short term, this study will assess if TIER-HF-PC is beneficial for patients and caregivers.

Eligibility

Min Age: 21 YearsMax Age: 99 Years

Inclusion Criteria15

Patients:
years or older and
able to communicate in English or Chinese and
be of stage C or D heart failure, as defined by American College of Cardiology/American Heart Association (ACC/AHA) classification system and
have functional limitation of New York Heart Association (NYHA) functional status of at least 2 or more and
be deemed by their cardiologist's clinical judgement to have an expected prognosis of at least 6 months survival, and
have had a heart failure related hospitalization event (e.g. symptomatic decompensated heart failure) within 6 months prior to recruitment and
have a phone that allows telecommunication.
direct, unpaid, family caregiver of the patient;
self-reported by the patient to be the main person to be either:
responsible for up to 4 hours a day of caregiving tasks
and/or decision maker/spokesperson with the medical team
Caregiver may or may not live in the same residence as the patient.
Caregivers must be 21 years and above.
Able to communicate in English or Chinese.

Exclusion Criteria12

Patients:
have cognitive impairment (e.g., dementia)
have severe, untreated, active mental illness (e.g., major depressive disorder)
have ventricular assist device implant.
have non-reversible hearing or visual loss or
are active drug abuser or
already known to a palliative care service.
have cognitive impairment (e.g., dementia) or
have severe, untreated, active mental illness (e.g., major depressive disorder)
have non-reversible hearing or visual loss.
are active drug abuser or
are a domestic helper for the patient

Interventions

OTHERTIER-HF-PC

The patient will be assigned to one of the three levels of care which is determined by the results given by Distress Thermometer (DT) and the Integrated Palliative Care Outcome Scale (IPOS).

OTHERUsual Care

Patient continues on clinical care by his/her cardiologist. If the cardiologist picks up their symptoms or other concerns, he/or can be referred to a specialist palliative care physician by the cardiologist.