About this trial
Remote healthcare monitoring for cirrhosis has shown promise in overcoming barriers to accessing specialty care, improving healthcare quality, and reducing mortality. The LiverWatch study is investigating whether a remote nutrition, physical activity, and education intervention can improve health outcomes in those with cirrhosis. In this clinical trial, individuals will be randomized to either enhanced usual care or the LiverWatch intervention. Both groups are given fitbits and asked to increase their step counts. Those in the Liverwatch group will be incentivized for increase their physical activity while also undergoing a personalized nutrition intervention and weekly symptom monitoring and cirrhosis education.
Eligibility criteria
Qualifiers
English speaking
Aged 18 years or older
Home-dwelling
Diagnosis of cirrhosis- Child Turcotte-Pugh (CTP) B or C or a complication in the past 6 months (CTP B or higher, hepatic encephalopathy, variceal bleeding, fluid overload, liver-related hospitalization, or requiring symptom management with diuretics, non-absorbable disaccharides, rifaximin, nonselective beta blockers)
Disqualifiers
No access to a smartphone
Non-home dwelling
On hospice care
Model for end stage liver disease (MELD) score ≥30
Trial design
Treatments tested in this trial
- LiverWatch Intervention
Treatment groups
Sponsors and collaborators
University of Pennsylvania
Lead sponsor
Pennsylvania Department of Health
Collaborator