Heart Failure
Conditions
Keywords
Heart Failure, Self-Care
Brief summary
The purpose of this study is to pilot and feasibility test an innovative cognitive behavioral intervention to improve heart failure self-care among community dwelling older adults.The primary aim of this study is to test the effect of the intervention on improving heart failure self-care, knowledge and Health related quality of life at 1 month and 3 months. We will test three hypotheses comparing 60 older adults with heart failure randomly assigned to either the intervention or a control group: Hypothesis 1. Participants in the intervention group will have significantly improved heart failure self-care than control participants. Hypothesis 2. Participants in the intervention group will have significantly improved knowledge about heart failure and heart failure self-care than control participants. Hypothesis 3. Participants in the intervention group will have significantly better Health Related Quality of Life than control participants. A secondary exploratory aim is to assess and describe implementation feasibility of providing a heart failure self-care intervention in a community group setting.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* diagnosis of chronic HF * able to read and speak English or Spanish * over age 50
Exclusion criteria
* history of prior neurological event (e.g., stroke, head injury, encephalopathy) that could cause dementia * unable to perform tests or participate in the intervention session (e.g., inability to communicate verbally, major visual impairment, or severe and uncorrected hearing loss). * living in a nursing home or other long term care facility
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in baseline heart failure self-care score at one month | Change from baseline heart failure self-care at 1 month | Heart failure self-care is measured by the valid and reliable instrument the Self-Care of Heart Failure Index. Change in scores from baseline at one month will be assessed. |
| Change in baseline heart failure self-care score at 3 months | Change from baseline heart failure self-care at 3 months | Heart failure self-care is measured by the valid and reliable instrument the Self-Care of Heart Failure Index. Change in scores from baseline to 3 months will be assessed. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in baseline Heart failure knowledge score at 1 month | Change in baseline Heart failure knowledge score at 1 month | Heart failure knowledge will be measured using the valid and reliable Dutch Heart Failure Knowledge survey. Changes in total score from baseline at 1 month will be assessed. |
| Change in baseline Heart failure knowledge score at 3 month | Change in baseline Heart failure knowledge score at 3 month | Heart failure knowledge will be measured using the valid and reliable Dutch Heart Failure Knowledge survey. Changes in total heart failure knowledge score from baseline to 3 months will be assessed. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Changes in baseline Health related quality of life at 1 month | Changes in baseline health related quality of life at 1 month | Health related quality of life will be measured using valid and reliable Kansas City Cardiomyopathy Questionnaire. Changes in scores will be assessed from baseline to 3 months |
| Changes in baseline Health related quality of life at 3 month | Changes in baseline health related quality of life at 3 month | Health related quality of life will be measured using valid and reliable Kansas City Cardiomyopathy Questionnaire. Changes in scores will be assessed from baseline to 3 months |
Countries
United States