Responsiveness of three subjective report of outcome measures for chronic heart failure

Combined exercise rehabilitation for chronic obstructive pulmonary disease (COPD) and chronic heart failure (CHF) is potentially attractive. Uncertainty remains as to the baseline profiling assessments and outcome measures that should be collected within a programme. Current evidence surrounding outcome measures in cardiac and pulmonary rehabilitation were presented by experts at a stakeholder consensus event and all stakeholders ( n = 18) were asked to (1) rank in order of importance a list of categories, (2) prioritise outcome measures and (3) prioritise baseline patient evaluation measures that should be assessed in a combined COPD and CHF rehabilitation programme. The tasks were completed anonymously and related to clinical rehabilitation programmes and associated research. Health-related quality of life, exercise capacity and symptom evaluation were voted as the most important categories to assess for clinical purposes (median rank: 1, 2 and 3 accordingly) and research purposes (median rank; 1, 3 and 4.5 accordingly) within combined exercise rehabilitation. All stakeholders agreed that profiling symptoms at baseline were ‘moderately’, ‘very’ or ‘extremely’ important to assess for clinical and research purposes in combined rehabilitation. Profiling of frailty was ranked of the same importance for clinical purposes in combined rehabilitation. Stakeholders identified a suite of multidisciplinary measures that may be important to assess in a combined COPD and CHF exercise rehabilitation programme.

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Piloting a web-based systematic collection and reporting of patient-reported outcome measures and patient-reported experience measures in chronic heart failure

BMJ Open ◽

10.1136/bmjopen-2020-037754 ◽

2020 ◽

Vol 10 (10) ◽

pp. e037754

Author(s):

Francesca Pennucci ◽

Sabina De Rosis ◽

Claudio Passino

Keyword(s):

Heart Failure ◽

Chronic Heart Failure ◽

Outcome Measures ◽

Health Workers ◽

Patient Reported Outcome Measures ◽

Patient Reported Outcome ◽

Population Characteristics ◽

Web Based ◽

Patient Reported ◽

Systematic Collection

ObjectivesTo evaluate the feasibility of a digital and continuous collection and reporting of patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs) for chronic heart failure (CHF).DesignA single-site pilot study was settled for evaluating the feasibility of the intervention, both using qualitative and quantitative data (ie, workshop, surveys).SettingThe pilot has been implemented in a Tuscan specialised hospital (Italy).Participants162 patients were involved. Inclusion criteria were: a previous diagnosis of HF, age ≥18 years, absence of cognitive impairment or active tumours, ability to provide informed consent to study participation.InterventionThe continuous collection and reporting of PROMs and PREMs has been designed and implemented in 2018. PREMs questionnaires for patients were developed, while Kansas City Cardiomyopathy Questionnaire-12 was used for assessing PROMs. Questionnaires are administered at specific time points: discharge; 30 days, 7 and 12 months after the discharge. Enrolment of patients, administration and real-time reporting of questionnaires are carried on through a digital platform.Outcome measuresEnrolment, response and drop-out rates were considered to assess the feasibility of the intervention. Qualitative data were collected during meetings and workshops with health workers. The representativeness of the recruited sample with respect to the population characteristics was also evaluated.ResultsThe system has been successfully implemented during 2018. Response rates have been consistently above 50%, demonstrating patients’ transversal willingness to participate. All the involved stakeholders acknowledged the feasibility of the design. The recruited sample is significantly different in terms of age and educational level compared with the overall population characteristics.ConclusionIt is possible to run a web-based systematic collection and reporting system for CHF patient-reported data. Systematic collection and reporting of PROMs and PREMs data allows professionals to increasingly assume CHF patient perspective in their daily work. Limitations will be used to improve the system.

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Composite outcome measures in a pragmatic clinical trial of chronic heart failure management: A comparative assessment

International Journal of Cardiology ◽

10.1016/j.ijcard.2015.03.071 ◽

2015 ◽

Vol 185 ◽

pp. 62-68 ◽

Cited By ~ 11

Author(s):

Sungwon Chang ◽

Patricia M. Davidson ◽

Phillip J. Newton ◽

Peter Macdonald ◽

Melinda J. Carrington ◽

...

Keyword(s):

Heart Failure ◽

Clinical Trial ◽

Chronic Heart Failure ◽

Outcome Measures ◽

Comparative Assessment ◽

Composite Outcome ◽

Heart Failure Management ◽

Pragmatic Clinical Trial

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Multidisciplinary Management of Elderly Patients with Chronic Heart Failure: Five Year Outcome Measures in Death and Survivor Groups

European Journal of Cardiovascular Nursing ◽

10.1016/j.ejcnurse.2008.04.005 ◽

2009 ◽

Vol 8 (1) ◽

pp. 34-39 ◽

Cited By ~ 15

Author(s):

Jacky Austin ◽

W. Robert Williams ◽

Stephen Hutchison

Keyword(s):

Heart Failure ◽

Chronic Heart Failure ◽

Elderly Patients ◽

Outcome Measures ◽

Multidisciplinary Management

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Protocol for a feasibility trial to inform the development of a breathlessness rehabilitation programme for chronic obstructive pulmonary disease and chronic heart failure (the COHERE trial)

BMJ Open ◽

10.1136/bmjopen-2019-029387 ◽

2019 ◽

Vol 9 (7) ◽

pp. e029387 ◽

Cited By ~ 1

Author(s):

Amy V Jones ◽

Rachael A Evans ◽

Dale W Esliger ◽

Lauren B Sherar ◽

Sally J Singh

Keyword(s):

Heart Failure ◽

Chronic Obstructive Pulmonary Disease ◽

Chronic Heart Failure ◽

Pulmonary Disease ◽

Outcome Measures ◽

Rehabilitation Programme ◽

Chronic Obstructive ◽

Obstructive Pulmonary Disease ◽

Comprehensive Rehabilitation ◽

Rehabilitation Assessment

IntroductionAdults with chronic obstructive pulmonary disease (COPD) and chronic heart failure (CHF) commonly suffer from exertional dyspnoea and fatigue. Exercise training is recommended in the management of both diseases, yet many of the outcome measures traditionally reported are disease specific and may not fully acknowledge the multimorbid older adult. Based on our previous research, a breathlessness rehabilitation programme for patients with COPD/CHF or combined disease has been introduced as a service improvement within University Hospital Leicester National Health Service Trust and has amalgamated aspects of cardiac and pulmonary rehabilitation. This has created an opportunity to expand the outcome measures assessed and introduce a holistic approach in a population that share common symptoms. Therefore, this multisite trial will explore the feasibility of collecting novel outcome markers as part of a comprehensive assessment prior to enrolment in a breathlessness rehabilitation programme for participants with COPD and/or CHF.Methods and analysisThe rehabilitation programme consists of 12 sessions, twice weekly, over a 6-week period. In addition to usual rehabilitation outcome measures, the trial will collect measures of future cardiometabolic risk including arterial stiffness, body composition, physical activity/sedentary time, frailty and symptom burden in a comprehensive rehabilitation assessment. The primary outcome measures will centre around feasibility (eg, acceptability of the comprehensive rehabilitation assessment, intervention delivery and the experiences and attitudes of healthcare professionals and participants). Focus groups and interviews will be conducted to further explore barriers and facilitators to the operation and participation in a breathlessness rehabilitation programme and the trial. Thematic analysis will be used for the interpretation of all qualitative data.Ethics and disseminationThe research ethics committee East Midlands Leicester-Central has provided ethical approval for the conduct of this trial. The results of the trial will be disseminated through appropriate conference proceedings and peer-reviewed journals.Trial registration numberISRCTN11636308

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