Literature DB >> 33369990

A Pilot Study to Evaluate a Computer-Based Intervention to Improve Self-care in Patients With Heart Failure.

Cynthia Arslanian-Engoren, Bruno Giordani, Kinnothan Nelson, Debra K Moser.   

Abstract

BACKGROUND: Cognitive dysfunction contributes to poor learning and impaired self-care (SC) for patients with heart failure.
OBJECTIVES: The aims of this study were to (1) evaluate the feasibility and acceptability of a nurse-led, virtual home-based cognitive training and SC education intervention to support SC and (2) evaluate the relationship between improvements in SC and cognitive change and examine 30-day readmission rates.
METHODS: In this 2-phase pilot study, we used a prospective, exploratory design. In phase 1, recruitment criteria and retention issues threatened feasibility and acceptance. Significant modifications were made and evaluated in phase 2.
RESULTS: In phase 2, 12 participants were recruited (7 women and 5 men). Feasibility was supported. All participants and the study nurse positively evaluated acceptability of the intervention. Median SC scores improved over time. Thirty-day hospital readmission rates were 25%.
CONCLUSION: Phase 1 indicates the intervention as originally designed was not feasible or acceptable. Phase 2 supports the feasibility and acceptability of the modified intervention. Further testing is warranted.
Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.

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Year:  2021        PMID: 33369990      PMCID: PMC8628309          DOI: 10.1097/JCN.0000000000000782

Source DB:  PubMed          Journal:  J Cardiovasc Nurs        ISSN: 0889-4655            Impact factor:   2.083


  26 in total

1.  Psychometric testing of the Self-Care of Heart Failure Index Version 6.2.

Authors:  Ercole Vellone; Barbara Riegel; Antonello Cocchieri; Claudio Barbaranelli; Fabio D'Agostino; Giovanni Antonetti; Dale Glaser; Rosaria Alvaro
Journal:  Res Nurs Health       Date:  2013-07-07       Impact factor: 2.228

2.  Cognitive dysfunction in older adults hospitalized for acute heart failure.

Authors:  Cynthia Arslanian-Engoren; Bruno J Giordani; Donna Algase; Amanda Schuh; Corinne Lee; Debra K Moser
Journal:  J Card Fail       Date:  2014-06-18       Impact factor: 5.712

Review 3.  Role of self-care in the patient with heart failure.

Authors:  Debra K Moser; Victoria Dickson; Tiny Jaarsma; Christopher Lee; Anna Stromberg; Barbara Riegel
Journal:  Curr Cardiol Rep       Date:  2012-06       Impact factor: 2.931

4.  Changes in medication regimen complexity and the risk for 90-day hospital readmission and/or emergency department visits in U.S. Veterans with heart failure.

Authors:  Felix K Yam; Tiffany Lew; Satish A Eraly; Hsiang-Wen Lin; Jan D Hirsch; Michelle Devor
Journal:  Res Social Adm Pharm       Date:  2015-10-27

5.  Heart Disease and Stroke Statistics-2020 Update: A Report From the American Heart Association.

Authors:  Salim S Virani; Alvaro Alonso; Emelia J Benjamin; Marcio S Bittencourt; Clifton W Callaway; April P Carson; Alanna M Chamberlain; Alexander R Chang; Susan Cheng; Francesca N Delling; Luc Djousse; Mitchell S V Elkind; Jane F Ferguson; Myriam Fornage; Sadiya S Khan; Brett M Kissela; Kristen L Knutson; Tak W Kwan; Daniel T Lackland; Tené T Lewis; Judith H Lichtman; Chris T Longenecker; Matthew Shane Loop; Pamela L Lutsey; Seth S Martin; Kunihiro Matsushita; Andrew E Moran; Michael E Mussolino; Amanda Marma Perak; Wayne D Rosamond; Gregory A Roth; Uchechukwu K A Sampson; Gary M Satou; Emily B Schroeder; Svati H Shah; Christina M Shay; Nicole L Spartano; Andrew Stokes; David L Tirschwell; Lisa B VanWagner; Connie W Tsao
Journal:  Circulation       Date:  2020-01-29       Impact factor: 29.690

6.  Feasibility study of a nurse-led heart failure education program.

Authors:  Diana-Lyn Baptiste; Patricia Davidson; Lisa Groff Paris; Kathleen Becker; Tye Magloire; Laura A Taylor
Journal:  Contemp Nurse       Date:  2016-09-20       Impact factor: 1.787

7.  Pilot Randomized Controlled Trial to Reduce Readmission for Heart Failure Using Novel Tablet and Nurse Practitioner Education.

Authors:  Khadijah Breathett; Scott Maffett; Randi E Foraker; Rod Sturdivant; Kristina Moon; Ayesha Hasan; Veronica Franco; Sakima Smith; Brent C Lampert; Sitaramesh Emani; Garrie Haas; Rami Kahwash; Ray E Hershberger; Philip F Binkley; Laura Helmkamp; Kathryn Colborn; Pamela N Peterson; Nancy Sweitzer; William T Abraham
Journal:  Am J Med       Date:  2018-03-16       Impact factor: 4.965

Review 8.  Cognitive functioning and chronic heart failure: a review of the literature (2002-July 2007).

Authors:  Susan J Pressler
Journal:  J Cardiovasc Nurs       Date:  2008 May-Jun       Impact factor: 2.083

9.  The use of the Modified Telephone Interview for Cognitive Status (TICS-M) in the detection of amnestic mild cognitive impairment.

Authors:  Sarah E Cook; Michael Marsiske; Karin J M McCoy
Journal:  J Geriatr Psychiatry Neurol       Date:  2009-06       Impact factor: 2.680

10.  Using eHealth Technologies: Interests, Preferences, and Concerns of Older Adults.

Authors:  Patrick Ware; Susan J Bartlett; Guy Paré; Iphigenia Symeonidis; Cara Tannenbaum; Gillian Bartlett; Lise Poissant; Sara Ahmed
Journal:  Interact J Med Res       Date:  2017-03-23
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