A Pilot Study to Evaluate a Computer-Based Intervention to Improve Self-care in Patients With Heart Failure

Cynthia Arslanian-Engoren; Bruno Giordani; Kinnothan Nelson; Debra K. Moser

doi:10.1097/JCN.0000000000000782

A Pilot Study to Evaluate a Computer-Based Intervention to Improve Self-care in Patients With Heart Failure

Cynthia Arslanian-Engoren
, Bruno Giordani
, Kinnothan Nelson
, Debra K. Moser

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Background Cognitive dysfunction contributes to poor learning and impaired self-care (SC) for patients with heart failure. Objectives The aims of this study were to (1) evaluate the feasibility and acceptability of a nurse-led, virtual home-based cognitive training and SC education intervention to support SC and (2) evaluate the relationship between improvements in SC and cognitive change and examine 30-day readmission rates. Methods In this 2-phase pilot study, we used a prospective, exploratory design. In phase 1, recruitment criteria and retention issues threatened feasibility and acceptance. Significant modifications were made and evaluated in phase 2. Results In phase 2, 12 participants were recruited (7 women and 5 men). Feasibility was supported. All participants and the study nurse positively evaluated acceptability of the intervention. Median SC scores improved over time. Thirty-day hospital readmission rates were 25%. Conclusion Phase 1 indicates the intervention as originally designed was not feasible or acceptable. Phase 2 supports the feasibility and acceptability of the modified intervention. Further testing is warranted.

Original language	English
Pages (from-to)	157-164
Number of pages	8
Journal	Journal of Cardiovascular Nursing
Volume	36
Issue number	2
DOIs	https://doi.org/10.1097/JCN.0000000000000782
State	Published - Mar 1 2021

Bibliographical note

Publisher Copyright:
© Wolters Kluwer Health, Inc. All rights reserved.

Funding

This study was supported by NIH/NINR P20 NR015331-02 (funded as part of the University of Michigan School of Nursing, P20 Center for Complexity and Self-management of Chronic Disease [PIs: Debra Barton, PhD, RN, FAAN; Ivo Dinov, PhD], and Donald and Karin Allen Faculty Fund, Department of Health Behavior and Biological Sciences, School of Nursing, University of Michigan).

Funders	Funder number
Donald and Karin Allen
University of Michigan School of Nursing
National Institutes of Health (NIH)
National Institute of Health National Institute of Nursing Research	P20NR015331
Food Allergy and Anaphylaxis Network
Michigan Diabetes Research Center, University of Michigan

Keywords

cognitive training
heart failure
self-care

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Advanced and Specialized Nursing

Access to Document

10.1097/JCN.0000000000000782

Cite this

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title = "A Pilot Study to Evaluate a Computer-Based Intervention to Improve Self-care in Patients With Heart Failure",

abstract = "Background Cognitive dysfunction contributes to poor learning and impaired self-care (SC) for patients with heart failure. Objectives The aims of this study were to (1) evaluate the feasibility and acceptability of a nurse-led, virtual home-based cognitive training and SC education intervention to support SC and (2) evaluate the relationship between improvements in SC and cognitive change and examine 30-day readmission rates. Methods In this 2-phase pilot study, we used a prospective, exploratory design. In phase 1, recruitment criteria and retention issues threatened feasibility and acceptance. Significant modifications were made and evaluated in phase 2. Results In phase 2, 12 participants were recruited (7 women and 5 men). Feasibility was supported. All participants and the study nurse positively evaluated acceptability of the intervention. Median SC scores improved over time. Thirty-day hospital readmission rates were 25\%. Conclusion Phase 1 indicates the intervention as originally designed was not feasible or acceptable. Phase 2 supports the feasibility and acceptability of the modified intervention. Further testing is warranted.",

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AU - Arslanian-Engoren, Cynthia

AU - Giordani, Bruno

AU - Nelson, Kinnothan

AU - Moser, Debra K.

PY - 2021/3/1

Y1 - 2021/3/1

N2 - Background Cognitive dysfunction contributes to poor learning and impaired self-care (SC) for patients with heart failure. Objectives The aims of this study were to (1) evaluate the feasibility and acceptability of a nurse-led, virtual home-based cognitive training and SC education intervention to support SC and (2) evaluate the relationship between improvements in SC and cognitive change and examine 30-day readmission rates. Methods In this 2-phase pilot study, we used a prospective, exploratory design. In phase 1, recruitment criteria and retention issues threatened feasibility and acceptance. Significant modifications were made and evaluated in phase 2. Results In phase 2, 12 participants were recruited (7 women and 5 men). Feasibility was supported. All participants and the study nurse positively evaluated acceptability of the intervention. Median SC scores improved over time. Thirty-day hospital readmission rates were 25%. Conclusion Phase 1 indicates the intervention as originally designed was not feasible or acceptable. Phase 2 supports the feasibility and acceptability of the modified intervention. Further testing is warranted.

AB - Background Cognitive dysfunction contributes to poor learning and impaired self-care (SC) for patients with heart failure. Objectives The aims of this study were to (1) evaluate the feasibility and acceptability of a nurse-led, virtual home-based cognitive training and SC education intervention to support SC and (2) evaluate the relationship between improvements in SC and cognitive change and examine 30-day readmission rates. Methods In this 2-phase pilot study, we used a prospective, exploratory design. In phase 1, recruitment criteria and retention issues threatened feasibility and acceptance. Significant modifications were made and evaluated in phase 2. Results In phase 2, 12 participants were recruited (7 women and 5 men). Feasibility was supported. All participants and the study nurse positively evaluated acceptability of the intervention. Median SC scores improved over time. Thirty-day hospital readmission rates were 25%. Conclusion Phase 1 indicates the intervention as originally designed was not feasible or acceptable. Phase 2 supports the feasibility and acceptability of the modified intervention. Further testing is warranted.

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KW - heart failure

KW - self-care

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A Pilot Study to Evaluate a Computer-Based Intervention to Improve Self-care in Patients With Heart Failure

Abstract

Bibliographical note

Funding

Keywords

ASJC Scopus subject areas

Access to Document

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