Key result
Higher patient activation levels were significantly associated with greater heart failure knowledge (p=0.005), higher self-efficacy (p<0.001), and better self-management behaviors (p<0.001) in rural heart failure patients.
Why the study?
What is the relationship between patient activation level and knowledge, self-efficacy, and self-management behaviors in heart failure patients discharged from rural hospitals?
Cross-Sectional (n=101)
Yes
What is the relationship between patient activation level and knowledge, self-efficacy, and self-management behaviors in heart failure patients discharged from rural hospitals?
p-value: p=<0.001
Low patient activation is highly prevalent among rural heart failure patients and is strongly associated with deficits in disease knowledge, self-efficacy, and self-management behaviors.
May guide activation strategies in rural HF; hypothesis-generating and requires prospective trials.
Non-adherence to self-management guidelines accounted for 50% of hospital readmissions in heart failure patients. Evidence showed that patient activation affects self-management behaviors in populations living with chronic conditions. The purpose of this study was to describe patient activation level and its relationship with knowledge, self-efficacy and self-management behaviors in heart failure patients discharged from rural hospitals. Our study populations were recruited from two hospitals in rural areas of Nebraska. We found that two-thirds of the participants reported low activation levels (e.g., taking no action to manage their heart failure condition). In addition, low patient activation levels were associated with inadequate heart failure knowledge (p=.005), low self-efficacy (p<.001) and low engagement in heart failure self-management behaviors (p<.001) after discharge from hospital.
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Do et al. (2015) conducted a cross-sectional in Heart failure (n=101). Patient activation level vs. Lower activation levels was evaluated on Association between patient activation level and self-management behaviors (p=<0.001). Higher patient activation levels were significantly associated with greater heart failure knowledge (p=0.005), higher self-efficacy (p<0.001), and better self-management behaviors (p<0.001) in rural heart failure patients.
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