Health Literacy in Patients With Congestive Heart Failure
Congestive Heart Failure
About this trial
This is an interventional treatment trial for Congestive Heart Failure focused on measuring Congestive Heart Failure, Health Literacy, Health Education, Congestive Heart Failure (inpatients)
Eligibility Criteria
Inclusion Criteria:
- Eligible consecutive patients aged 50 years and over admitted with a primary diagnosis of CHF at Griffin Hospital will be invited to participate regardless of age, gender, race, or education level.
- Because dietary and medication non-compliance affect patients with both systolic and diastolic heart failure, the investigators will include patients with both of these conditions, regardless of their ejection fraction.
Exclusion Criteria:
- The investigators will exclude patients with clinical conditions and communication barriers that would limit their ability to participate in and/or benefit from this educational intervention.
- The investigators will also exclude patients whose planned discharge is to another hospital or to a structured setting in which medical personnel are responsible for their care (e.g., a skilled nursing facility), thus limiting their ability to implement a largely self-directed self-care regimen upon leaving the hospital.
- In addition, the investigators will exclude any patient who does not have a telephone and cannot, therefore, be contacted to obtain post-discharge follow-up data.
Specific exclusion criteria include:
- A diagnosis of dementia or other severe mental disorder (e.g., acute delirium, psychosis)
- Clinical instability or need for transfer to another hospital for acute intervention (e.g., experiencing cardiogenic shock, or needing valve surgery or acute coronary intervention)
- Terminal illness or intubation
- Moderate to severe uncorrected vision or hearing problems
- Inability to speak English or to provide informed consent
- Lack of access to a telephone
- Planned discharge to a structured facility (e.g., skilled nursing facility, intermediate care facility)
Sites / Locations
- Griffin Hospital
Arms of the Study
Arm 1
Arm 2
No Intervention
Experimental
A
B
Usual Care - Education about CHF by Primary Nurse on discharge. No teach-back is used in this arm.
Tailored Intervention for patients with low health literacy and nurse-directed teachback: Educational leaflet which has been developed for low-health literacy patients. Adminstered by dedicated Nurse-educator. Nurse-educator asks Patient for "teachback after Intervention". This means that the Patient repeats in his/her own words the Information received. Education ends once Patient has been able to repeat the Information back.