Study of Nurse-Led Personalized Health Coaching to Improve Frailty and Quality of Life in Hospitalized Heart Failure Patients Aged 40 and Older

What this Trial Is About

Researchers are evaluating a nurse-led personalized health coaching program for hospitalized patients with heart failure HF who also have frailty. Frailty in HF patients includes clinical, functional, cognitive, and social difficulties and is linked to worse health outcomes. This study aims to assess if a multidimensional personalized intervention improves frailty and quality of life compared to standard care, addressing the needs of middle-aged and older adults starting from age 40. The study randomly assigns frail hospitalized HF patients to either the personalized health coaching program or standard care. The intervention includes pre-discharge education, weekly telephone coaching for 12 weeks focusing on clinical care, exercise support, emotional and psychiatric help, and social services connection. The control group receives guideline-based standard care with education, nutrition advice, cardiac rehab exercise, and social work support. Frailty and quality of life are measured at baseline, 12 weeks, and 24 weeks. Participants will undergo multiple assessments including frailty scales, cognitive and depression questionnaires, heart failure events, physical function tests, and muscle mass measurements at four timepoints over 24 weeks. Researchers will monitor medication adherence, weight, dietary intake, and social needs through coaching calls. The study aims to provide evidence on the benefits of holistic nurse-led coaching to improve clinical and quality of life outcomes in HF patients with frailty.

Personalized Health Coaching for Patients With HF