Table 3

Intensity of Included Transitional Care Interventions

Intensity and Trial, YearStructured Home VisitsTelephone Follow-upClinic Follow-upTelecare OnlyTelecare + Other Types of Follow-upDetails
Low intensity
Riegel et al,37 2006X11 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 2011X
DeBusk et al,38 2004X
Laramee et al,39 2003X
Wakefield et al,40 2008X
Dunagan et al,41 2005X
Rainville et al,42 1999X
Tsuyuki et al,53 2004X
Barth et al,43 2001X
Lopez Cabezas et al,62 2006X
Chaudhry et al,44 2010X
Doughty et al,70 2002XIn 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 2008X
Moderate intensity
Stewart et al,9 1998; Inglis et al,81 2004X4 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 2012X
Naylor et al,35 2004X
Kwok et al,72 2008X
Nucifora et al,59 2006XX8 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 2007XX
Cleland et al,58 2005XX
Ekman et al,64 1998XX
Atienza et al,63 2004XX
Kasper et al,45 2002XX
Angermann et al,46 2012XX
Ducharme et al,54 2005XX
Dar et al,66 2009X2 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 2002X
High intensity
Harrison et al,55 2002XX6 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 1993XX
Rich et al,8 1995XX
Blue et al,67 2001XX
Leventhal et al,68 2011XX
Jaarsma et al,10 1999XX
Cline et al,65 1998XX2 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 2005XX
Adlbrecht et al,69 2011; Berger et al,82 2010XXX3 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 2000XXX
Jaarsma et al,57 2008XXX
Giordano et al,61 2009X5 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 2011X
Kulshreshtha et al,51 2010X
Pekmezaris et al,52 2012X
Cleland et al,58 2005X
  • CHF = congestive heart failure; RCT = randomized controlled trial.