Clinical TrialThe Effect of Progressive, Reinforcing Telephone Education and Counseling Versus Brief Educational Intervention on Knowledge, Self-Care Behaviors and Heart Failure Symptoms
Section snippets
Overview
We conducted a randomized trial (ClinicalTrials.gov NCT00378950) of HF self-care education comparing a single in-person education session versus a more intensive goal-based education program that included the same single in-person education session plus a series of follow-up education phone calls. Details regarding study participant eligibility, recruitment procedures, and data collection processes have been previously described14 and are summarized here. The study protocol was approved by the
Results
We identified 2848 patients who were potentially eligible for the study based on medical record review (Fig. 1). A total of 1006 were never approached, 555 patients either refused (n = 413) or had their physician refuse (n = 142), and 682 were but found to be ineligible. The remaining 605 patients agreed to participate and were enrolled; 302 were randomized to the BEI group and 303 to the TTG group. The characteristics of the group are shown in Table 1. Mean age 60.7, 52% were male, and more
Discussion
Our results show that compared with a single education session (BEI group), the TTG program that reinforced learning goals and behaviors with 5 to 8 telephone counseling sessions over the next month (including teaching adjusted-dose diuretics to maintain a target weight) resulted in slightly greater knowledge, substantially better achievement of self-care goals, higher self-efficacy, and greater improvement in HF symptoms. Teaching persons with HF proper self-care skills is important for
Disclosures
None.
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2023, Progress in Cardiovascular DiseasesCitation Excerpt :In a randomized controlled trial, nurse-led care was shown to be superior to usual care in reducing CV hospitalizations and mortality.38 The intervention cohort received extended visits that included education and symptom recognition.39 Education has helped improve outcomes in other chronic CV diseases as well like HF.40
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2021, International Journal of Nursing StudiesCitation Excerpt :Similarly, our study emphasized patients’ self-awareness to identify their specific behaviour problems and react to improve their self-care behaviours by enhancing the content of face-to-face education and follow-up guidance based on the self-regulation model. Baker et al. (2011) found that the effects of multiple follow-up telephone calls are better than the effects of a single education sessions to improve the self-care behaviour of heart failure patients. This is similar to the findings of our study.
This study was supported by the National Heart Lung and Blood Institute (grant number R01 HL081257).
Clinical Trial Registration: http://www.clinicaltrials.gov/. Unique identifier: NCT00378950.
See page 796 for disclosure information.