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. 2015 Nov;13(6):562–571. doi: 10.1370/afm.1844

Table 3.

Intensity of Included Transitional Care Interventions

Intensity and Trial, Year Structured Home Visits Telephone Follow-up Clinic Follow-up Telecare Only Telecare + Other Types of Follow-up Details
Low intensity
Riegel et al,37 2006 X 11 RCTs had a prearranged telephone follow-up.3744,53,56,62 Patients received 3 to 16 telephone calls (over a 2- to 12-month period).
Domingues et al,56 2011 X
DeBusk et al,38 2004 X
Laramee et al,39 2003 X
Wakefield et al,40 2008 X
Dunagan et al,41 2005 X
Rainville et al,42 1999 X
Tsuyuki et al,53 2004 X
Barth et al,43 2001 X
Lopez Cabezas et al,62 2006 X
Chaudhry et al,44 2010 X
Doughty et al,70 2002 X In 2 RCTs, follow-up was provided in an outpatient clinic by the family physician or a cardiologist or multidisciplinary team.56,69 Patients visited the clinic7 to 10 times (over a 12- to 18-month period).
Jaarsma et al,57 2008 X
Moderate intensity
Stewart et al,9 1998; Inglis et al,81 2004 X 4 RCTs used prearranged home visits9,34,70,71 with a total of 2 to 9 visits (over a 6- to 12-month period).
Barker et al,71 2012 X
Naylor et al,35 2004 X
Kwok et al,72 2008 X
Nucifora et al,59 2006 X X 8 RCTs combined a structured telephone call with follow-up in a clinic.44,45,53,5759,62,63 They included 1 to 10 telephone calls and 1 to 8 visits to the clinic (over a 6- to 24-month period).
Del Sindaco et al,60 2007 X X
Cleland et al,58 2005 X X
Ekman et al,64 1998 X X
Atienza et al,63 2004 X X
Kasper et al,45 2002 X X
Angermann et al,46 2012 X X
Ducharme et al,54 2005 X X
Dar et al,66 2009 X 2 RCTs featured telecare without prearranged direct contact with patients.47,66 The vital signs transmit-ted daily consisted of weight,47,66 blood pressure, pulse, and oxygen saturation.66 Patients also answered questions on CHF symptoms via telephone (automated voice response).47,66
Goldberg et al,47 2002 X
High intensity
Harrison et al,55 2002 X X 6 RCTs used structured home visits combined with telephone follow-up.8,10,47,54,66,67 Patients had a total of 1 to 3 home visits (over a 3- to 12-month period).
Rich et al,48 1993 X X
Rich et al,8 1995 X X
Blue et al,67 2001 X X
Leventhal et al,68 2011 X X
Jaarsma et al,10 1999 X X
Cline et al,65 1998 X X 2 RCTs combined home visits with follow-up in a clinic.64,72 Patients received 1 home visit and 4 to 6 in-clinic follow-ups (over a 6- to 12-month period).
Thompson et al,73 2005 X X
Adlbrecht et al,69 2011; Berger et al,82 2010 X X X 3 RCTs combined home visits with telephone calls and a visit to a clinic.48,56,68 The total number of home visits ranged from 1 to 3 (over a 3- to 12-month period).
Pugh et al,49 2001; Blaha et al,83 2000 X X X
Jaarsma et al,57 2008 X X X
Giordano et al,61 2009 X 5 RCTs combined telecare with prearranged direct contact with patients5052,58,61 such as prearranged telephone calls,51,61 video calls and home visits,50,52 or visits to a clinic.58 Vital signs (weight, blood pressure, oxygen saturation, heart sounds, pulse, and electrocardiographic findings) were transmitted daily50,51,58 or at a scheduled time.52,61
Bowles et al,50 2011 X
Kulshreshtha et al,51 2010 X
Pekmezaris et al,52 2012 X
Cleland et al,58 2005 X

CHF = congestive heart failure; RCT = randomized controlled trial.