David W. Baker|Darren A. DeWalt|Dean Schillinger|Victoria Hawk|Bernice Ruo|Kirsten Bibbins?Domingo|Morris Weinberger|Aurelia Macabasco?O’Connell|Michael Pignone
“Teach to Goal”: Theory and Design Principles of an Intervention to Improve Heart Failure Self-Management Skills of Patients with Low Health Literacy
Northwestern University
selfmanagement vital achieving optimal health outcomes patients heart failure hf sought develop intervention improve selfmanagement skills behaviors patients hf especially low health literacy individuals low health literacy difficulty reading understanding written information comprehending numerical information performing calculations tend worse baseline knowledge shortterm memory working memory compared individuals higher health literacy paper describes theoretical models suggest methods improve design educational curricula programs low literate audiences including cognitive load theory learning mastery theory also outline practical guiding principles designing intervention includes multisession educational strategy teaches patients selfcare skills reach behavioral goals teach goal intervention strategy tested randomized controlled trial determine superior singlesession brief educational intervention reducing hospitalization death trial shows teach goal approach superior would support value incorporating design principles educational interventions diseases