Heart Smart: A Virtual Self-Management Program for Homebound People With Heart Failure

Study Overview
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Brief Summary
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The purpose of this capstone project is to pilot Heart Smart, a virtual group program to improve self-efficacy for self-management skills for homebound people with heart failure.

Detailed Description
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The purpose of this capstone project is to pilot Heart Smart, a virtual group program to improve self-efficacy for self-management skills for homebound people with heart failure. Heart Smart will provide synchronous virtual group education to homebound people with heart failure receiving services from Penn Medicine at Home. The primary clinical goal is to improve self-efficacy for heart failure self-management and improve their knowledge of heart failure self-management strategies. Secondary outcomes will explore the feasibility of the program by exploring technology, adherence and satisfaction with the program.

Official Title
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Heart Smart: A Virtual Self-Management Program for Homebound People With Heart Failure

Conditions
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Heart Failure

Intervention / Treatment
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* Other: Heart Smart Virtual Self-Management Group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Diagnosis of heart failure Receiving home health care from Penn Medicine at Home at time of screening. Technology capabilities to participate in the program (laptop or tablet with a camera, internet access). Able to read and write in English. Cognitive ability to participate in the program if the participant is able to score12/15 on the Montreal Cognitive Assessment (MoCA) 5 Minute Phone Test. Exclusion Criteria: Hearing impairment that impacts communication. Previous experience receiving occupational therapy services from the principal investigator.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Interventional Model Description: Pilot study, single group, no control. pre-post data collection
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Heart Smart Group<br>Receives Heart Smart Intervention | Other: Heart Smart Virtual Self-Management Group<br>* The Heart Smart Intervention is a 6 week virtual program consisting of one individual technology training session followed by 5 one hour group education sessions.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Self-Efficacy Measure for Chronic Disease (SEMCD) | This self-report scale has 6 items which are each rated on a scale of 1 (not at all confident) to 10 (totally confident). The score for the scale is the mean of the scores for the six items. Possible scores are 1-10 with higher scores indicating higher self-efficacy. This scale is an appropriate outcome measure for a heart failure self-management group because it was designed to measure self-efficacy in people with chronic conditions such as heart failure and has undergone psychometric evaluation. This scale is free to use without permission. Administration takes less than 10 minutes. | At first and final sessions (weeks 1 and 6) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Kansas City Cardiomyopathy Questionnaire (KCCQ) | This 23-item, Likert scale, self-report heart failure specific outcome measure. The instrument measures six domains: physical function, symptoms (frequency, severity and recent change), social function, self-efficacy and knowledge, and quality of life. This instrument is appropriate because it is designed for use for people with heart failure, will give an indication of participant heart failure severity for demographic purposes, and has a validated self-efficacy component. This scale requires a license which has been obtained for this pilot project. Administration takes less than 10 minutes. Scores range from 0 to 100 with higher scores indicating higher cardiac health status. | At first and final sessions (weeks 1 and 6) | 
| Change in Atlanta Heart Failure Knowledge Test V3 (AHFKT) | This 30 item multiple choice measure of heart failure self-management knowledge yields scores 0-30 which are commonly reported as a percentage (higher scores indicate more knowledge). Content validity was established through a panel of expert heart failure nurses. | At first and final sessions (weeks 1 and 6) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Heart failure, telehealth, occupational therapy, self-management