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| Ranking |
Evidence-Based Practice |
| Description |
This program uses an internet-based program to provide risk factor management training and services to individuals with cardiovascular disease. Only 11-38% of eligible patients with cardiovascular disease participate in cardiac rehabilitation programs, despite demonstrated benefits. Offering internet-based programming allows nurse case managers to provide risk factor management training, education, and monitoring services to patients in their homes. Participants who have been diagnosed with coronary heart disease or congestive heart failure complete online education modules that include interactive, multiple choice, self-tests. Participants enter data (i.e., number of minutes of exercise, blood pressure measurements) into progress graphs which provide immediate graphic feedback showing progress over time. Participants log onto the site once a week for 30 minutes to communicate with a case manager. A registered dietitian provides feedback regarding dietary issues based upon a patient-maintained food diary. |
| Goal / Mission |
The goal of this program is to provide risk factor management training and services to individuals with cardiovascular disease. |
| Results / Accomplishments |
This case management system was evaluated using a randomized clinical trial of 104 patients to compare patients that used the intervention for six months to those that received usual care. Intervention participants had significantly fewer cardiovascular events than patients who received usual care (4.1% vs. 15.7%, p = 0.053). The intervention group lost significantly more weight than those receiving usual care (p = 0.003) and had significant weight loss and body mass index over the course of the intervention (p = 0.003). Differences in blood pressure, lipid levels, depression scores, minutes of exercise, and dietary habits were not statistically significant. Reduced hospitalization and emergency room expenses resulted in a gross cost savings of $1,418 per patient. |
| Categories |
Health / Heart Disease & Stroke
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| Organization(s) |
Health Management Consultants of VA, Inc. |
| Source |
Health Management Consultants of VA, Inc. |
| Date of Publication |
2003 |
| Location |
State: Virginia |
| Primary Contact |
Barbara Southard, RN, MS
Health Management Consultants of VA, Inc.
2000 Kraft Drive, Suite 2001
Blacksburg, VA 24060
(540) 230-1778
bsouthard@hmcva.com
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| For more details |
http://www.ncbi.nlm.nih.gov/pubmed/14512778?ito...
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| Target Audience |
Adults, Elderly |
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