IMPACT OF AN INTERACTIVE CARE PLAN ON PATIENT ACTIVATION IN HEART FAILURE INPATIENTS

Author(s)

Comer D1, Wright D2, Southerton J2, Couto J11Jefferson School of Population Health, Philadelphia, PA, USA, 2Institute for Interactive Patient Care, Bethesda, MD, USA

OBJECTIVES: Re-hospitalization in heart failure (HF) patients is often the result of a patient’s inability to adequately self-manage the condition. The objective of this study is to determine if engaging inpatients in their care through technology is a solution to improving patient self-management. METHODS: Two hundred seventy-five patients with HF completed the HF interactive care plan while an inpatient at one of six hospitals throughout the United States. A pretest posttest design was used to evaluate a patient’s activation using the 13-item Patient Activation Measure (PAM-13), a valid and reliable instrument to measure a patient’s knowledge, skill, and confidence to perform self-management of their chronic disease(s). After completing the baseline PAM-13 following admission for a HF diagnosis, all 275 patients completed a self-paced set of interactive, educational modules throughout their inpatient stay. These modules were typically completed 3 or 4 days after admission, and then patients would complete the PAM-13 prior to discharge. The PAM-13 places individuals into activation levels 1 (lowest) through 4 (highest) based on an individual’s responses. RESULTS: A two-tailed t-test between baseline and posttest scores of all participants showed a difference of 0.38 levels of activation (p<.001). Because 168 of the 275 participants were at level 4 on the PAM-13 at baseline, these individuals were removed and secondary analysis was performed on the remaining 107 individuals.  A two-tailed t-test revealed a difference of 1.05 levels of activation (p<0.001) after patients completed the interactive solution. CONCLUSIONS: Providing education through an interactive solution while in the hospital can improve activation scores in HF patients.

Conference/Value in Health Info

2012-06, ISPOR 2012, Washington, D.C., USA

Value in Health, Vol. 15, No. 4 (June 2012)

Code

PCV87

Topic

Patient-Centered Research

Topic Subcategory

Patient Behavior and Incentives

Disease

Cardiovascular Disorders

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