Actively Recruiting

Phase Not Applicable
Age: 55Years +
All Genders
ID07184541

The Effect of a Nurse-led Daily Weight Monitoring Intervention (Wake and Weigh) on Heart Failure Quality of Life and Self-care

Led by Lee Anne Siegmund · Updated on 2025-09-24

42

Participants Needed

1

Research Sites

4 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating a nurse-led daily weight monitoring tool called Wake and Weigh to improve self-care and quality of life in older adults with heart failure. This pilot randomized controlled trial aims to test the feasibility and methods for a larger future study. The study focuses on adults aged 55 and older hospitalized with heart failure, addressing the challenges patients face with complicated self-care instructions and activity limitations. Participants are randomized to either use the Wake and Weigh tool along with usual care or receive usual care alone, which includes a heart failure handbook. The tool helps patients track their weight daily during hospitalization and after discharge, with nurse education and encouragement for consistent use. Patients record their weight each morning, using the same scale, and report significant weight changes to their healthcare provider. Follow-up calls occur at 2 weeks (intervention group) and 4 weeks (both groups) after discharge to assess tool use and health outcomes. During the study, participants complete surveys measuring heart failure self-care and quality of life at admission and 4 weeks post-discharge. Nurse investigators monitor the intervention's delivery and patient use of the tool. Data collection includes hospital and follow-up visits, survey completion rates, and patient feedback on confidence and tool usefulness. The study lasts from hospital admission through 4 weeks after discharge, assessing feasibility, recruitment, retention, and appropriateness of the measurement tools.

CONDITIONS

Brief Title

A Nurse-Led Weight Monitoring Intervention For Heart Failure Quality of LIfe and Self-Care

Who Can Participate

Age: 55Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adults 55 years or older
  • New or existing diagnosis of heart failure
  • Currently treated for heart failure signs or symptoms during this hospital stay (such as IV diuretics, fluid restriction, or low sodium diet)
  • Able to read and communicate in English
  • Able to stand and weigh independently
  • Have a scale at home or ability to obtain one for the study
Not Eligible

You will not qualify if you...

  • Documented diagnosis of cognitive impairment
  • Charlson Comorbidity Index (CCI) greater than 4, indicating higher risk of longer hospital stays

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Inpatient Treatment

Duration - Duration of hospital stay

Participants admitted to the hospital with heart failure receive education on daily weight monitoring using the Wake and Weigh tool (intervention group) or usual care education with a heart failure handbook (control group). Nurses provide daily reinforcement of the intervention during hospitalization.

Daily interactions with nurse investigators during hospital stay

Outpatient Treatment

Duration - Up to 4 weeks post-discharge

After discharge, participants are instructed to continue daily weight monitoring using the Wake and Weigh tool (intervention group) or usual care practices (control group) at home.

Follow-up phone calls at 2 weeks (intervention group only) and 4 weeks after discharge (both groups)

Trial Site Locations

Total: 1 location

1

Cleveland Clinic Avon Hospital

Avon, Ohio, United States, 44011

Actively Recruiting

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Research Team

L

Lee Anne Siegmund, PhD, RN

K

Kelli Falbo, MSN, RN

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

SUPPORTIVE_CARE

Number of Arms

2

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Published Research Related To This Trial

Updating and validating the Charlson comorbidity index and score for risk adjustment in hospital discharge abstracts using data from 6 countries.

Hude Quan, Bing Li, Chantal M Couris...

https://pubmed.ncbi.nlm.nih.gov/21330339