Dataset Information

The effect of progressive, reinforcing telephone education and counseling versus brief educational intervention on knowledge, self-care behaviors and heart failure symptoms.

ABSTRACT:

Background

The optimal strategy for promoting self-care for heart failure (HF) is unclear.

Methods and results

We conducted a randomized trial to determine whether a "teach to goal" (TTG) educational and behavioral support program provided incremental benefits to a brief (1 hour) educational intervention (BEI) for knowledge, self-care behaviors, and HF-related quality of life (HFQOL). The TTG program taught use of adjusted-dose diuretics and then reinforced learning goals and behaviors with 5 to 8 telephone counseling sessions over 1 month. Participants' (n = 605) mean age was 61 years; 37% had marginal or inadequate literacy; 69% had ejection fraction <0.45; and 31% had Class III or IV symptoms. The TTG group had greater improvements in general and salt knowledge (P < .001) and greater increases in self-care behaviors (from mean 4.8 to 7.6 for TTG vs. 5.2 to 6.7 for BEI; P < .001). HFQOL improved from 58.5 to 64.6 for the TTG group but did not change for the BEI group (64.7 to 63.9; P < .001 for the difference in change scores). Improvements were similar regardless of participants' literacy level.

Conclusions

Telephone reinforcement of learning goals and self-care behaviors improved knowledge, health behaviors, and HF-related QOL compared to a single education session.

SUBMITTER: Baker DW

PROVIDER: S-EPMC3185245 | biostudies-literature | 2011 Oct

REPOSITORIES: biostudies-literature

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Publications

The effect of progressive, reinforcing telephone education and counseling versus brief educational intervention on knowledge, self-care behaviors and heart failure symptoms.

Baker David W DW Dewalt Darren A DA Schillinger Dean D Hawk Victoria V Ruo Bernice B Bibbins-Domingo Kirsten K Weinberger Morris M Macabasco-O'Connell Aurelia A Grady Kathy L KL Holmes George M GM Erman Brian B Broucksou Kimberly A KA Pignone Michael M

Journal of cardiac failure 20110723 10

<h4>Background</h4>The optimal strategy for promoting self-care for heart failure (HF) is unclear.<h4>Methods and results</h4>We conducted a randomized trial to determine whether a "teach to goal" (TTG) educational and behavioral support program provided incremental benefits to a brief (1 hour) educational intervention (BEI) for knowledge, self-care behaviors, and HF-related quality of life (HFQOL). The TTG program taught use of adjusted-dose diuretics and then reinforced learning goals and beha ...[more]

PMID: 21962415

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Dataset Information

The effect of progressive, reinforcing telephone education and counseling versus brief educational intervention on knowledge, self-care behaviors and heart failure symptoms.

Background

Methods and results

Conclusions

Publications

The effect of progressive, reinforcing telephone education and counseling versus brief educational intervention on knowledge, self-care behaviors and heart failure symptoms.

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