Darren A. DeWalt|Kimberly A. Broucksou|Victoria Hawk|David W. Baker|Dean Schillinger|Bernice Ruo|Kirsten Bibbins?Domingo|Mark Holmes|Morris Weinberger|Aurelia Macabasco?O’Connell|Michael Pignone
Comparison of a one-time educational intervention to a teach-to-goal educational intervention for self-management of heart failure: design of a randomized controlled trial
University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|Northwestern University|San Francisco General Hospital|University of California, San Francisco|Northwestern University|San Francisco General Hospital|University of California, San Francisco|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|Olive View-UCLA Medical Center|University of California, Los Angeles|University of North Carolina at Chapel Hill
heart failure hf common costly associated significant morbidity poor quality life particularly patients low socioeconomic status selfmanagement training shown reduce hf related morbidity hospitalization rates uncertainty best deliver training patients benefit study compares single session selfmanagement hf training program multiple session training intervention examines whether effects differ literacy levelin randomized controlled multisite trial english spanishspeaking patients recruited universityaffiliated general internal medicine cardiology clinics 4 sites across united states eligible patients hf new york heart association class iiiv symptoms prescribed loop diuretic baseline data including literacy level collected enrollment followup surveys conducted 1 6 12 months upon enrollment control intervention groups receive 40 minute literacysensitive inperson hf education session covering 4 key selfmanagement components daily self assessment plan salt avoidance exercise medication adherence participants also receive literacysensitive workbook digital bathroom scale baseline education completed patients randomly allocated return usual care receive ongoing education training intervention group receives additional 20 minutes education weight symptombased diuretic selfadjustment well periodic followup phone calls educator course 1 year phone calls designed reinforce education assess participant knowledge education address barriers successthe primary outcome combined incidence cause hospitalization death secondary outcomes include hfrelated quality life hfrelated hospitalizations knowledge regarding hf selfcare behavior selfefficacy effects intervention stratified patient literacy order identify differential effectsenrollment proposed 660 subjects continue end 2009 outcome assessments projected completed early 2011clinicaltrialsgov httpwwwclinicaltrialsgov nct00378950