Development and pilot testing of a disease management program for low literacy patients with heart failure

摘要: Development and pilot testing of a disease management program for low literacy patients with heart failure. Background Randomized trials have shown that programs can reduce hospitalizations improve symptoms congestive We sought to create test such skills. Methods used focus groups individual cognitive response interviews (CRIs) develop an educational booklet incorporated the into intervention also included initial individualized 1-h session scheduled supportive phone calls were tapered over 6 weeks. then conducted 3-month before-after study on skills ( Results Twenty-five enrolled 23 (92%) completed follow-up. Mean age was 60 years (range 35-74), 60% men, African-American, 74% had household income under $15,000 per year. The median reading level fifth grade 32% at or below third level. knowledge score baseline 67% did not after intervention. proportion reporting weighing themselves daily increased from 100% 12 improvement MLwHF scale 9.9 points trial (95% CI: 0.5, 19.2), which corresponds in one class New York Heart Association failure scale. Conclusion A designed specifically is acceptable associated self-care behavior related symptoms.