Karen Davis|Miriam Z. Mintzer|Cheryl Dennison Himmelfarb|Matthew J. Hayat|Stacey Rotman|Jerilyn K. Allen
Targeted intervention improves knowledge but not self?care or readmissions in heart failure patients with mild cognitive impairment
Johns Hopkins Hospital|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins University|Rutgers, The State University of New Jersey|Johns Hopkins Hospital|Johns Hopkins Medicine|Johns Hopkins University
aims mild cognitive impairment mci prevalent heart failure contribute poor selfcare higher hospital readmissions strategies improve selfcare patients mci studied randomized controlled trial aimed test effect targeted intervention selfcare heart failure knowledge 30day readmissions methods results study included 125 patients hospitalized exacerbation heart failure screened positive mci treatment group received targeted selfcare teaching intervention using principles cognitive training selfcare heart failure knowledge depression social support assessed baseline 30 days postdischarge mean heart failure knowledge scores improved significantly intervention group decreased control group p lt 0001 controlling variables patients intervention group showed greater increase heart failure knowledge patients control group p 0027 black race significantly associated lower heart failure knowledge scores p 0030 mean change scores selfcare showed greater improvement intervention group compared control group however statistically significant difference readmission rates groups conclusion feasible conduct randomized controlled trial patients mci patients treatment group greater heart failure knowledge 30 days postdischarge however impact readmission rates research needed describe mci affects selfcare knowledge race factors may influence outcomes population