Key result
Augmented HF care management involving out-of-home caregivers proves feasible, achieving ~92% assessment completion.
Why the study?
Does augmenting HF care management with automated calls and caregiver feedback improve self-care in HF patients?
Does augmenting HF care management with automated calls and caregiver feedback improve self-care in HF patients?
An automated assessment and caregiver feedback program is highly feasible and may improve self-care behaviors in heart failure patients.
Answers are grounded in this paper and cite their sources.
Supports exploring automated HF support with informal caregivers; leaves open efficacy and outcomes in randomized trials.
The benefits of heart failure (HF) care management have been demonstrated, yet health systems are often unable to meet patients' needs for support between outpatient visits. Informal care provided by family or friends is a low-cost, and potentially effective, adjunct to care management services. The authors evaluated the feasibility of augmenting HF care management with weekly, automated assessment and behavior change calls to patients, feedback via the Internet to an out-of-home informal caregiver or CarePartner (CP), and faxes to the patient's health care team. The program included 52 HF patient-CP pairs participating for an average of 12 weeks. Patients completed 586 assessments (92% completion rate) and reported problems that might otherwise have gone unidentified. At follow-up, 75% had made changes in their self-care as a result of the intervention. The CP program may extend the impact of HF telemonitoring beyond what care management programs can realistically deliver.
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Piette et al. (2008) studied Heart failure (n=52). Augmented HF care management with automated calls and caregiver feedback was evaluated on Assessment completion rate. An augmented heart failure care management program involving out-of-home caregivers was feasible, achieving a 92% assessment completion rate and prompting self-care changes in 75% of patients.
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