Key result
Video telecoaching with a social worker markedly boosts 30-day heart failure self-care knowledge.
Why the study?
Self-care knowledge changes in dually eligible Medicare and Medicaid patients with congestive heart failure receiving telecoaching had not been assessed.
Does a telecoaching protocol improve self-care knowledge in dually eligible Medicare and Medicaid patients with congestive heart failure?
Does a telecoaching protocol improve self-care knowledge in dually eligible Medicare and Medicaid patients with congestive heart failure?
Tele-coaching by social workers significantly improves self-care knowledge and confidence in high-risk patients with congestive heart failure over a 30-day period.
May enhance self-care knowledge via telecoaching in dually eligible CHF patients; hypothesis-generating and requires confirmation in RCTs.
The objective was to assess self-care knowledge changes with dually eligible Medicare and Medicaid patients diagnosed with congestive heart failure (CHF), who received a telecoaching protocol integrating symptom monitoring with face-to-face video chat with a social worker. We recruited 45 patients with CHF from a regional managed care organization. Sessions via a Health Insurance Portability and Accountability Act-compliant tablet-based platform focused on educational information designed to improve patient self-care. Social workers administered the 13-item Member Confidence Measure (MCM) at baseline and at a 30-day follow-up period. Scores were recorded to measure differences in patients' understanding of CHF and related symptoms, their knowledge of the disease, and the behaviors necessary to prevent their symptoms from getting worse. Over the 30-day period, scores significantly (p < .01) increased on the total scale score and specific confidence measure subscales (symptom recognition, medication adherence, medical attention, healthy choices, and safety). Gender, race, and age were unrelated to these improvements. In addition, effect sizes for the sub-scales ranged from .54 to 1.08; the effect size of the intervention as expressed by the total scale score was 1.12. Overall, patients increased knowledge over a 30-day period. Tele-coaching by social workers holds promise as a feasible model for health education for high-risk populations.
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Rosen et al. (2016) studied Congestive heart failure (CHF) (n=45). Telecoaching protocol integrating symptom monitoring with face-to-face video chat with a social worker was evaluated on 13-item Member Confidence Measure (MCM) total scale score (Effect size 1.12, p=< .01). A telecoaching protocol integrating video chat with a social worker significantly increased self-care knowledge in patients with congestive heart failure over 30 days (effect size 1.12; p<0.01).
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