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CompletedNCT04699253STABILISE-HFUpdated Apr 17, 2024

Usability and Feasibility of a Personalized, Web-based Education and Self-management Approach for Patients With Chronic Heart Failure Across Four European Sites

An observational study in Chronic Heart Failure, sponsored by Maastricht University Medical Center. Completed at 5 sites in 4 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-04-17.

Sponsored by Maastricht University Medical Center · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
542
Ages
18 Years and older
Sex
All
01

Study summary

The STABELISE-HF is an investigator initiated, international, multicentre feasibility study that will investigate the use of a web application called SanaCoach Heart failure in patients with chronic heart failure. SanaCoach heart failure provides patient education, systematic self-monitoring, a care plan repository and facilitates correspondence with patient's care provider.

Read the detailed description

Patients with chronic heart failure are encouraged to self-manage their illness, such as adhering to medical regimens, monitoring symptoms and adhere to lifestyle recommendations from the health care provider to optimise health outcomes and quality of life.

Consented study participants meeting the eligibility criteria for the STABILISE HF study will be using the the "SanaCoach heart failure" during a 6-month study period. SanaCoach heart failure is an application on the internet that supports patients and care providers in the development, implementation and monitoring of patient self-management. The SanaCoach heart failure provides information about heart failure, treatment, and lifestyle modifications. It can also monitor the patient's wellbeing, symptoms, vital signs, and gives advice on whether review with a health care provider is advisable. Furthermore, it provides a repository for patient's care plan to give insight into the course and treatment of the disorder.

Recruitment and dropout statistics will be assessed and the sociodemographic and comorbidity profile of consenting study participants as well as consenting non-participants (Patients who decide not to participate will be given an option to complete an anonymous sociodemographic survey.) will be analysed.

02

Conditions studied

  • Chronic Heart Failure

Keywords

  • chronic heart failure
  • patient self-management
  • patient education
  • web application
03

In context

Lead sponsor

Maastricht University Medical Center is the lead sponsor of 852 studies on the registry; 116 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Ambulatory heart failure patients evaluated in 4 different European sites

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Patients must meet ALL of the following criteria in order to be eligible for this study.

  • Adults (≥18 years) that own a device where SanaCoach heart failure can be used on
  • Diagnosis of chronic heart failure according to ESC 2016 guidelines (HFrEF = LVEF \<40%, HFmrEF = LVEF 40-49%, HFpEF = LVEF ≥ 50%), based on echocardiographic or MRI findings within the last year or considered stable before.
  • Ability and willingness to give written informed consent and to comply with the requirements of the study

Exclusion criteria

Exclusion Criteria:

Patients meeting any of the following criteria are NOT eligible for this study

  • Patients without access to a device where SanaCoach heart failure can be used on
  • Uncontrolled or serious disease, or any medical or surgical condition, that may either interfere with participation in the clinical study, and/or put the subject at significant risk (according to investigator's [or delegate] judgment) if he/she participates in the clinical study.
  • Patients that have been hospitalised for heart failure within the last 30 days.
  • An underlying known disease, or surgical, physical, or medical condition that, in the opinion of the investigator (or delegate) might interfere with interpretation of the clinical study results.
  • Treatment with other investigational products or devices within 30 days or five half-lives of the screening visit, whichever is longer.
  • Planned use of other investigational products or devices during the course of the study.
  • Any condition that according to the investigator could interfere with the conduct of the study, such as but not limited to:
  • a. Subjects who are unable to communicate or to cooperate with the investigator.
  • b. Unable to understand the protocol requirements, instructions and study-related restrictions, the nature, scope, and possible consequences of the study.
  • c. Unlikely to comply with the protocol requirements, instructions, and study-related restrictions (eg, uncooperative attitude, inability to return for follow-up visits, and improbability of completing the study).
  • d. Have any medical or surgical condition, which in the opinion of the investigator would put the subject at increased risk from participating in the study
  • e. Persons directly involved in the conduct of the study.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
542 participants (actual)
Patient registry
No

Groups and cohorts

  • Consenting participants

    Patients meeting the eligibility criteria and are using the SanaCoach heart failure during the study period.

    Device: SanaCoach Heart failure

  • Consenting non-participants

    Patients meeting the eligibility criteria but do not wish to use the SanaCoach heart failure and only fill-in an anonymized questionnaire once, without any follow-up.

