Skip to main content
SpringerLink
Log in

Cardiological and Psychological Mobile Care through Telematic Technologies for Heart Failure Patients: ICAROS Project

  • Chapter
Clinical Psychology and Heart Disease

Abstract

Currently heart failure is one of the main causes of disability and mortality in western countries. Due to the severity of this illness, as well as the number of clinical interventions necessary (particularly the high frequency of hospitalizations), heart failure comprises a major health expense. Specifically, it accounts for 5% of total hospitalization costs and 1–2% of total healthcare expenses [1]. Better therapies for myocardial infarction (MI) and an increasingly older population will eventually result in even larger numbers of patients with chronic heart failure. Obviously, the increase of patients will necessitate new interventions and support models, including multi-pharmacological prescriptions and close monitoring of clinical conditions over extended periods.Because a patient’s psychological condition can influence the course of cardiac disease and therapeutic compliance, the interventions also will need to monitor behavioral and life-style modifications, requiring extensive education efforts, both for the patients themselves and for their families.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 249.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Cline CM, Israelsson BY, Willenheimer RB et al (1998) Cost effective management programme for heart failure reduces hospitalisation. Heart 80:442–446

    CAS  PubMed  Google Scholar 

  2. Weingarten SR, Henning JM, Badamgarav E et al (2002) Interventions used in disease management programmes for patients with chronic illness-which ones work? Metaanalysis of published reports. BMJ:325

    Google Scholar 

  3. Gattis WA, Hasselblad V, Whellan DJ, O’Connor M (1999) Reduction in heart failure events by the addition of a clinical pharmacist to the heart failure management team: results of the pharmacist in heart failure assessment recommendation and monitoring (PHARM) study. Arch Intern Med 159:1939–1945

    Article  CAS  PubMed  Google Scholar 

  4. Stewart S, Marley JE, Horowitz JD (1999) Effects of a multidisciplinary, home-based intervention on unplanned readmissions and survival among patients with chronic congestive heart failure: a randomised controlled study. Lancet 354:1077–1083

    Article  CAS  PubMed  Google Scholar 

  5. Andersson EB, Ehnfors M, Matejka G et al (1998) Feasibility of a nurse-monitored, outpatient-care programme for elderly patients with moderate-to-severe, chronic heart failure. Eur Heart J 19:1254–1260

    Article  PubMed  Google Scholar 

  6. Oddone EZ, Weinberger M, Giobbie-Hurder A et al (1999) Enhanced access to primary care for patients with congestive heart failure. Veterans affairs cooperative study group on primary care and hospital readmission. Eff Clin Pract 2:201–209

    CAS  PubMed  Google Scholar 

  7. Rich MW, Beckham V, Wittenberg C et al (1995) A multidisciplinary intervention to prevent the readmission of elderly patients with congestive heart failure. N Engl J Med 333:1190–1195

    Article  CAS  PubMed  Google Scholar 

  8. Rich MW, Vinson JM, Sperry JC et al (1993) Prevention of readmission in elderly patients with congestive heart failure: results of a prospective, randomized pilot study. J Gen Intern Med 8:585–590

    Article  CAS  PubMed  Google Scholar 

  9. Rich MW (1999) Heart failure disease management: a critical review. J Cardiac Fail 5:64–75

    Article  CAS  Google Scholar 

  10. Stewart S, Horowitz JJD (2002) Detecting early clinical deterioration in chronic heart failure patients post-acute hospitalisation — a critical component of multidisciplinary, home-based intervention. Eur J Heart Fail 4:345–351

    Article  PubMed  Google Scholar 

  11. Schulman KA, Mark DB, Califf RM (1998) Outcomes and costs within a disease management program for advanced congestive heart failure. Amer Heart J 135:285–292

    Article  Google Scholar 

  12. Grady KL, Dracupp K, Kennedy G et al (2000) Team management of patients with heart failure. Circulation 102:2443–2456

    CAS  PubMed  Google Scholar 

  13. Shah NB, Der E, Ruggiero C et al (1998) Prevention of hospitalisations fro heart failure with an interactive home monitoring program. Am Hearth J 135:373–378

    Article  CAS  Google Scholar 

  14. Stewart S, Horowitz JD (2002) Home based intervention in congestive heart failure. Long-term implications on readmission and survival. Detecting early clinical deterioration in chronic heart failure patients post-acute hospitalisation — a critical component of multidisciplinary, home-based intervention. Circulation 105:2861–2866

    Article  PubMed  Google Scholar 

  15. Akosah KO, Shaper AM, Havlik P et al (2002) Improving care for patients with chronic heart failure in the community. The importance of a disease management program. Chest J 122:906–912

    Article  Google Scholar 

  16. Whellan DJ, Gaulden L, Gattis WA et al (2001) The benefit of implementing a heart failure disease management program. Arch Intern Med 161:2223–2228

    Article  CAS  PubMed  Google Scholar 

  17. Krumholz HM, Parent EG, Tu N et al (1997) Readmission after hospitalisation for congestive heart failure among medicare beneficiaries. Arch Intern Med 157:99–104

    Article  CAS  PubMed  Google Scholar 

  18. Cleland JG, Cohen-Solai A, Cosin Aguilar J et al (2002) Management of heart failure in primary care (the IMPROVEMENT of heart failure program): an international survey. Lancet 360:1631–1639

    Article  CAS  PubMed  Google Scholar 

  19. Brass-Mynderse NJ (1996) Disease management for chronic congestive heart failure. J Cardiovasc Nurs 11:54–62

    CAS  PubMed  Google Scholar 

  20. Naylor MD, Brooten D, Campbell R et al (1999) Comprehensive discharge planning and home follow-up of hospitalised elders. A randomised clinical trial. JAMA 281:613–620

