A video-based educational intervention on self-care did not reduce cardiovascular hospitalizations or ED visits at 6 months in patients with heart failure, although mortality was lower (P=0.03).
RCT
randomized
Yes
Does a video-based educational intervention reduce cardiovascular hospitalizations or ED visits in patients with heart failure?
A video-based educational intervention did not reduce cardiovascular hospitalizations or ED visits at 6 months in heart failure patients, although it was associated with lower mortality.
BACKGROUND: Heart failure (HF) exacerbations often relate to poor self-care. Education programs improve outcomes, but are resource-intensive. We developed a video-based educational intervention and evaluated it in patients with HF. METHODS: ducation was a pragmatic multicenter randomized trial. We included subjects with HF if they were hospitalized, seen in the emergency department (ED), or high-risk outpatients, and randomized them to intervention or control. Intervention included a 20-minute video, supplementary booklet, and 3 bimonthly newsletters focusing on salt and fluid restriction, daily weights, and medications. Subjects watched the video and were encouraged to review it at home, along with the booklet/newsletters. Control subjects received the booklet only. The primary outcome was the difference in cardiovascular hospitalizations or ED visits between groups at 6 months. Secondary outcomes included clinical events and in-hospital days. RESULTS: = 0.03). CONCLUSION: Video education on self-care did not reduce hospitalizations or ED visits in patients with HF. Of note, mortality was lower in the intervention group.
Tsuyuki et al. (Wed,) conducted a rct in Heart failure (HF). Video-based educational intervention vs. Booklet only was evaluated on Difference in cardiovascular hospitalizations or ED visits between groups at 6 months. A video-based educational intervention on self-care did not reduce cardiovascular hospitalizations or ED visits at 6 months in patients with heart failure, although mortality was lower (P=0.03).