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A Randomized Trial of Video-based Education in Patients With Heart Failure: The Congestive Heart Failure Outreach Program of Education (COPE)

BACKGROUND: Heart failure (HF) exacerbations often relate to poor self-care. Education programs improve outcomes, but are resource-intensive. We developed a video-based educational intervention and evaluated it in patients with HF. METHODS: Congestive Heart Failure Outreach Program of Education was...

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Autores principales: Tsuyuki, Ross T., Lockwood, Evan E., Shibata, Marcelo C., Simpson, Scot H., Tweden, Kari L., Gutierrez, Rosa, Reddy, Maria C., Rowe, Brian H., Villa-Roel, Cristina, Fradette, Miriam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7063627/
https://www.ncbi.nlm.nih.gov/pubmed/32159085
http://dx.doi.org/10.1016/j.cjco.2018.12.001
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author Tsuyuki, Ross T.
Lockwood, Evan E.
Shibata, Marcelo C.
Simpson, Scot H.
Tweden, Kari L.
Gutierrez, Rosa
Reddy, Maria C.
Rowe, Brian H.
Villa-Roel, Cristina
Fradette, Miriam
author_facet Tsuyuki, Ross T.
Lockwood, Evan E.
Shibata, Marcelo C.
Simpson, Scot H.
Tweden, Kari L.
Gutierrez, Rosa
Reddy, Maria C.
Rowe, Brian H.
Villa-Roel, Cristina
Fradette, Miriam
author_sort Tsuyuki, Ross T.
collection PubMed
description BACKGROUND: Heart failure (HF) exacerbations often relate to poor self-care. Education programs improve outcomes, but are resource-intensive. We developed a video-based educational intervention and evaluated it in patients with HF. METHODS: Congestive Heart Failure Outreach Program of Education was a pragmatic multicenter randomized trial. We included subjects with HF if they were hospitalized, seen in the emergency department (ED), or high-risk outpatients, and randomized them to intervention or control. Intervention included a 20-minute video, supplementary booklet, and 3 bimonthly newsletters focusing on salt and fluid restriction, daily weights, and medications. Subjects watched the video and were encouraged to review it at home, along with the booklet/newsletters. Control subjects received the booklet only. The primary outcome was the difference in cardiovascular hospitalizations or ED visits between groups at 6 months. Secondary outcomes included clinical events and in-hospital days. RESULTS: We recruited 539 subjects from 22 centers in Canada and the United States. Baseline characteristics were similar in both groups: 64% were male and had a mean age of 66 (± 13) years, mean ejection fraction 31% (± 13.5), and 65% New York Heart Association Functional Classification III/IV. The primary outcome occurred in 57 subjects (21%) in the intervention group compared with 61 subjects (23%) in the control group (P = 0.66). There were no significant differences in prespecified secondary outcomes; however, death occurred in 18 subjects (7%) in the intervention group and 33 subjects (12%) in the control group (P = 0.03). CONCLUSION: Video education on self-care did not reduce hospitalizations or ED visits in patients with HF. Of note, mortality was lower in the intervention group.
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spelling pubmed-70636272020-03-10 A Randomized Trial of Video-based Education in Patients With Heart Failure: The Congestive Heart Failure Outreach Program of Education (COPE) Tsuyuki, Ross T. Lockwood, Evan E. Shibata, Marcelo C. Simpson, Scot H. Tweden, Kari L. Gutierrez, Rosa Reddy, Maria C. Rowe, Brian H. Villa-Roel, Cristina Fradette, Miriam CJC Open Original Article BACKGROUND: Heart failure (HF) exacerbations often relate to poor self-care. Education programs improve outcomes, but are resource-intensive. We developed a video-based educational intervention and evaluated it in patients with HF. METHODS: Congestive Heart Failure Outreach Program of Education was a pragmatic multicenter randomized trial. We included subjects with HF if they were hospitalized, seen in the emergency department (ED), or high-risk outpatients, and randomized them to intervention or control. Intervention included a 20-minute video, supplementary booklet, and 3 bimonthly newsletters focusing on salt and fluid restriction, daily weights, and medications. Subjects watched the video and were encouraged to review it at home, along with the booklet/newsletters. Control subjects received the booklet only. The primary outcome was the difference in cardiovascular hospitalizations or ED visits between groups at 6 months. Secondary outcomes included clinical events and in-hospital days. RESULTS: We recruited 539 subjects from 22 centers in Canada and the United States. Baseline characteristics were similar in both groups: 64% were male and had a mean age of 66 (± 13) years, mean ejection fraction 31% (± 13.5), and 65% New York Heart Association Functional Classification III/IV. The primary outcome occurred in 57 subjects (21%) in the intervention group compared with 61 subjects (23%) in the control group (P = 0.66). There were no significant differences in prespecified secondary outcomes; however, death occurred in 18 subjects (7%) in the intervention group and 33 subjects (12%) in the control group (P = 0.03). CONCLUSION: Video education on self-care did not reduce hospitalizations or ED visits in patients with HF. Of note, mortality was lower in the intervention group. Elsevier 2019-01-17 /pmc/articles/PMC7063627/ /pubmed/32159085 http://dx.doi.org/10.1016/j.cjco.2018.12.001 Text en © 2019 Canadian Cardiovascular Society. Published by Elsevier Inc. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Tsuyuki, Ross T.
Lockwood, Evan E.
Shibata, Marcelo C.
Simpson, Scot H.
Tweden, Kari L.
Gutierrez, Rosa
Reddy, Maria C.
Rowe, Brian H.
Villa-Roel, Cristina
Fradette, Miriam
A Randomized Trial of Video-based Education in Patients With Heart Failure: The Congestive Heart Failure Outreach Program of Education (COPE)
title A Randomized Trial of Video-based Education in Patients With Heart Failure: The Congestive Heart Failure Outreach Program of Education (COPE)
title_full A Randomized Trial of Video-based Education in Patients With Heart Failure: The Congestive Heart Failure Outreach Program of Education (COPE)
title_fullStr A Randomized Trial of Video-based Education in Patients With Heart Failure: The Congestive Heart Failure Outreach Program of Education (COPE)
title_full_unstemmed A Randomized Trial of Video-based Education in Patients With Heart Failure: The Congestive Heart Failure Outreach Program of Education (COPE)
title_short A Randomized Trial of Video-based Education in Patients With Heart Failure: The Congestive Heart Failure Outreach Program of Education (COPE)
title_sort randomized trial of video-based education in patients with heart failure: the congestive heart failure outreach program of education (cope)
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7063627/
https://www.ncbi.nlm.nih.gov/pubmed/32159085
http://dx.doi.org/10.1016/j.cjco.2018.12.001
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