Health Literacy and Self-Management in Heart Failure

健康素养技能不足是普遍现象，并与不良的健康结果有关。心力衰竭是一种 这是导致发病和死亡的重要原因。心力衰竭疾病管理计划，专注于 培养自我管理技能可以降低住院率。我们的试点随机试验表明 识字不足的患者可能比识字充足的患者从这些计划中获得更大的好处 识字。我们的目标是在一项多点随机试验中检查对识字敏感的干预措施是否对 提高心力衰竭自我管理技能可以改善所有患者的健康结果，尤其是 那些读写能力不足的人。我们将对600名心力衰竭患者进行多点随机试验 为了确定对识字敏感的、传授基本自我护理技能的多节课干预是否 直到患者达到行为目标(教导目标)优于短暂的教育干预(BEI) 包括关于住院或死亡和心脏事件的结果的单一教育会议 12个月以上与失败相关的生活质量。我们还将检查患者比例的差异 获得适当的心衰相关自我护理知识和行为，并将检查TTG对 患者分别具有足够的识字率和不足的识字率。

Inadequate health literacy skills are commonand associated with poor health outcomes. Heart failure is an important cause of morbidity and mortality. Heartfailure disease management programsthat focus on building self-management skills can reduce rates of hospitalization. Our pilot randomizedtrial 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.