OBJECTIVE: @entity712 ( @entity712 ) continues to be a leading cause of hospital admissions, particularly in underserved @entity1 . We hypothesised that providing individualised self-management support to @entity1 and feedback on use of evidence-based @entity712 therapies (EBT) to physicians could lead to improvements in care and decrease hospitalisations. To assess the feasibility of conducting a larger trial testing the efficacy of this dual-level intervention, we conducted the @entity712 ( @entity712 ), a proof-of-concept, quasi-experimental, feasibility pilot study. SETTING: A large tertiary care medical centre in Chicago. @entity1 : Low-income @entity1 (<US 30   000/year) hospitalised for exacerbation of systolic @entity712 (ejection fraction  <=50%) and their physicians. Twenty physicians and 33 @entity1 were enrolled, of whom 23 @entity1 completed the study. INTERVENTIONS: Physicians received @entity712 guidelines and periodic individualised feedback on their adherence to EBT. @entity1 received @entity712 education, support and self-management training for diet and medication adherence by a trained nurse through 11 interactive sessions over a 4-month period. Evaluations were conducted pre-enrolment and 1   month postintervention completion. OUTCOME MEASURES: Feasibility was assessed by the ability to deliver intervention to @entity1 and physicians. Exploratory outcomes included changes in medication and @entity1372 intake for @entity1 and adherence to EBT for physicians. RESULTS: Eighty-seven per cent and 82% of @entity1 received >80% of interventions at 1   month and by study completion, respectively. Median @entity1372 intake declined (3.5 vs 2.0   g; p<0.01). There was no statistically significant change in medication adherence based on electronic pill cap monitoring or the Morisky Medication Adherence Scale (MMAS); however, there was a trend towards improved adherence based on MMAS. All physicians received timely intervention. CONCLUSIONS: This pilot study demonstrated that the protocol was feasible. It provided important insights about the need for intervention and the difficulties in treating @entity1 with a variety of psychosocial problems that undercut their effective care.

XXXX adherence redesign trial: a pilot study.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'PARTICIPANTS'] @entity712 :: ('MESH:D006333', 'Disease') :: ['HF', 'Congestive Heart failure Adherence Redesign Trial Pilot', 'Heart failure', 'CHART-P'] @entity1372 :: ('MESH:D012964', 'Chemical') :: ['sodium']
@entity712 :: (MESH:D006333,Disease) :: ['Congestive heart failure']
