A single educational intervention on heart failure self-care: Extended follow-up from a multisite randomized controlled trial.

Deek, H; Noureddine, S; Allam, D; Newton, PJ; Davidson, PM

A single educational intervention on heart failure self-care: Extended follow-up from a multisite randomized controlled trial.

Deek, H Noureddine, S Allam, D Newton, PJ Davidson, PM

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Publisher:: Elsevier
Publication Type:: Journal Article
Citation:: European Journal of Cardiovascular Nursing, 2021, 20, (3), pp. 212-219
Issue Date:: 2021-01-01

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Field	Value	Language
dc.contributor.author	Deek, H
dc.contributor.author	Noureddine, S
dc.contributor.author	Allam, D
dc.contributor.author	Newton, PJ
dc.contributor.author	Davidson, PM
dc.date.accessioned	2022-03-12T23:05:40Z
dc.date.available	2022-03-12T23:05:40Z
dc.date.issued	2021-01-01
dc.identifier.citation	European Journal of Cardiovascular Nursing, 2021, 20, (3), pp. 212-219
dc.identifier.issn	1474-5151
dc.identifier.issn	1873-1953
dc.identifier.uri	http://hdl.handle.net/10453/155182
dc.description.abstract	Background Heart failure outcomes remain poor, and little is known about the causes and predictors of these outcomes in Lebanon. Aim The purpose of this article is to report the causes and predictors of the 6- and 12-month readmission and mortality of previously recruited patients to the Family focused Approach to iMprove Heart Failure care In LebanonQualitY intervention (FAMILY) study. Methods A multi-site block randomized controlled trial in three tertiary medical centers in Beirut. Initially, participants were randomized to either the control or the intervention group. The latter group, with their family caregivers, received heart failure self-care resources and an educational intervention on self-care and symptom management during their index admission. Participants from the FAMILY study were followed up with through phone calls for readmission and mortality at 6 and 12 months following their hospital discharge. Results A total of 218 (85%) patients were followed up with for this evaluation. There was a significant difference between the intervention group and the control group in terms of mortality at 6 months (n=18 (16%) versus n=36 (33%); p<0.05) and 12 months (n=29 (26%) versus n=45 (42%); p<0.05) post the index discharge. Mortality at 6 and 12 months was associated with aging, lower body mass index scores and readmission at 30 days post the index admission. Results of a logistic regression for mortality at 6 months showed hypertensive etiology of heart failure and 30-day readmission to be the only significant predictors. Conclusion A single session intervention was associated with lower mortality, even after an extended period of time, possibly mediated by other variables. Future studies should be powered for such outcomes while also addressing the cultural needs and literacy levels of the patients using multi-session trials and more frequent follow-ups.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Elsevier
dc.relation.ispartof	European Journal of Cardiovascular Nursing
dc.relation.isbasedon	10.1177/1474515120941645
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1102 Cardiorespiratory Medicine and Haematology, 1110 Nursing, 1117 Public Health and Health Services
dc.subject.classification	Nursing
dc.title	A single educational intervention on heart failure self-care: Extended follow-up from a multisite randomized controlled trial.
dc.type	Journal Article
utslib.citation.volume	20
utslib.location.activity	England
utslib.for	1102 Cardiorespiratory Medicine and Haematology
utslib.for	1110 Nursing
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
utslib.copyright.status	closed_access	*
pubs.consider-herdc	true
dc.date.updated	2022-03-12T23:05:39Z
pubs.issue	3
pubs.publication-status	Published online
pubs.volume	20
utslib.citation.issue	3

Abstract:

Background Heart failure outcomes remain poor, and little is known about the causes and predictors of these outcomes in Lebanon. Aim The purpose of this article is to report the causes and predictors of the 6- and 12-month readmission and mortality of previously recruited patients to the Family focused Approach to iMprove Heart Failure care In LebanonQualitY intervention (FAMILY) study. Methods A multi-site block randomized controlled trial in three tertiary medical centers in Beirut. Initially, participants were randomized to either the control or the intervention group. The latter group, with their family caregivers, received heart failure self-care resources and an educational intervention on self-care and symptom management during their index admission. Participants from the FAMILY study were followed up with through phone calls for readmission and mortality at 6 and 12 months following their hospital discharge. Results A total of 218 (85%) patients were followed up with for this evaluation. There was a significant difference between the intervention group and the control group in terms of mortality at 6 months (n=18 (16%) versus n=36 (33%); p<0.05) and 12 months (n=29 (26%) versus n=45 (42%); p<0.05) post the index discharge. Mortality at 6 and 12 months was associated with aging, lower body mass index scores and readmission at 30 days post the index admission. Results of a logistic regression for mortality at 6 months showed hypertensive etiology of heart failure and 30-day readmission to be the only significant predictors. Conclusion A single session intervention was associated with lower mortality, even after an extended period of time, possibly mediated by other variables. Future studies should be powered for such outcomes while also addressing the cultural needs and literacy levels of the patients using multi-session trials and more frequent follow-ups.

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http://hdl.handle.net/10453/155182