A Multimodal Telehealth Heart Failure Patient Behavior Change Intervention to Promote Self-Care and Reduce Readmissions

2.50
Hdl Handle:
http://hdl.handle.net/10755/601639
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Title:
A Multimodal Telehealth Heart Failure Patient Behavior Change Intervention to Promote Self-Care and Reduce Readmissions
Author(s):
Hawkins, Shelley; Thomason, Tanna; Steen, Carl "Fritz"; Turner, Erika; Boreen, Alex; Cavazos, Leila
Lead Author STTI Affiliation:
Zeta Mu
Author Details:
Shelley Hawkins, FNP-BC, GNP, FAANP, shawkins@sandiego.edu; Tanna Thomason, RN, CNS; Carl "Fritz" Steen, CDE, CCP; Erika Turner; Alex Boreen; Leila Cavazos
Abstract:
Session presented on Saturday, July 25, 2015: Purpose: The purpose of this feasibility study is to determine if older adult Heart Failure (HF) patients who have recently been discharged from the hospital will experience a reduction in readmissions when participating in a multimoddal telehealth motivational interviewing HF self-care educational intervention. 'The secondary purpose is to determine if the telehealth MI older adult HF patients experience a reduction in readmissions when compared to (1) older adult HF patients who have a MI self-care educational intervention, and (2) older adult HF patients who have a traditional approach health promotion educational intervention. Methods: This study is a pre-test/post-test mixed methods design that will enroll 30 male and female HF patients to one of three groups consisting of one experimental and two attentional control groups based on propensity score matching.' Inclusion criteria include (1) aged 60 or older, (2) primary or secondary diagnosis of HF, (3) speaks and reads English, (4) has a landline telephone, and (5) earns a minimum score of 8 on the Short Portable Mental Status Questionnaire. Subjects will be recruited 48 hours prior to or immediately following hospital discharge. At the time of recruitment and 4 months later, each subject will complete 4 instruments: Self-Care Heart Failure Index, Telemedicine Perception Questionnaire, Geriatric Depression Scale, and Test of Functional Health Literacy in Adults. Throughout the 4-month intervention, qualitative data will be collected about the experience of HF self-care. Experimental subjects will receive a wireless home telemonitoring weight scale and blood pressure monitor along with a monthly MI HF self-care educational intervention.' Attentional control group one will receive a monthly MI HF self-care educational intervention and attentional control group two will receive a monthly health promotion educational intervention. Data will be analyzed using descriptive statistics, a 3 x 2 ANOVA, and content analysis. Results: The study intervention has recently been completed. 'Data analysis is in progress. ' Conclusion: HF patient readmissions may potentially be reduced or prevented if warning signs and symptoms of decompensation can be identified and managed before the patient's condition becomes emergent.' Patients who are empowered with individualized HF self-care knowledge and skills using a multimodal telehealth educational intervention may be better able to manage their self-care and reduce or prevent the incidence of readmissions.
Keywords:
Motivational Interviewing; Telehealth; Heart Failure
Repository Posting Date:
17-Mar-2016
Date of Publication:
17-Mar-2016 ; 17-Mar-2016
Other Identifiers:
INRC15PST243
Conference Date:
2015
Conference Name:
26th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
San Juan, Puerto Rico
Description:
Research Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.titleA Multimodal Telehealth Heart Failure Patient Behavior Change Intervention to Promote Self-Care and Reduce Readmissionsen
dc.contributor.authorHawkins, Shelleyen
dc.contributor.authorThomason, Tannaen
dc.contributor.authorSteen, Carl "Fritz"en
dc.contributor.authorTurner, Erikaen
dc.contributor.authorBoreen, Alexen
dc.contributor.authorCavazos, Leilaen
dc.contributor.departmentZeta Muen
dc.author.detailsShelley Hawkins, FNP-BC, GNP, FAANP, shawkins@sandiego.edu; Tanna Thomason, RN, CNS; Carl "Fritz" Steen, CDE, CCP; Erika Turner; Alex Boreen; Leila Cavazosen
dc.identifier.urihttp://hdl.handle.net/10755/601639-
dc.description.abstractSession presented on Saturday, July 25, 2015: Purpose: The purpose of this feasibility study is to determine if older adult Heart Failure (HF) patients who have recently been discharged from the hospital will experience a reduction in readmissions when participating in a multimoddal telehealth motivational interviewing HF self-care educational intervention. 'The secondary purpose is to determine if the telehealth MI older adult HF patients experience a reduction in readmissions when compared to (1) older adult HF patients who have a MI self-care educational intervention, and (2) older adult HF patients who have a traditional approach health promotion educational intervention. Methods: This study is a pre-test/post-test mixed methods design that will enroll 30 male and female HF patients to one of three groups consisting of one experimental and two attentional control groups based on propensity score matching.' Inclusion criteria include (1) aged 60 or older, (2) primary or secondary diagnosis of HF, (3) speaks and reads English, (4) has a landline telephone, and (5) earns a minimum score of 8 on the Short Portable Mental Status Questionnaire. Subjects will be recruited 48 hours prior to or immediately following hospital discharge. At the time of recruitment and 4 months later, each subject will complete 4 instruments: Self-Care Heart Failure Index, Telemedicine Perception Questionnaire, Geriatric Depression Scale, and Test of Functional Health Literacy in Adults. Throughout the 4-month intervention, qualitative data will be collected about the experience of HF self-care. Experimental subjects will receive a wireless home telemonitoring weight scale and blood pressure monitor along with a monthly MI HF self-care educational intervention.' Attentional control group one will receive a monthly MI HF self-care educational intervention and attentional control group two will receive a monthly health promotion educational intervention. Data will be analyzed using descriptive statistics, a 3 x 2 ANOVA, and content analysis. Results: The study intervention has recently been completed. 'Data analysis is in progress. ' Conclusion: HF patient readmissions may potentially be reduced or prevented if warning signs and symptoms of decompensation can be identified and managed before the patient's condition becomes emergent.' Patients who are empowered with individualized HF self-care knowledge and skills using a multimodal telehealth educational intervention may be better able to manage their self-care and reduce or prevent the incidence of readmissions.en
dc.subjectMotivational Interviewingen
dc.subjectTelehealthen
dc.subjectHeart Failureen
dc.date.available2016-03-17T12:51:28Zen
dc.date.issued2016-03-17-
dc.date.issued2016-03-17en
dc.date.accessioned2016-03-17T12:51:28Zen
dc.conference.date2015en
dc.conference.name26th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationSan Juan, Puerto Ricoen
dc.descriptionResearch Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.en
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