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 .
Targeted intervention improves knowledge but not self-care or readmissions in heart failure patients with mild cognitive impairment.
AIMS Mild cognitive impairment ( MCI ) is prevalent in heart failure , and can contribute to poor self-care and higher hospital readmissions . Strategies to improve self-care in patients with MCI have not been studied . This r and omized controlled trial aim ed to test the effect of a targeted intervention on self-care , heart failure knowledge , and 30-day readmissions . METHODS AND RESULTS The study included 125 patients hospitalized for exacerbation of heart failure who screened positive for MCI . The treatment group received a targeted self-care teaching intervention using principles of cognitive training .  Self-care , heart failure knowledge , depression , and social support were assessed at baseline and 30 days post-discharge . Mean heart failure knowledge scores improved significantly in the intervention group , but decreased in the control group ( P < 0.001 ) . When controlling for other variables , patients in the intervention group showed a greater increase in heart failure knowledge than patients in the control group ( P = 0.027 ) . Black race was significantly associated with lower heart failure knowledge scores ( P = 0.030 ) . Mean change scores for self-care showed greater improvement in the intervention group when compared with the control group ; however , this was not statistically significant . There was no difference in readmission rates between the groups . CONCLUSION It is feasible to conduct a r and omized controlled trial in patients with MCI . Patients in the treatment group had greater heart failure knowledge at 30 days post-discharge ; however , this did not impact readmission rates . Further research is needed to describe how MCI affects self-care and knowledge , and how race and other factors may influence outcomes in this population
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 .