Objective
Patients with heart failure need education and support to improve knowledge and self-care.
Shared medical groups that provide education and support have been successful in other
patient populations. This study compares an advanced practice nurse-led shared medical
appointment intervention in the office setting with standard care relative to self-care
and knowledge among community-living adults with heart failure.
Methods
Participants were randomized to shared appointment and standard care groups, and completed
the Heart Failure Knowledge Test and Self-Care Heart Failure Index at baseline and
8 weeks.
Results
From baseline to 8 weeks, Heart Failure Knowledge Test scores improved more for the
intervention group than the control group (F time × group = 4.90, df = 1.21; P = .038). There was no difference in groups' rates of change on the total Self-Care
Heart Failure Index.
Conclusion
The findings reveal improved knowledge when education and support are provided in
a shared medical appointment setting. The shared medical visit model may be feasible
as a way to provide patients with heart failure and their families with ongoing education
and a supportive environment.
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Article info
Publication history
Published online: September 01, 2008
Identification
Copyright
© 2009 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
