© 2003 European Society of Cardiology
Design and methodology of the COACH study: a multicenter randomised Coordinating study evaluating Outcomes of Advising and Counselling in Heart failure
Department of Cardiology, Thoraxcenter University Hospital Groningen, P.O. Box 30.001, 9700 RB Groningen, The Netherlands
* Corresponding author. Tel.: +31-50-361-2355; fax: +31-50-361-4391. E-mail address: t.jaarsma{at}thorax.azg.nl
 |
Abstract |
|---|
Background: While there are data to support the use of comprehensive non-pharmacological intervention programs in patients with heart failure (HF), other studies have not confirmed these positive findings. Substantial differences in the type and intensity of disease management programs make it impossible to draw definitive conclusions about the effectiveness, optimal timing and frequency of interventions.
Aims: 1. To determine the effectiveness of two interventions (basic support vs. intensive support) compared to ‘care as usual’ in HF patients, on time to first major event (HF readmission or death), quality of life and costs. 2. To investigate the role of underlying mechanisms (knowledge, beliefs, self-care behaviour, compliance) on the effectiveness of the two interventions.
Methods: This is a randomised controlled trial in which 1050 patients with heart failure will be randomised into three treatment arms: care as usual, basic education and support or intensive education and support. Outcomes of this study are; time to first major event (HF hospitalisation or death), quality of life (Minnesota Living with HF Questionnaire, RAND36 and Ladder of Life) and costs. Data will be collected during initial admission and then 1, 6, 12, and 18 months after discharge. In addition, data on knowledge, beliefs, self-care behaviour and compliance will be collected.
Results: The study started in January 2002 and results are expected at the end of 2005.
Conclusions: This study will help health care providers in future to make rational and informed choices about which components of a HF management program should be expanded and which components can possibly be deleted.
Key Words: Heart failure • Patient education • Heart failure disease management
Received February 26, 2003; Revised June 5, 2003; Accepted September 24, 2003
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  I. Lesman-Leegte, D. J. van Veldhuisen, H. L. Hillege, D. Moser, R. Sanderman, and T. Jaarsma Depressive symptoms and outcomes in patients with heart failure: data from the COACH study Eur J Heart Fail, December 1, 2009; 11(12): 1202 - 1207. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. Damman, T. Jaarsma, A. A. Voors, G. Navis, H. L. Hillege, D. J. van Veldhuisen, and on behalf of the COACH investigators Both in- and out-hospital worsening of renal function predict outcome in patients with heart failure: results from the Coordinating Study Evaluating Outcome of Advising and Counseling in Heart Failure (COACH) Eur J Heart Fail, September 1, 2009; 11(9): 847 - 854. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Jaarsma and D. J. van Veldhuisen When, how and where should we "coach" patients with heart failure: The COACH results in perspective Eur J Heart Fail, April 1, 2008; 10(4): 331 - 333. [Full Text] [PDF]
|
|
|
|
 |
|
 T. Jaarsma, M. H. L. van der Wal, I. Lesman-Leegte, M.-L. Luttik, J. Hogenhuis, N. J. Veeger, R. Sanderman, A. W. Hoes, W. H. van Gilst, D. J. A. Lok, et al. Effect of Moderate or Intensive Disease Management Program on Outcome in Patients With Heart Failure: Coordinating Study Evaluating Outcomes of Advising and Counseling in Heart Failure (COACH) Arch Intern Med, February 11, 2008; 168(3): 316 - 324. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Lainscak, J. G.F. Cleland, M. J. Lenzen, S. Nabb, I. Keber, F. Follath, M. Komajda, and K. Swedberg Recall of lifestyle advice in patients recently hospitalised with heart failure: A EuroHeart Failure Survey analysis Eur J Heart Fail, November 1, 2007; 9(11): 1095 - 1103. