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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...

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Autores principales: Athar, Muhammad W., Record, Janet D., Martire, Carol, Hellmann, David B., Ziegelstein, Roy C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
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.
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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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