Nurse-led daily weight tracking to improve heart failure self-care and quality of life

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a randomized controlled pilot comparing a nurse-led daily weight monitoring tool called Wake and Weigh with usual care in adults aged 55 and older hospitalized for heart failure. Participants complete the Self-Care in Heart Failure Index and the Kansas City Cardiomyopathy Questionnaire at admission and four weeks after discharge to capture self-care behaviors and symptom-related quality of life. The trial will measure feasibility and intervention fidelity, including how consistently nurses deliver the tool and whether participants use it after discharge. Findings will be used to refine methods for a larger definitive randomized trial.

Why it matters

Who can join: the full rules

Inclusion Criteria:

1. Adults (55 years or older)
2. New or existing diagnosis of HF (regardless of type or length of time since diagnosis).
3. Being treated for HF signs and/or symptoms during the current hospitalization (any of the following: IV diuretic, fluid restriction, low sodium diet).
4. Must be able to read and communicate in English.
5. Must be able to stand and weigh independently.
6. Must have a scale at home, or ability to obtain one for the study.

Exclusion Criteria:

1. Documented diagnosis of cognitive impairment.
2. A Charlson Comorbidity Index (CCI) of \>4. This was chosen to exclude patients more likely to have hospital stays longer than a week. A CCI of \>3 was based on research showing a relationship to mortality (Imam et al., 2020), a CCI of ≥ 6 with a 2.8-times higher mortality (Yilmaz \& Omurlu, 2019), and likelihood of longer hospital length of stay for patients with HF if CCI \>2 (Foraker et al., 2014).

Where it's running

• Cleveland Clinic Avon Hospital
  Avon, Ohio, United States Recruiting

Study contacts

• Study coordinator: Lee Anne Siegmund, PhD, RN
• Email: siegmul@ccf.org
• Phone: 216-618-5126

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.