Interventions

  • DeviceSanaCoach Heart failure

    Patients will be using the SanaCoach heart failure for at least 6 months during the study period. SanaCoach heart failure is a web application that will be guiding the patient through a regular, systematic assessment of patient's health and wellbeing as well as regular education sessions. The assessment frequency ranges from daily to monthly, based on the settings provided by the health care provider. Furthermore, it provides a repository for patient's care plan to give insight into the course and treatment of the disorder and offers the possibility to contact the health care provider through the web application.

06

What researchers measure

Primary outcomes

  1. Usability of the SanaCoach heart failure

    • Score on the System Usability Scale (SUS)

    Time frame: Baseline to 6 months

Secondary outcomes

  1. Usability

    * % of users who rate SanaCoach heart failure as "easy to use" * % of users who rate SanaCoach heart failure as "transmits information as intended" * % of users who report satisfaction with the content of information received via SanaCoach heart failure * % of users motivated/intending to use SanaCoach heart failure * % of alerts/messages transmitted via the app that are rated "appropriate" by patient * % of alerts/messages transmitted via the app that are responded to appropriately by patient

    Time frame: Baseline to 6 months

  2. Feasibility of the SanaCoach heart failure

    * Total number of hours of initial training on the use of SanaCoach heart failure attended by staff, patients, cardiologist * Total number of hours of refresher training on the use of SanaCoach heart failure attended by staff, patients, cardiologists * Total number of minutes/hours for patient counselling over study duration * Total number of minutes/hours spent on health record-keeping over study duration

    Time frame: Baseline to 6 months

  3. Acceptability

    • Rate of completion of the intervention (i.e. number of participants who access and complete all aspects of the intervention including lifestyle coach support

    Time frame: Baseline to 6 months

  4. Adherence rates

    • Number of completed/uncompleted education and monitoring sessions

    Time frame: Baseline to 6 months

  5. Technology readiness index (TRI)

    Technology readiness index (TRI)

    Time frame: Baseline to 6 months

Other outcomes

  1. Effectiveness

    * Number of unscheduled visits due to HF during the study period. * Number of cardiac rehospitalisation during the study period

    Time frame: Baseline to 6 months

  2. Medication adherence

    • Changes in self-reported Medication adherence using the Medication Adherence Report Scale (MARS) from baseline to week 26.

    Time frame: Baseline to 6 months

  3. Quality of life assessment

    • Changes in the Quality of life assessment with Kansas City Cardiomyopathy Questionnaire (KCCQ-12) from baseline to weeks 12 and 26.

    Time frame: Baseline to 6 months

  4. Well-Being Index

    • World Health Organisation- Five Well-Being Index (WHO-5) from baseline to weeks 12 and 26.

    Time frame: Baseline to 6 months

  5. Self-care Behaviour

    • Changes on the 9-Item European Heart Failure Self-care Behaviour Scale (EHFScB-9) from baseline to week 26.

    Time frame: Baseline to 6 months

07

Study locations

5 sites
  • University Hospital Aachen
    Aachen, Germany
  • St. Michael's Hospital Dublin
    Dublin, Ireland
  • Maastricht UMC+
    Maastricht, Netherlands
  • Royal Victoria Hospital Belfast
    Belfast, United Kingdom
  • University of Suffolk
    Ipswich, United Kingdom
08

References and documents

Publications

  • Gingele AJ, Amin H, De Wit K, Jacobsen M, Hageman A, van der Mierden K, Brandts J, Weerts J, Barrett M, Dixon LJ, Hill L, Knackstedt C, Brunner-La Rocca HP. Developing an artificial intelligence-based decision engine for disease-modifying therapy in heart failure: a pilot study. Eur Heart J Digit Health. 2023 Dec 1;6(2):285-288. doi: 10.1093/ehjdh/ztad075. eCollection 2025 Mar. PubMed 40110213 ↗

Individual participant data

Plan to share: Yes — Individual participant data will be shared upon receipt of substantiated request to coordinator of the consortium.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report

Time frame: After completion of the study. Expected Q2 of 2022

Access criteria: Substantiated request to coordinator of the consortium with details about reason for request , which data and how the data will be used.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jul 2021 to primary completion in Dec 2023, 29 months.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 16, 2020
First posted
Jan 7, 2021
StartActual
Jul 1, 2021
Primary completionActual
Dec 31, 2023
CompletionActual
Dec 31, 2023
Last update
Apr 17, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 17, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04699253
Responsible party
Sponsor
First posted
Jan 7, 2021
Start date
Jul 1, 2021
Primary completion
Dec 31, 2023
Completion
Dec 31, 2023
Last update
Apr 17, 2024

Study contacts

Hans-Peter Brunner-La Rocca, Prof
principal investigator · Maastricht University Medical Center

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2024. You cannot join it, but the record below documents what was studied.

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