Building skill in heart failure self-care among community dwelling older adults: Results of a pilot study
Journal article
Dickson, Victoria Vaughan, Eramo Melkus, Gail D., Katz, Stuart, Levine-Wong, Alissa, Dillworth, Judy, Cleland, Charles M. and Riegel, Barbara. (2014). Building skill in heart failure self-care among community dwelling older adults: Results of a pilot study. Patient Education and Counseling. 96(2), pp. 188 - 196. https://doi.org/10.1016/j.pec.2014.04.018
Authors | Dickson, Victoria Vaughan, Eramo Melkus, Gail D., Katz, Stuart, Levine-Wong, Alissa, Dillworth, Judy, Cleland, Charles M. and Riegel, Barbara |
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Abstract | Objective Most of the day-to-day care for heart failure (HF) is done by the patient at home and requires skill in self-care. In this randomized controlled trial (RCT) we tested the efficacy of a community-based skill-building intervention on HF self-care, knowledge and health-related quality of life (HRQL) at 1- and 3-months. Methods An ethnically diverse sample (n = 75) of patients with HF (53% female; 32% Hispanic, 27% Black; mean age 69.9 ± 10 years) was randomized to the intervention group (IG) or a wait-list control group (CG). The protocol intervention focused on tactical and situational HF self-care skill development delivered by lay health educators in community senior centers. Data were analyzed using mixed (between–within subjects) ANOVA. Results There was a significant improvement in self-care maintenance [F(2, 47) = 3.42, p = .04, (Cohen's f = .38)], self-care management [F(2, 41) = 4.10, p = .02, (Cohen's f = .45) and HF knowledge [F(2, 53) = 8.00, p = .001 (Cohen's f = .54)] in the IG compared to the CG. Conclusions The skill-building intervention improved self-care and knowledge but not HRQL in this community-dwelling sample. |
Keywords | Heart failure; Self-care; Treatment adherence; Symptom monitoring decision-making; Health educators |
Year | 2014 |
Journal | Patient Education and Counseling |
Journal citation | 96 (2), pp. 188 - 196 |
Publisher | Elsevier Ireland Ltd. |
ISSN | 0738-3991 |
Digital Object Identifier (DOI) | https://doi.org/10.1016/j.pec.2014.04.018 |
Scopus EID | 2-s2.0-84904006681 |
Page range | 188 - 196 |
Research Group | Mary MacKillop Institute for Health Research |
Publisher's version | File Access Level Controlled |
Place of publication | Ireland |
https://acuresearchbank.acu.edu.au/item/89734/building-skill-in-heart-failure-self-care-among-community-dwelling-older-adults-results-of-a-pilot-study
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