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The Effect of a Personalized Approach to Patient Education on Heart Failure Self-Management
Personalized tools relevant to an individual patient’s unique characteristics may be an important component of personalized health care. We randomized 97 patients hospitalized with acute decompensated heart failure to receive a printout of an ultrasound image of their inferior vena cava (IVC) with a...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6313701/ https://www.ncbi.nlm.nih.gov/pubmed/30486472 http://dx.doi.org/10.3390/jpm8040039 |
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author | Athar, Muhammad W. Record, Janet D. Martire, Carol Hellmann, David B. Ziegelstein, Roy C. |
author_facet | Athar, Muhammad W. Record, Janet D. Martire, Carol Hellmann, David B. Ziegelstein, Roy C. |
author_sort | Athar, Muhammad W. |
collection | PubMed |
description | Personalized tools relevant to an individual patient’s unique characteristics may be an important component of personalized health care. We randomized 97 patients hospitalized with acute decompensated heart failure to receive a printout of an ultrasound image of their inferior vena cava (IVC) with an explanation of how the image is related to their fluid status (n = 50) or to receive no image and only generic heart failure information (n = 47). Adherence to medications, low-sodium diet, and daily weight measurement at baseline and 30 days after discharge were assessed using the Medical Outcomes Study Specific Adherence Scale, modified to a three-item version for heart failure (HF), (MOSSAS-3HF, maximum score = 15, indicating adherence all of the time). The baseline MOSSAS-3HF scores (mean ± standard deviation (SD)) were similar for intervention and control groups (7.4 ± 3.4 vs. 6.4 ± 3.7, p = 0.91). The MOSSAS-3HF scores improved for both groups but were not different at 30 days (11.8 ± 2.8 vs. 11.7 ± 3.0, p = 0.90). Survival without readmission or emergency department (ED) visit at 30 days was similar (82.6% vs. 84.1%, p = 0.85). A personalized HF tool did not affect rates of self-reported HF treatment adherence or survival without readmission or ED visit. |
format | Online Article Text |
id | pubmed-6313701 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-63137012019-01-07 The Effect of a Personalized Approach to Patient Education on Heart Failure Self-Management Athar, Muhammad W. Record, Janet D. Martire, Carol Hellmann, David B. Ziegelstein, Roy C. J Pers Med Article Personalized tools relevant to an individual patient’s unique characteristics may be an important component of personalized health care. We randomized 97 patients hospitalized with acute decompensated heart failure to receive a printout of an ultrasound image of their inferior vena cava (IVC) with an explanation of how the image is related to their fluid status (n = 50) or to receive no image and only generic heart failure information (n = 47). Adherence to medications, low-sodium diet, and daily weight measurement at baseline and 30 days after discharge were assessed using the Medical Outcomes Study Specific Adherence Scale, modified to a three-item version for heart failure (HF), (MOSSAS-3HF, maximum score = 15, indicating adherence all of the time). The baseline MOSSAS-3HF scores (mean ± standard deviation (SD)) were similar for intervention and control groups (7.4 ± 3.4 vs. 6.4 ± 3.7, p = 0.91). The MOSSAS-3HF scores improved for both groups but were not different at 30 days (11.8 ± 2.8 vs. 11.7 ± 3.0, p = 0.90). Survival without readmission or emergency department (ED) visit at 30 days was similar (82.6% vs. 84.1%, p = 0.85). A personalized HF tool did not affect rates of self-reported HF treatment adherence or survival without readmission or ED visit. MDPI 2018-11-27 /pmc/articles/PMC6313701/ /pubmed/30486472 http://dx.doi.org/10.3390/jpm8040039 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Athar, Muhammad W. Record, Janet D. Martire, Carol Hellmann, David B. Ziegelstein, Roy C. The Effect of a Personalized Approach to Patient Education on Heart Failure Self-Management |
title | The Effect of a Personalized Approach to Patient Education on Heart Failure Self-Management |
title_full | The Effect of a Personalized Approach to Patient Education on Heart Failure Self-Management |
title_fullStr | The Effect of a Personalized Approach to Patient Education on Heart Failure Self-Management |
title_full_unstemmed | The Effect of a Personalized Approach to Patient Education on Heart Failure Self-Management |
title_short | The Effect of a Personalized Approach to Patient Education on Heart Failure Self-Management |
title_sort | effect of a personalized approach to patient education on heart failure self-management |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6313701/ https://www.ncbi.nlm.nih.gov/pubmed/30486472 http://dx.doi.org/10.3390/jpm8040039 |
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