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Gustafsson, M. Schou, L. Videbaek, T. Nielsen, H. Ulriksen, J. Markenvard, T. L. Svendsen, H. Ryde, E. Vigholt, P. Hildebrandt, et al. Treatment with beta-blockers in nurse-led heart failure clinics: Titration efficacy and predictors of failure Eur J Heart Fail, September 1, 2007; 9(9): 910 - 916. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Hogenhuis, A. A. Voors, T. Jaarsma, A. W. Hoes, H. L. Hillege, J. A. Kragten, and D. J. van Veldhuisen Anaemia and renal dysfunction are independently associated with BNP and NT-proBNP levels in patients with heart failure Eur J Heart Fail, August 1, 2007; 9(8): 787 - 794. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. L. Luttik, T. Jaarsma, N. Veeger, J. Tijssen, R. Sanderman, and D. J. van Veldhuisen Caregiver burden in partners of Heart Failure patients; limited influence of disease severity Eur J Heart Fail, June 1, 2007; 9(6-7): 695 - 701. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. G.F. Cleland, A. P. Coletta, and A. L. Clark Clinical trials update from the American College of Cardiology 2007: ALPHA, EVEREST, FUSION II, VALIDD, PARR-2, REMODEL, SPICE, COURAGE, COACH, REMADHE, pro-BNP for the evaluation of dyspnoea and THIS-diet Eur J Heart Fail, June 1, 2007; 9(6-7): 740 - 745. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
I. Lesman-Leegte, T. Jaarsma, R. Sanderman, G. Linssen, and D. J. van Veldhuisen Depressive symptoms are prominent among elderly hospitalised heart failure patients Eur J Heart Fail, October 1, 2006; 8(6): 634 - 640. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 I. Lesman-Leegte, T. Jaarsma, and D. J. van Veldhuisen Psychological distress and cardiovascular disease Eur. Heart J., May 1, 2006; 27(9): 1123 - 1123. [Full Text] [PDF]
|
|
|
|
|
|
M. Lainscak and I. Keber Patients' knowledge and beta blocker treatment improve prognosis of patients from a heart failure clinic Eur J Heart Fail, March 1, 2006; 8(2): 187 - 190. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. H.L. van der Wal, T. Jaarsma, D. K. Moser, N. J.G.M. Veeger, W. H. van Gilst, and D. J. van Veldhuisen Compliance in heart failure patients: the importance of knowledge and beliefs Eur. Heart J., February 2, 2006; 27(4): 434 - 440. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Roccaforte, C. Demers, F. Baldassarre, K. K.Teo, and S. Yusuf Effectiveness of comprehensive disease management programmes in improving clinical outcomes in heart failure patients. A meta-analysis Eur J Heart Fail, December 1, 2005; 7(7): 1133 - 1144. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R Holland, J Battersby, I Harvey, E Lenaghan, J Smith, and L Hay Systematic review of multidisciplinary interventions in heart failure Heart, July 1, 2005; 91(7): 899 - 906. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Jaarsma Inter-professional team approach to patients with heart failure Heart, June 1, 2005; 91(6): 832 - 838. [Full Text] [PDF]
|
|
|
|
|
|
C. O. Phillips, R. M. Singa, H. R. Rubin, and T. Jaarsma Complexity of program and clinical outcomes of heart failure disease management incorporating specialist nurse-led heart failure clinics. A meta-regression analysis Eur J Heart Fail, March 16, 2005; 7(3): 333 - 341. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Stromberg The crucial role of patient education in heart failure Eur J Heart Fail, March 16, 2005; 7(3): 363 - 369. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Jaarsma, F. M. Haaijer-Ruskamp, H. Sturm, and D. J. Van Veldhuisen Management of heart failure in The Netherlands Eur J Heart Fail, March 16, 2005; 7(3): 371 - 375. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. R. Thompson, A. Roebuck, and S. Stewart Effects of a nurse-led, clinic and home-based intervention on recurrent hospital use in chronic heart failure Eur J Heart Fail, March 16, 2005; 7(3): 377 - 384. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Jaarsma and D.J. van Veldhuisen Heart failure management: how much COACH-ing is needed? Eur. Heart J., February 1, 2005; 26(3): 314 - 314. [Full Text] [PDF]
|
|
|
|
|
|
F. Gustafsson and J. M. O. Arnold COACHes, players, and heart failure teams: reply Eur. Heart J., February 1, 2005; 26(3): 314 - 315. [Full Text] [PDF]
|
|