Randomized Trial of Telephone Intervention in Chronic Heart Failure (DIAL): Study design and preliminary observations

Grancelli, Hugo; Varini, Sergio; Ferrante, Daniel; Schwartzman, Raúl; Zambrano, Carola; Soifer, Saúl; Nul, Daniel; Doval, Hernán C.

doi:10.1054/jcaf.2003.33

Cited by 67 publications

(41 citation statements)

References 33 publications

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“…Although telephone follow-up programs that advise deteriorating patients to see their regular physician do reduce HF hospitalizations, they have no impact on mortality or all-cause hospitalizations. Of note, while this conclusion is based on the 10 trials (1,897 patients) of telephone support programs published thus far, it is also consistent with the preliminary report from the DIAL Trial Investigators (1,518 patients from 51 centers) presented at the 2002 American Heart Association Meeting (41).…”

Section: Discussionsupporting

confidence: 84%

Multidisciplinary strategies for the management of heart failure patients at high risk for admission

McAlister

Stewart

Ferrua

et al. 2004

Journal of the American College of Cardiology

576

325

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Section: Discussionsupporting

confidence: 84%

Multidisciplinary strategies for the management of heart failure patients at high risk for admission

McAlister

Stewart

Ferrua

et al. 2004

Journal of the American College of Cardiology

576

325

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show abstract

“…In this context, DIAL (Randomized Trial of Phone Intervention in Chronic Heart Failure) (21,22) offers a unique opportunity to study both the long-term effectiveness of the interventions and the potential mechanisms by which these interventions provide favorable results.…”

Section: See Page 379mentioning

confidence: 99%

Long-Term Results After a Telephone Intervention in Chronic Heart Failure

Ferrante

Varini

Macchia

et al. 2010

Journal of the American College of Cardiology

Self Cite

123

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“…Although the research nurse maintained the inertness of the attention placebo by keeping the health advice minimal, the simple presence and willingness to listen to the patients' problem would still be a kind of caring behavior, which has been found to have strong therapeutic power in improving the compliance and response to treatment [37,38] . Indeed, the positive effects of telephone intervention on the psychological and health-related quality of life outcomes of older heart failure patients have been documented [39] . A more accurate interpretation of the effects of relaxation therapy and exercise training requires taking into account this unintended placebo effect.…”

Section: Discussionmentioning

confidence: 99%

Non-Pharmacological Interventions in Older People with Heart Failure: Effects of Exercise Training and Relaxation Therapy

Lee²,

Woo³

et al. 2006

Gerontology

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Background: Effective management of heart failure relies on optimal use of non-pharmacological therapy alongside medical treatment. Yet, there is an inadequate use of non-pharmacological therapy in caring for older people with heart failure. Objective: To examine the effects of relaxation therapy and exercise training on psychological outcomes and disease-specific quality of life of older heart failure patients. Methods: Subjects undertook relaxation (n = 59), exercise training (n = 32) or received attention placebo (n = 62) for 12 weeks. The relaxation group attended two training sessions, one revision workshop, and continued with twice-daily taped-directed home relaxation practice, with support from the intervener through bi-weekly telephone contact, for 12 weeks. The exercise group undertook 12 weekly sessions of resistance training and aerobic exercise and thrice weekly home exercise. The control group received regular telephone calls for general ‘greetings’. Results: The relaxation and exercise groups reported a significantly greater improvement in psychological [F(2, 149) = 6.69, p = 0.002] and various disease-specific quality of life outcomes [dyspnea: F(2, 149) = 5.72, p = 0.004; fatigue: F(2, 149) = 3.78, p = 0.25; emotion: F(2, 149) = 6.68, p = 0.001], compared with those who received the attention placebo. While relaxation therapy was more effective to reduce psychological distress, with depression in particular (p < 0.001), exercise therapy worked better to control fatigue symptoms (p = 0.03). Conclusion: Relaxation therapy and exercise training are effective to improve the psychological and physical health of older heart failure patients. They should be used as an individual treatment modality, or as care components of a disease management program.

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Randomized Trial of Telephone Intervention in Chronic Heart Failure (DIAL): Study design and preliminary observations

Cited by 67 publications

References 33 publications

Multidisciplinary strategies for the management of heart failure patients at high risk for admission

Multidisciplinary strategies for the management of heart failure patients at high risk for admission

Long-Term Results After a Telephone Intervention in Chronic Heart Failure

Non-Pharmacological Interventions in Older People with Heart Failure: Effects of Exercise Training and Relaxation Therapy

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