PMID- 23015599 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20121002 LR - 20240418 IS - 2044-6055 (Electronic) IS - 2044-6055 (Linking) VI - 2 IP - 5 DP - 2012 TI - Effectiveness of telemedicine and distance learning applications for patients with chronic heart failure. A protocol for prospective parallel group non-randomised open label study. LID - 10.1136/bmjopen-2012-001346 [doi] LID - e001346 AB - INTRODUCTION: Chronic heart failure in Baltic Sea Region is responsible for more hospitalisations than all forms of cancer combined and is one of the leading causes of hospitalisations in elderly patients. Frequent hospitalisations, along with other direct and indirect costs, place financial burden on healthcare systems. We aim to test the hypothesis that telemedicine and distance learning applications is superior to the current standard of home care. METHODS AND ANALYSIS: Prospective parallel group non-randomised open label study in patients with New York Heart Association (NYHA) II-III chronic heart failure will be carried out in six Baltic Sea Region countries. The study is organised into two 6-month follow-up periods. The first 6-month period is based on active implementation of tele-education and/or telemedicine for patients in two groups (active run period) and one standard care group (passive run period). The second 6-month period of observation will be based on standard care model (passive run period) to all three groups. Our proposed practice change is based on translational research with empirically supported interventions brought to practice and aims to find the home care model that is most effective to patient needs. ETHICS AND DISSEMINATION: This study has been approved by National Bioethics Committee (2011-03-07; Registration No: BE-2-11). TRIAL REGISTRATION: This study has been registered in Australian New Zealand Clinical Trials Registry (ANZCTR) with registration number ACTRN12611000834954. FAU - Vanagas, Giedrius AU - Vanagas G AD - Department of Preventive Medicine, Lithuanian University of Health Sciences, Kaunas, Lithuania. FAU - Umbrasiene, Jelena AU - Umbrasiene J FAU - Slapikas, Rimvydas AU - Slapikas R CN - ICT for Health project workgroup LA - eng PT - Journal Article DEP - 20120925 PL - England TA - BMJ Open JT - BMJ open JID - 101552874 PMC - PMC3467609 EDAT- 2012/09/28 06:00 MHDA- 2012/09/28 06:01 PMCR- 2012/09/25 CRDT- 2012/09/28 06:00 PHST- 2012/09/28 06:00 [entrez] PHST- 2012/09/28 06:00 [pubmed] PHST- 2012/09/28 06:01 [medline] PHST- 2012/09/25 00:00 [pmc-release] AID - bmjopen-2012-001346 [pii] AID - 10.1136/bmjopen-2012-001346 [doi] PST - epublish SO - BMJ Open. 2012 Sep 25;2(5):e001346. doi: 10.1136/bmjopen-2012-001346. Print 2012.