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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

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Structured Telephone Support Intervention: Improved Heart Failure Outcomes.

Marcia Johansson¹, Ponrathi Athilingam¹

¹College of Nursing, University of South Florida, Tampa, FL, United States.

|February 11, 2020

Summary

This summary is machine-generated.

Structured telephone support (STS) and short message service (SMS) text messaging improved heart failure (HF) self-care, knowledge, and medication adherence in PACE participants. These benefits were sustained at 3 months, showing feasibility and effectiveness.

Keywords:

heart failure medication adherence mobile messaging quality improvement self-care management structured telephone support

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Area of Science:

Cardiovascular Medicine
Health Informatics
Gerontology

Background:

Heart failure (HF) affects 6.5 million Americans, requiring complex home self-management.
Demographic and psychosocial factors impede HF self-care, increasing hospital readmissions.
Previous studies suggest structured telephone support (STS) and short message service (SMS) text messaging improve HF self-management and quality of life (QoL).

Purpose of the Study:

To evaluate the impact of STS and SMS on self-care, knowledge, medication adherence, and QoL in patients with HF.
To assess the feasibility and sustained benefits of STS and SMS interventions for HF patients.

Main Methods:

A prospective, pre-post quality improvement project involving 51 HF patients enrolled in the Program of All-Inclusive Care for the Elderly (PACE) in Pinellas County, Florida.
Participants received 30 days of STS and SMS interventions.
Data on self-care, knowledge, medication adherence, and QoL (SF-12) were collected at baseline, 30 days, and 3 months.

Main Results:

Significant improvements were observed at 30 days in HF self-care maintenance, HF knowledge, medication adherence, and physical/mental health (SF-12) (P<.01).
Benefits were sustained at 3 months, with improvements in self-care maintenance, management, confidence, knowledge, medication adherence, and physical/mental health (P<.05).
Younger participants (<65 years) showed superior outcomes; living status and social support correlated strongly with HF outcomes.

Conclusions:

STS and SMS interventions are feasible for PACE participants with HF, demonstrating sustained positive effects at 3 months.
Implementing STS and SMS offers a viable strategy to enhance HF patient outcomes.
Improved HF outcomes can positively impact hospital systems and care agencies for outpatients and those in assisted living.