Personalized health coaching for hospitalized heart failure patients with frailty

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 intervention that enrolls hospitalized acute heart failure patients aged 40 and older who screen positive for frailty using Fried's phenotype and the Tilburg Frailty Indicator. Participants are randomly assigned to a 12-week nurse-led personalized health coaching program or to standard care, with coaching focused on multidimensional needs including clinical, functional, cognitive, and social domains and support during care transitions. Outcomes include hospital readmissions, functional status, quality of life, and other clinical measures over the intervention period. The program is conducted at a single tertiary medical center in Incheon, Korea.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Participants aged 40 years or older will be included in the study, as heart failure (HF)-related mortality and the prevalence of HF increase significantly from this age onward. Inclusion criteria requires a diagnosis of acute HF by a cardiologist and hospitalization based on the following criteria: presence of HF symptoms (e.g., breathlessness, fatigue, ankle swelling) and signs (e.g., elevated jugular venous pressure, pulmonary crackles, peripheral edema), evidence of pulmonary congestion or edema on chest X-ray, and elevated levels of BNP (≥100 pg/mL) or NT-proBNP (≥300 pg/mL). After initial screening for frailty using both the Tilburg Frailty Indicator (TFI) and Fried's Phenotype (FP), participants will be enrolled if they are classified as frail, able to cooperate with functional assessments, and willing to provide written informed consent with a clear understanding of the study's purpose and procedures.

Exclusion Criteria:

* The exclusion criteria were as follows: current enrollment in other programs or planning to participate in similar programs during the intervention period; residing outside Korea and not understanding Korean; diagnosis of dementia with the Global Deterioration Scale stage of 5 or greater; inability to comprehend the study purpose and content.

Where it's running

• Department of Cardiovascular Medicine, Gachon University, Gil Medical Center, Incheon,
  Incheon, South Korea Recruiting

Study contacts

• Study coordinator: Wook-Jin Chung, MD
• Email: heart@gilhospital.com
• Phone: 82-32-460-3663

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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.