Health Literacy and Self-Management in Heart Failure

心力衰竭的健康素养和自我管理

• 批准号: 7870333
• 负责人: MICHAEL P PIGNONE
• 金额: $ 78.64万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-01 至 2012-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7870333
• 关键词: Adoption; Behavior; Behavioral; Body Weight Changes; Caring; Cessation of life; Chronic; Dietary Sodium; Disease Management; Educational Intervention; Educational process of instructing; Effectiveness; Goals; Health; Heart failure; Hospitalization; Incidence; Intervention; Knowledge; Measurement; Mediating; Monitor; Morbidity - disease rate; Outcome; Patient Self-Report; Patients; Pharmaceutical Preparations; Physical activity; Pilot Projects; Quality of life; Recommendation; Regimen; Research; Research Personnel; Risk; Role; Self Care; Self Efficacy; Self Management; Site; Symptoms; Testing; Weight; diet and exercise; health literacy; improved; literacy; mortality; primary outcome; programs; randomized trial; skills

DESCRIPTION (provided by applicant): Inadequate health literacy skills are common and associated with poor health outcomes. Heart failure is an important cause of morbidity and mortality. Heart failure disease management programs that focus on building self-management skills can reduce rates of hospitalization. Our pilot randomized trial suggests that patients with inadequate literacy may derive greater benefit from such programs than patients with adequate literacy. We aim to examine, in a multi-site randomized trial, whether a literacy-sensitive intervention to improve heart failure self-management skills can improve health outcomes for all patients, and particularly those with inadequate literacy. We will conduct a multi-site randomized trial of 600 patients with heart failure to determine whether a literacy-sensitive, multi-session intervention that teaches essential self-care skills until patients reach behavioral goals (Teach to Goal) is superior to a Brief Educational Intervention (BEI) consisting of a single educational session, for the outcomes of incidence of hospitalization or death and heart failure-related quality of life over 12 months. We will also examine differences in the proportion of patients achieving appropriate HF-related self-care knowledge and behaviors, and will examine the effect of TTG for patients with adequate and inadequate literacy separately.

描述（由申请人提供）：健康素养技能不足很常见，并且与健康状况不佳有关。心力衰竭是发病率和死亡率的重要原因。专注于建立自我管理技能的心力衰竭疾病管理计划可以降低住院率。我们的飞行员随机试验表明，识字率不足的患者可能比具有足够识字率的患者从此类计划中获得更多的好处。我们的目标是在一项多站点随机试验中检查，是否对扫盲敏感的干预措施提高心力衰竭自我管理能力是否可以改善所有患者的健康结果，尤其是那些识字率不足的患者。我们将对600例心力不断的患者进行多站点随机试验，以确定对教授基本的自我护理技能的识字敏感的多项式干预措施，直到患者达到行为目标（教导到目标）是否优于短暂的教育干预（BEI）（BEI），该干预措施（BEI）由单一的教育会议，包括住院和心脏失败和心脏失败的质量超过12个月的远期教育课程。我们还将研究获得适当的HF相关自我保健知识和行为的患者比例的差异，并将检查TTG对具有足够和不足扫盲的患者的影响。

项目成果

Relationship between literacy, knowledge, self-care behaviors, and heart failure-related quality of life among patients with heart failure.

• DOI: 10.1007/s11606-011-1668-y
• 发表时间: 2011-09
• 期刊: JOURNAL OF GENERAL INTERNAL MEDICINE
• 影响因子: 5.7
• 作者: Macabasco-O'Connell, Aurelia;DeWalt, Darren A.;Broucksou, Kimberly A.;Hawk, Victoria;Baker, David W.;Schillinger, Dean;Ruo, Bernice;Bibbins-Domingo, Kirsten;Holmes, George M.;Erman, Brian;Weinberger, Morris;Pignone, Michael
• 通讯作者: Pignone, Michael

Comparison of a one-time educational intervention to a teach-to-goal educational intervention for self-management of heart failure: design of a randomized controlled trial.

• DOI: 10.1186/1472-6963-9-99
• 发表时间: 2009-06-11
• 期刊: BMC health services research
• 影响因子: 2.8
• 作者: DeWalt DA;Broucksou KA;Hawk V;Baker DW;Schillinger D;Ruo B;Bibbins-Domingo K;Holmes M;Weinberger M;Macabasco-O'Connell A;Pignone M
• 通讯作者: Pignone M

Is adherence to weight monitoring or weight-based diuretic self-adjustment associated with fewer heart failure-related emergency department visits or hospitalizations?

• DOI: 10.1016/j.cardfail.2012.05.004
• 发表时间: 2012-07
• 期刊: JOURNAL OF CARDIAC FAILURE
• 影响因子: 6
• 作者: Jones, Christine D.;Holmes, George M.;Dewalt, Darren A.;Erman, Brian;Broucksou, Kimberly;Hawk, Victoria;Cene, Crystal W.;Wu, Jia-Rong;Pignone, Michael
• 通讯作者: Pignone, Michael