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Building skill in heart failure self-care among community dwelling older adults: Results of a pilot study
Dickson, Victoria Vaughan Eramo Melkus, Gail D. Katz, Stuart Levine-Wong, Alissa Dillworth, Judy Cleland, Charles M. Riegel, Barbara
Dickson, Victoria Vaughan
Eramo Melkus, Gail D.
Katz, Stuart
Levine-Wong, Alissa
Dillworth, Judy
Cleland, Charles M.
Riegel, Barbara
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
Date
2014
Type
Journal article
Journal
Patient Education and Counseling
Book
Volume
96
Issue
2
Page Range
188-196
Article Number
ACU Department
Mary MacKillop Institute for Health Research
Faculty of Health Sciences
Faculty of Health Sciences
Collections
Relation URI
Source URL
Event URL
Open Access Status
License
File Access
Controlled