Main Findings : The results indicate that an intervention involving any human factor principles may nearly double an individual ’s probability of not being readmitted .
Principal Conclusions : Interventions with human factor principles reduce readmissions among HF patients .
Background : Human factors play an important role in health-care outcomes of heart failure ( HF ) patients .
A systematic review and meta- analysis of clinical trial studies on HF hospitalization may yield positive proofs of the beneficial effect of specific care management strategies .
Purpose : To investigate how the 8 guiding principles of choice , rest , environment , activity , trust , interpersonal relationships , outlook , and nutrition reduce HF readmissions .
Reduction of Heart Failure Rehospitalization Using a Weight Management Education Intervention
Background : Previous investigators have demonstrated that patient adherence to optimal weight monitoring result ed in fewer heart failure (HF)–related  rehospitalizations . Objective : The aim of this study was to determine whether a weight management ( WM ) intervention can improve patients ’ WM ability and cardiac function and reduce HF-related rehospitalizations . Methods : Heart failure patients were r and omly assigned to an  intervention group ( n = 32 ) or a  control group ( n = 34 ) . The intervention group received the WM intervention , including education about regular daily weight monitoring and coping skills when detecting sudden weight gain , with a WM booklet and scheduled telephone visits . Patients ’ WM ability was measured by the Weight Management Question naire ( WMQ ) . We compared scores on the WMQ , New York Heart Association ( NYHA ) classification , and HF-related rehospitalizations between the 2 groups at enrollment and at 6 months . We also analyzed the association of adherence to weight monitoring and rehospitalization in the intervention group during the 6-month follow-up . Results : There were no significant differences in weight monitoring adherence , WM ability , and NYHA classification between the 2 groups at baseline . At 6 months , scores on all 4 subscales of the WMQ significantly increased within the intervention group , and the WM- practice subscale significantly improved within the control group . Adherence to weight monitoring was significantly improved in the intervention group compared with the control group ( 81.25 % vs 11.76 % ; P < .01 ) . At 6 months , there was a significant improvement in NYHA class in the intervention group compared with the control group ( P = .03 ) . Rehospitalizations related to HF were also fewer in the intervention group ( 0.28 ± 0.63 vs 0.79 ± 1.18 ; P = .03 ) during the follow-up duration . In the intervention group , those who weighed themselves regularly reported less HF-related rehospitalizations than did those who did not ( 0.23 ± 0.43 vs 0.50 ± 1.23 ; P = .62 ) . Conclusion : This study demonstrates that the WM intervention had a positive impact on patients ’ adherence to weight monitoring , WM ability , and NYHA classification and reduced HF-related rehospitalization
Main Findings : The results indicate that an intervention involving any human factor principles may nearly double an individual ’s probability of not being readmitted .
Principal Conclusions : Interventions with human factor principles reduce readmissions among HF patients .
Background : Human factors play an important role in health-care outcomes of heart failure ( HF ) patients .
A systematic review and meta- analysis of clinical trial studies on HF hospitalization may yield positive proofs of the beneficial effect of specific care management strategies .
Purpose : To investigate how the 8 guiding principles of choice , rest , environment , activity , trust , interpersonal relationships , outlook , and nutrition reduce HF readmissions .