Building Skill in Heart Failure Self-care: A Community Based Intervention

NYU Langone Health75 enrolled

Overview

The purpose of this study is to pilot and feasibility test an innovative cognitive behavioral intervention to improve heart failure self-care among community dwelling older adults.The primary aim of this study is to test the effect of the intervention on improving heart failure self-care, knowledge and Health related quality of life at 1 month and 3 months. We will test three hypotheses comparing 60 older adults with heart failure randomly assigned to either the intervention or a control group: Hypothesis 1. Participants in the intervention group will have significantly improved heart failure self-care than control participants. Hypothesis 2. Participants in the intervention group will have significantly improved knowledge about heart failure and heart failure self-care than control participants. Hypothesis 3. Participants in the intervention group will have significantly better Health Related Quality of Life than control participants. A secondary exploratory aim is to assess and describe implementation feasibility of providing a heart failure self-care intervention in a community group setting.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Heart Failure

Interventions

Eligibility

Sex: ALLMin age: 50 Years

Medical Language ↔ Plain English

Inclusion Criteria: * diagnosis of chronic HF * able to read and speak English or Spanish * over age 50 Exclusion Criteria: * history of prior neurological event (e.g., stroke, head injury, encephalopathy) that could cause dementia * unable to perform tests or participate in the intervention session (e.g., inability to communicate verbally, major visual impairment, or severe and uncorrected hearing loss). * living in a nursing home or other long term care facility

Outcomes

Primary Outcomes

Change in baseline heart failure self-care score at one month

Heart failure self-care is measured by the valid and reliable instrument the Self-Care of Heart Failure Index. Change in scores from baseline at one month will be assessed.

Time frame: Change from baseline heart failure self-care at 1 month

Change in baseline heart failure self-care score at 3 months

Heart failure self-care is measured by the valid and reliable instrument the Self-Care of Heart Failure Index. Change in scores from baseline to 3 months will be assessed.

Time frame: Change from baseline heart failure self-care at 3 months

Secondary Outcomes

Change in baseline Heart failure knowledge score at 1 month

Heart failure knowledge will be measured using the valid and reliable Dutch Heart Failure Knowledge survey. Changes in total score from baseline at 1 month will be assessed.

Time frame: Change in baseline Heart failure knowledge score at 1 month

Change in baseline Heart failure knowledge score at 3 month

Heart failure knowledge will be measured using the valid and reliable Dutch Heart Failure Knowledge survey. Changes in total heart failure knowledge score from baseline to 3 months will be assessed.

Time frame: Change in baseline Heart failure knowledge score at 3 month