A Dual-Pronged Approach to Improving Heart Failure Outcomes: A Quality Improvement Project (Preprint)

• DOI: 10.2196/preprints.13513
• Publication Date: 2019-01-30T11:27:07Z
• Authors: Marcia Johansson; Ponrathi Athilingam
• Keywords: Pace; Regimen

<sec> <title>BACKGROUND</title> Presently, 6.5 million Americans are living with heart failure (HF). These patients expected to follow a complex self-management regimen at home. Several demographic and psychosocial factors limit HF in following the prescribed recommendations Poor self-care is associated increased hospital readmissions. Under Affordable Care Act, there financial implications related readmissions for hospitals programs such as &lt;i&gt;Program of All-Inclusive Elderly&lt;/i&gt; (PACE) Pinellas County, Florida. Previous studies systematic reviews demonstrated improvement quality life (QoL) structured telephone support (STS) SMS text messaging. </sec> <title>OBJECTIVE</title> This study aimed evaluate effects STS on self-care, knowledge, medication adherence, QoL HF. <title>METHODS</title> A prospective project using pre-post design was implemented. Data were collected baseline, 30 days, 3 months from 51 who enrolled PACE All participants received days. The feasibility sustained benefit assessed 3-month follow-up. <title>RESULTS</title> paired &lt;i&gt;t&lt;/i&gt; test used compare mean difference outcomes baseline 30-day follow-up, which improved maintenance (&lt;i&gt;t&lt;/i&gt; &lt;sub&gt;49&lt;/sub&gt;=0.66; &lt;i&gt;P&lt;/i&gt;=.01), knowledge &lt;sub&gt;49&lt;/sub&gt;=0.71; adherence &lt;sub&gt;49&lt;/sub&gt;=0.92; physical mental health measured Short-Form-12 (SF-12; &lt;sub&gt;49&lt;/sub&gt;=0.81; &lt;i&gt;P&lt;/i&gt;=.01). results also maintenance, management, confidence, (SF-12) &lt;i&gt;P&lt;/i&gt;&amp;lt;.05 all outcomes. Living status social had strong correlation Younger (aged less than 65 years) performed extremely well compared older adults. <title>CONCLUSIONS</title> feasible use among benefits months. Implementing may serve viable options improve Improving affects systems agencies that monitor provide care outpatients those independent or assisted-living facilities. Investigating implementation will