Marilyn A. Prasun|Michael Short|Judy Maynard|Jennifer Roth|Jennifer Bell|Thara Nallamothu
Outcomes of an Inter-Professional Intervention on Medication Adherence Among Heart Failure Patients: A Pilot Study
Memorial Medical Center|Memorial Medical Center|Memorial Medical Center|Memorial Medical Center|Memorial Medical Center|Memorial Medical Center
background number patients living heart failure hf continues rise many patients hospital discharge faced barriers adhering complex medical treatment regimens adherence evidence based medication treatment critical improving patient outcomes teaching patients strategies manage medications address barriers may reduce avoidable hospital readmission purpose purpose study examine characteristics hospitalized hf patients effectiveness interprofessional educational intervention hf medication adherence 30day readmission method prospective randomized pilot study utilized single clinical site patients randomized either teachback educational group usual care hospital discharge reassessed return visit 510 days retrospective review determine hospital readmission rate descriptive statistics chisquare used examine data results total 48 hf patients seen prior hospital discharge scheduled followup 510 days intervention usual care groups differ statistically baseline measures depression fatigue quality life assessed prior discharge phq9 mean score 93 69 promis fatigue short form mean score 583 93 minnesota living heart failure mean score 473 241 majority patients 953 reported social support 152 scored 6 realmr 277 reported needing assistance read understand medical information using chews health literacy question discharge mean number prescriptions 10 range 420 pill burden reported 13 range 530 595 patients reported keeping written list medications baseline total 34 patients returned follow although intervention usual care hf patients reported taking medications prescribed 375 555 reported missing 12 doses follow significant difference allcause 30day readmission rate 217 25 respectfully conclusion hf patients hospital discharge report depression fatigue compromised quality life addition health literacy low reading levels impact understanding medical treatment recommendations medication adherence complex yet critical ensuring hf success strategies promote medication adherence must identified tailored individual patients recognizing barriers may exist research warranted examine method timing duration patient education