Lufei Young|Melody Hertzog|Susan Barnason
Effects of a home-based activation intervention on self-management adherence and readmission in rural heart failure patients: the PATCH randomized controlled trial
Augusta University|University of Nebraska Medical Center|University of Nebraska Medical Center
heart failure hf patients discharged rural hospitals higher 30day readmission rates selfmanagement sm reduces readmissions adherence sm guidelines low rural hf population tested homebased intervention enhance patient activation lead improved sm adherencein twogroup repeated measures randomized control trial main outcomes patient reported clinical outcomes associated sm adherence allcause readmission 30 90 180 daysthe study included 100 hf patients discharged rural critical access hospital intervention group received 12week sm training coaching program delivered telephone tailored subjects activation levels 10 patch intervention showed significantly greater improvement compared usual care patientreported sm adherence weighing following lowsodium diet taking prescribed medication exercising daily p 0005 3 6 months discharge contrast groups differ physical activity assessed actigraphy clinical biomarkers contrary expectation 30day readmission rate significantly higher p 088 intervention group 196 control group 61 differences 90 180 daysit feasible conduct randomized controlled trial hf patients discharged rural critical access hospitals significantly higher patientreported sm adherence accompanied lower clinical biomarkers readmission rates research needed understand mechanisms influence outcomes healthcare utilization populationclinicaltrialsgov nct01964053