A Comprehensive Symptom Diary Intervention to Improve Outcomes in Patients With HF: A Pilot Study

Lee, Kyoung Suk; Lennie, Terry A.; Warden, Sherry; Jacobs-Lawson, Joy M.; Moser, Debra K.

doi:10.1016/j.cardfail.2013.07.001

Cited by 28 publications

(45 citation statements)

References 31 publications

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“…3 A majority of rehospitalizations due to worsening HF are preventable with active engagement in self-care. 4,5 For example, Lee and colleagues found that patients who used a symptom diary to monitor their day-to-day weight and symptoms, such as dyspnea and swelling, had fewer hospitalizations and/or deaths over 3 months than patients who did not use he diary. 4 Thus, if patients are aware of early symptoms and signs of HF exacerbation with regular symptom monitoring, they can undertake an appropriate action in a timely manner, which may, in turn, contribute to a decrease in HF readmissions.…”

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confidence: 99%

The Association Between Regular Symptom Monitoring and Self-care Management in Patients With Heart Failure

Lee

Lennie

Dunbar

et al. 2015

Journal of Cardiovascular Nursing

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Background Symptom monitoring is considered the first step toward self-care management (actions to manage altered symptom status) to avert worsening heart failure (HF). However, empirical evidence demonstrating that symptom monitoring leads to adequate self-care management is lacking. We examined the relationship of adherence to regular symptom monitoring with adequate self-care management in HF patients. Methods and Results A total of 311 HF patients (60 years, 35% female) were divided into three groups by adherence to two symptom monitoring behaviors (monitoring daily weights and lower extremity edema). Patients who were adherent to both symptom monitoring behaviors formed the adherent group (15.1%). Those adherent to either of the symptom monitoring behaviors formed the partially adherent group (28.9%). Those adherent to neither of the symptom monitoring behaviors formed the non-adherent group (56.0%). Adjusted odds of performing adequate self-care management were increased by 225% (95% CI 1.13-4.48) and 344% (95% CI 1.55-7.62) for the partially adherent and adherent symptom monitoring groups compared to the non-adherent group, respectively. Conclusion Adequacy of self-care management was predicted by adherence to symptom monitoring behaviors. This finding suggests that regular symptom monitoring facilitates performance of adequate self-care management, which may contribute to a decrease in preventable hospitalizations in HF.

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confidence: 99%

The Association Between Regular Symptom Monitoring and Self-care Management in Patients With Heart Failure

Lee

Lennie

Dunbar

et al. 2015

Journal of Cardiovascular Nursing

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“…Those in the intervention group had a significantly longer period of event-free survival as compared to usual care, but there were no differences in health-related quality of life. In this study by Lee et al (2013), the use of the diary, in conjunction with counseling and telephone follow-up, appears to have improved the participants’ ability to monitor symptoms. This process evaluation documents the use of the daily diary, which varied depending on the activity, but may assist patients in self-monitoring.…”

Section: Discussionmentioning

confidence: 71%

“…Use of a symptom diary to improve self-care was examined in a sample of adults with HF, assessing its effects on event-free survival and health-related quality of life (Lee, Lennie, Warden, Jacobs-Lawson, & Moser, 2013). Participants in the intervention arm received a symptom diary, self-care education and counseling, and follow-up telephone calls, while the control group received usual care.…”

Section: Discussionmentioning

confidence: 99%

Process evaluation of an exercise counseling intervention using motivational interviewing

McCarthy

Dickson

Katz

et al. 2015

Applied Nursing Research

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Aim To describe the results of the process evaluation of an exercise counseling intervention using motivational interviewing (MI). Background Exercise can safely be incorporated into heart failure self-care, but many lack access to cardiac rehabilitation. One alternative is to provide exercise counseling in the clinical setting. Methods This process evaluation was conducted according to previously established guidelines for health promotion programs. This includes an assessment of recruitment and retention, implementation, and reach. Results Desired number of subjects were recruited, but 25% dropped out during study. Good fidelity to the intervention was achieved; the use of MI was evaluated with improvement in adherence over time. Dose included initial session plus 12weekly phone calls. Subjects varied in participation of daily diary usage. Setting was conducive to recruitment and data collection. Conclusions Evaluating the process of an intervention provides valuable feedback on content, delivery and fidelity.

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“…8 Although this randomized controlled trial study did not show an improvement in health-related quality of life, it did reveal that patients keeping a symptom diary with education and five counseling sessions reduced event-free survival compared with usual care (78.3% active group versus 47.6% usual care; p = 0.03). 8 Encouraging results have also been found in earlier studies. Caldwell et al 9 showed that daily weight monitoring along with education improved knowledge and self-care related to weight monitoring.…”

Section: Discussionmentioning

confidence: 93%

A Web Application for Self-Monitoring Improves Symptoms in Chronic Systolic Heart Failure

Dorsch

Farris

Bleske

et al. 2015

Telemedicine and e-Health

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A Comprehensive Symptom Diary Intervention to Improve Outcomes in Patients With HF: A Pilot Study

Cited by 28 publications

References 31 publications

The Association Between Regular Symptom Monitoring and Self-care Management in Patients With Heart Failure

The Association Between Regular Symptom Monitoring and Self-care Management in Patients With Heart Failure

Process evaluation of an exercise counseling intervention using motivational interviewing

A Web Application for Self-Monitoring Improves Symptoms in Chronic Systolic Heart Failure

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