NCT07464834

Postcards to Improve Remote Monitoring Connectivity Among Veterans With a Disconnected Monitor

Postcards to Improve Remote Monitoring Connectivity Among Patients With Cardiovascular Implantable Electronic Devices and Disconnected Monitors: A Randomized, Controlled Trial

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 2,726 (actual)
• Sponsor: San Francisco VA Health Care System · Federal
• Sex: All
• Age: —
• Healthy volunteers: Not accepted

Summary

We tested the effect of mailing informational postcards to patients with cardiovascular implantable electronic devices who have lost continuous RM connectivity because of a disconnected home monitor.

Detailed description

Objective: To determine the effect on remote monitoring (RM) connectivity of mailing informational postcards to patients with CIEDs who have lost continuous RM connectivity because of a disconnected monitor. Design: Parallel prospective randomized controlled trial (RCT). Setting: Veterans Health Administration. Participants: Randomized selection of all patients with CIEDs whose bedside or smartphone monitor had become disconnected for ≥16 but ≤40 days from the manufacturer's RM service. Exposure: We developed postcards that notified patients about RM disconnection, described RM's clinical benefits, and provided the customer service number of their CIED manufacturer. Twice monthly, we randomized patients to either receive or not receive the postcard. Main Outcomes and Measures: Primary outcome was median time to reconnection.

Conditions

• ICD
• Pacemaker
• Implanted Loop Recorder
• Remote Monitoring
• Adherence, Patient

Interventions

Type	Name	Description
OTHER	Tailored Postcard	Participants received a postcard with a tailored notice that their home monitor was disconnected from remote monitoring with tips to reconnect and prompts to follow up with their CIED manufacturer or local VA clinic.

Timeline

• Start date: 2024-08-05
• Primary completion: 2025-07-29
• Completion: 2025-07-29
• First posted: 2026-03-11
• Last updated: 2026-03-11

Locations

1 site across 1 country: United States