    Article  CAS  PubMed  Google Scholar 

  21. Jerant AF, Azari R, Nesbitt TS (2001) Reducing the cost of frequent hospital admissions for congestive hearth failure. A randomised trial of a home telecare intervention. Medical Care 39:1234–1245

    Article  CAS  PubMed  Google Scholar 

  22. de Luigan S, Wells S, Johonson P et al (2001) Compliance and effectiveness of 1 year’s home telemonitoring.The report of a pilot study of patients with chronic heart failure. Eur J Heart Fail 3:723–730

    Article  Google Scholar 

  23. Kornowsky R, Zeeli D, Averbuch M et al (1995) Intensive home-care surveillance prevents hospitalisation and improves morbidity rates among elderly patients with severe congestive heart failure. Am Heart J 129:762–766

    Article  Google Scholar 

  24. Gattis WA, Hasselblad V, Whellan DJ, O’Connor CM (1999) Reduction in heart failure events by the addition of a clinical pharmacist to the heart failure management team. Arch Intern Med 159:1939–1945

    Article  CAS  PubMed  Google Scholar 

  25. Stewart S, Vandenbroek AJ, Pearson S, Horowitz JD (1999) Prolonged beneficial effects of a home-based intervention on unplanned readmissions and mortality among patients with congestive heart failure. Arch Intern Med 159:257–261

    Article  CAS  PubMed  Google Scholar 

  26. Ekman I, Swedberg K (2002) Home-based management of patients with chronic heart failure-focus on content not just form! Eur Heart J 23: 1323–1325

    Article  CAS  PubMed  Google Scholar 

  27. Spielberger CD, Sydeman S, Owen AE, Marsh BJ (1999) Measuring anxiety and anger with the State-Trait Anxiety Inventory (STAI) and the State-Trait Anger Expression Inventory (STAXI). In:Maruish ME (Ed) The use of psychological testing for treatment planning and outcomes assessment 2 edn. Lawrence Erlbaum Associates, Publishers, Mahwah, NJ, US pp 993–1021

    Google Scholar 

  28. Spielberger CD, Sydeman S (1994) State-trait anxiety inventory and state-trait anger expression inventory. In: Maruish ME (Ed) The use of psychological testing for treatment planning and outcome assessment. Lawrence Erlbaum Associates, Inc, Hillsdale, NJ, England pp 292–321

    Google Scholar 

  29. Kroenke K, Spitzer RL, Williams JB (2001) The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med 16:606–13

    Article  CAS  PubMed  Google Scholar 

  30. Kroenke K, Spitzer RL, Williams JB (1999) Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary care evaluation of mental disorders. Patient health questionnaire. JAMA 282:1737–44

    Article  PubMed  Google Scholar 

  31. Lowe B, Kroenke K, Herzog W, Grafe K (2004) Measuring depression outcome with a brief self-report instrument: sensitivity to change of the patient health questionnaire (PHQ-9). J Affect Disord 81:61–66

    Article  PubMed  Google Scholar 

  32. Wool C, Cerutti R, Marquis P et al (2000) Psychometric validation of two Italian quality of life questionnaires in menopausal women. Maturitas 35:129–142

    Article  CAS  PubMed  Google Scholar 

  33. Badia X, Gutierrez F, Wiklund I, Alonso J (1996) Validity and reliability of the Spanish version of the psychological general well-being index. Quality of life research: an International Journal of Quality of Life:Aspects of Treatment. Care & Rehabilitation 5:101–108

    CAS  Google Scholar 

  34. http://www.bracco.com/Bracco/Internet/Congress/PGWBI+bracco.htm

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Psychology, Catholic University of Milan, Milan

    A. Compare PhD, MS, PsyD (Researcher in Clinical Psychology)

  2. Faculty of Clinical Psychology, Catholic University, Milan, Italy

    E. Molinari MS, PsyD (Full Professor of Clinical Psychology)

  3. University of Bergamo, Catholic University of Milan, Italy

    Dr. L. Bellardita PsyD, MS

  4. Cardiology II St. Luca Hospital, Italian Auxologic Institute, Milan, Italy

    Dr. A. Villani MD (Cardiologist), Dr. G. Branzi MD (Cardiologist), Dr. G. Malfatto MD (Cardiologist) & Dr. S. Boarin MD (Cardiologist)

  5. Mobile Medical Technologies, Genoa, Italy

    Ing. M. Cassi ICAROS FIRB (Project Manager, Senior Partner)

  6. II University, Naples, Italy

    Prof. A. Gnisci PhD (Associate Professor in Psychometry)

  7. Department of Clinical Medicine, Prevention and Applied Biotechnology, University of Milano-Bicocca, Italy

    G. Parati MD (Associate Professor of Medicine)

Authors
  1. A. Compare PhD, MS, PsyD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. E. Molinari MS, PsyD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Dr. L. Bellardita PsyD, MS
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Dr. A. Villani MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Dr. G. Branzi MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Dr. G. Malfatto MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Dr. S. Boarin MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Ing. M. Cassi ICAROS FIRB
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Prof. A. Gnisci PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. G. Parati MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 2006 Springer-Verlag Italia

About this chapter

Cite this chapter

Compare, A. et al. (2006). Cardiological and Psychological Mobile Care through Telematic Technologies for Heart Failure Patients: ICAROS Project . In: Clinical Psychology and Heart Disease. Springer, Milano. https://doi.org/10.1007/978-88-470-0378-1_24

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-0378-1_24

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0377-4

  • Online ISBN: 978-88-470-0378-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation