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The Effect of a Personalized Approach to Patient Education on Heart Failure Self-Management

1
Division of Cardiovascular Health and Diseases, University of Cincinnati College of Medicine, 231 Albert Sabin Way, ML 0542, Cincinnati, OH 45267-0542, USA
2
Department of Medicine, Johns Hopkins Bayview Medical Center, Johns Hopkins University School of Medicine, 5200 Eastern Avenue, MFL building East Tower, 2nd floor, Baltimore, MD 21224, USA
*
Author to whom correspondence should be addressed.
Indicates first co-authorship.
J. Pers. Med. 2018, 8(4), 39; https://doi.org/10.3390/jpm8040039
Received: 12 October 2018 / Revised: 8 November 2018 / Accepted: 20 November 2018 / Published: 27 November 2018
Personalized tools relevant to an individual patient’s unique characteristics may be an important component of personalized health care. We randomized 97 patients hospitalized with acute decompensated heart failure to receive a printout of an ultrasound image of their inferior vena cava (IVC) with an explanation of how the image is related to their fluid status (n = 50) or to receive no image and only generic heart failure information (n = 47). Adherence to medications, low-sodium diet, and daily weight measurement at baseline and 30 days after discharge were assessed using the Medical Outcomes Study Specific Adherence Scale, modified to a three-item version for heart failure (HF), (MOSSAS-3HF, maximum score = 15, indicating adherence all of the time). The baseline MOSSAS-3HF scores (mean ± standard deviation (SD)) were similar for intervention and control groups (7.4 ± 3.4 vs. 6.4 ± 3.7, p = 0.91). The MOSSAS-3HF scores improved for both groups but were not different at 30 days (11.8 ± 2.8 vs. 11.7 ± 3.0, p = 0.90). Survival without readmission or emergency department (ED) visit at 30 days was similar (82.6% vs. 84.1%, p = 0.85). A personalized HF tool did not affect rates of self-reported HF treatment adherence or survival without readmission or ED visit. View Full-Text
Keywords: heart failure; adherence; portable ultrasound; patient education; hospital readmission heart failure; adherence; portable ultrasound; patient education; hospital readmission
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Athar, M.W.; Record, J.D.; Martire, C.; Hellmann, D.B.; Ziegelstein, R.C. The Effect of a Personalized Approach to Patient Education on Heart Failure Self-Management. J. Pers. Med. 2018, 8, 39.

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