Kathleen Dracup|Debra K. Moser|Michele M. Pelter|Thomas S. Nesbitt|Jeffrey Southard|Steven M. Paul|Susan Robinson|Lawton Cooper
Randomized, Controlled Trial to Improve Self-Care in Patients With Heart Failure Living in Rural Areas
University of Nevada Reno|University of Kentucky|University of California, San Francisco|National Heart Lung and Blood Institute|University of Nevada Reno|University of Kentucky|University of California, San Francisco|National Heart Lung and Blood Institute|University of Nevada Reno|University of Kentucky|University of California, San Francisco|National Heart Lung and Blood Institute|University of Nevada Reno|University of Kentucky|University of California, San Francisco|National Heart Lung and Blood Institute|University of Nevada Reno|University of Kentucky|University of California, San Francisco|National Heart Lung and Blood Institute|University of Nevada Reno|University of Kentucky|University of California, San Francisco|National Heart Lung and Blood Institute|University of Nevada Reno|University of Kentucky|University of California, San Francisco|National Heart Lung and Blood Institute|University of Nevada Reno|University of Kentucky|University of California, San Francisco|National Heart Lung and Blood Institute
patients heart failure hf live rural areas less access cardiac services patients urban areas conducted randomized clinical trial determine impact educational intervention composite end point hf rehospitalization cardiac death populationpatients n602 age 6613 years 41 female 51 systolic hf randomized 1 3 groups control usual care fluid watchers lite fluid watchers plus intervention groups included facetoface education session delivered nurse focusing selfcare lite group received 2 followup phone calls whereas plus group received biweekly calls mean 5336 range 119 nurse judged patient adequately trained 2 years followup 35 patients n211 experienced cardiac death hospitalization hf difference among 3 groups proportion experienced combined clinical outcome p006 although patients lite group reduced cardiac mortality compared patients control group 2 years followup 75 177 respectively p0003 significant difference cardiac mortality patients plus group control groupa facetoface education intervention significantly decrease combined end point cardiac death hospitalization hf increasing number contacts patient nurse significantly improve outcomehttpwwwclinicaltrialsgov unique identifier nct00415545