Abstract 13020: A Pilot Randomized Controlled Trial on a Technology-Based Family-Centered Empowerment Transitional Program Among Heart Failure Patients
Bibliographic record
Abstract
Introduction: Heart failure is the most common cause of hospital readmission. While the increased acceptance of mobile health, a novel virtual platform, titled Technology-based Family-centered Empowerment (T-FAME) Program was developed to enhance post-discharge outcomes of HF patients. Hypothesis: The T-FAME was more effective than usual care to enhance self-care, perceived control, HRQoL, and family function of post-discharge HF patients . Methods: From Aug2021 to Jan2022, a pilot RCT randomized 60 post-discharge HF patients (mean age=66.4, SD=2.1; NYHA Grade II/III: 70/30%) to T-FAME or usual care. The 12-week nurse-delivered T-FAME comprises an interactive mobile Apps, which allows i) daily self symptom and clinical monitoring with tailored autonomous nurses' feedback , ii) family-centered goal-setting and attainment plan on self-care , iii) personalized drug education, iv) real-time live chat with nurse, v) video-based HF compass for information navigation. The nurse visited the family for three times and conducted the Calgary family assessment and counseling. Outcome evaluation was done by Self-care Heart Failure Index, Self-care Self-efficacy Scale, Control Attitude Scale, Family Functioning Device, and Minnesota Living with Heart Failure Questionnaire at baseline and post-test. The patients and primary caregivers were interviewed for engagement experience in T-FAME. Results: Two-way analysis of covariance showed significant greater improvement of T-FAME group on self-care maintenance (F=4.762,p=0.033, ƞp2=0.08), management (F=18.223,p<0.001,ƞp2=0.249) and symptom perception (F=9.33,p=0.003, ƞp2=0.145). They reported non-significant greater improvement in self-care self-efficacy, perceived control and HRQL with ƞp2=0.048-0.05, indicating almost medium effect in pilot trial. More families receiving T-FAME reported non-problematic family function (50%) than the control group (16.7%) (p=0.013). The qualitative findings indicated T-FAME is highly acceptable to enable proactive person-centered disease monitoring and management. Conclusions: The preliminary health benefits of T-FAME supports its stringent cost-benefit evaluation in full-scale RCT.
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How this classification was reachedexpand
Direct model labels (unvalidated)
Per-model category and study-design labels from the labeling rounds. They are machine output, unvalidated, and the disagreement between models ships as data. No study design here is MEDLINE-validated yet.
| Model arm | Categories | Study design | Confidence |
|---|---|---|---|
| gemma | no category Domain: not available · Genre: Empirical About the Canadian research system: no · About a Canadian topic: no | Randomized trial | low |
| gpt | no category Domain: not available · Genre: Empirical About the Canadian research system: no · About a Canadian topic: no | Randomized trial | medium |
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.002 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.003 | 0.002 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.015 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedLabeled directly by 2 models reading the full record.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".