Abstract 10138: On-going Palliative Care Enhances Perceived Control and Patient Activation in Patients With Symptomatic Heart Failure
Introduction: Few studies have assessed the effectiveness of palliative care (PC) on perceived control (i.e. one’s perceived influence over outcomes or events in the environment) and activation (i.e. ability to self-manage) in patients with symptomatic heart failure (HF).
HYPOTHESIS: We hypothesized that patients with advanced HF who received on-going PC services (i.e. ≥ 2 PC consults) vs. no access or limited access to PC services (i.e. single PC consultations) would have greater improvements in perceived control and activation and greater reductions in symptom burden 3 months post-discharge for HF exacerbation.
METHODS: Forty-two patients - average age 53.9 ± 8.0 years; predominantly male (72%); White (61%); married (69%) - completed an outpatient PC consultation following their routine post-discharge visit with their HF provider. Participants were encouraged to schedule follow-up visits with the PC team to optimize symptom control. Data on perceived control, activation, and symptom burden were collected at baseline and three months.
Results: Findings showed that the patients who received ≥ 2 PC consultations had greater improvements in perceived control and activation than their counterparts (Table 1 and 2); these increases were associated with greater reductions in symptom burden (Table 3).
CONCLUSION: Our findings suggest that on-going PC interventions show promise in being able to enhance perceived control and activation in patients with advanced HF and open the possibility for planning larger studies to assess the effect of PC on these variables as possible mediators to improvements in self-care and clinical outcomes in a similar sample.
- © 2013 by American Heart Association, Inc.