Heart Failure
Conditions
Keywords
Heart failure, telehealth, occupational therapy, self-management
Brief summary
The purpose of this capstone project is to pilot Heart Smart, a virtual group program to improve self-efficacy for self-management skills for homebound people with heart failure.
Detailed description
The purpose of this capstone project is to pilot Heart Smart, a virtual group program to improve self-efficacy for self-management skills for homebound people with heart failure. Heart Smart will provide synchronous virtual group education to homebound people with heart failure receiving services from Penn Medicine at Home. The primary clinical goal is to improve self-efficacy for heart failure self-management and improve their knowledge of heart failure self-management strategies. Secondary outcomes will explore the feasibility of the program by exploring technology, adherence and satisfaction with the program.
Interventions
OTHERHeart Smart Virtual Self-Management Group
The Heart Smart Intervention is a 6 week virtual program consisting of one individual technology training session followed by 5 one hour group education sessions.
Sponsors
University of Pennsylvania
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Pilot study, single group, no control. pre-post data collection
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Diagnosis of heart failure * Receiving home health care from Penn Medicine at Home at time of screening. * Technology capabilities to participate in the program (laptop or tablet with a camera, internet access). * Able to read and write in English. * Cognitive ability to participate in the program if the participant is able to score12/15 on the Montreal Cognitive Assessment (MoCA) 5 Minute Phone Test.
Exclusion criteria
* Hearing impairment that impacts communication. * Previous experience receiving occupational therapy services from the principal investigator.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Self-Efficacy Measure for Chronic Disease (SEMCD) | At first and final sessions (weeks 1 and 6) | This self-report scale has 6 items which are each rated on a scale of 1 (not at all confident) to 10 (totally confident). The score for the scale is the mean of the scores for the six items. Possible scores are 1-10 with higher scores indicating higher self-efficacy. This scale is an appropriate outcome measure for a heart failure self-management group because it was designed to measure self-efficacy in people with chronic conditions such as heart failure and has undergone psychometric evaluation. This scale is free to use without permission. Administration takes less than 10 minutes. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Kansas City Cardiomyopathy Questionnaire (KCCQ) | At first and final sessions (weeks 1 and 6) | This 23-item, Likert scale, self-report heart failure specific outcome measure. The instrument measures six domains: physical function, symptoms (frequency, severity and recent change), social function, self-efficacy and knowledge, and quality of life. This instrument is appropriate because it is designed for use for people with heart failure, will give an indication of participant heart failure severity for demographic purposes, and has a validated self-efficacy component. This scale requires a license which has been obtained for this pilot project. Administration takes less than 10 minutes. Scores range from 0 to 100 with higher scores indicating higher cardiac health status. |
| Change in Atlanta Heart Failure Knowledge Test V3 (AHFKT) | At first and final sessions (weeks 1 and 6) | This 30 item multiple choice measure of heart failure self-management knowledge yields scores 0-30 which are commonly reported as a percentage (higher scores indicate more knowledge). Content validity was established through a panel of expert heart failure nurses. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Attendance | At each weekly session for 6 weeks | The number of participants at each meeting will be recorded. |
| Technology failures | At each weekly session for 6 weeks. | Total number of minutes missed per participant per session. |
| Minutes of training | This will be recorded in the first session at week 1. | The number of minutes spent in the pre-training session will be recorded. |
| Participant Satisfaction | At the final session on week 6 | Participants will answer three likert scale questions. |
Countries
United States
Outcome results
None listed