Abstract 11189: Single Phone Call Follow-up Was an Effective Strategy to Improve Heart Failure Patients’ Outcomes
Introduction: Shorten hospital stays for health insurance reasons limits time for patient education. Although empirical studies demonstrated more intensive outpatient follow up can ameliorate psychological distress, improve self-care, and health related quality of life (HRQOL) in patients with heart failure (HF), it would be beneficial to identify effective but less expensive methods to provide post-discharge education follow up.
Hypothesis: Single post-discharge individualized follow-up phone call (IP) will be as effective as a multiple visit outpatient clinic follow-up (OP) when compared with usual care (UC) on improving psychological distress, self-care, and HRQOL in HF patients.
Methods: Randomized, 3-group design was used. Participants hospitalized for HF exacerbation at medical centers in Taiwan were randomly assigned to one of the 3 groups: IP (n=20), OP (n=22), or UC (n=30). IP included 3 education sessions: 2 in the hospital focused on individualized face-to-face teaching and one nurse follow-up phone call at home within 1 week after discharge. OP included 5 education sessions: same 2 sessions in the hospital, 2 follow up outpatient visits one week and 1 month post-discharge, and 1 follow-up phone call 2 months post-discharge. Sessions in both groups averaged 15~20 minutes. UC group received only the routine ward patient education during hospitalization with no post-discharge follow-up. Depression, self-care, and HRQOL were measured baseline and 3 months after intervention. To compare the effectiveness of interventions on the outcome measures over time, differences in improvement among groups were compared using generalized estimating equations (GEE).
Results: GEE analysis showed that improvement in depression, HRQOL, and self-care confidence scores of the IP group were greater than the UC group (β =-0.53, -23.18, 11.40, p<0.05). The IP group also had greater improvement in HRQOL than the OP group (β=-16.30, p<0.05), and required only half the time to deliver the intervention to patients than OP (25±15 vs. 50±36 minutes, p<0.05).
Conclusions: The single phone call follow-up was equally effective strategy as the more intensive outpatient follow-up to reduce depression and improve self-care confidence and HRQOL in HF patients.
Author Disclosures: T. Huang: None. L. Huang: None. M. Tsai: None. C. Wang: None. C. Chen: None. T.A. Lennie: None.
- © 2014 by American Heart Association, Inc.