Health Literacy and the Patient With Heart Failure—Implications for Patient Care and Research: A Consensus Statement of the Heart Failure Society of America

Evangelista, Lorraine S.; Rasmusson, Kismet; Laramee, Ann S.; Barr, Joan; Ammon, Susan E.; Dunbar, Sandra B.; Ziesche, Susan; Patterson, J. Herbert; Yancy, Clyde W.

doi:10.1016/j.cardfail.2009.10.026

Cited by 143 publications

(125 citation statements)

References 51 publications

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“…The multidisciplinary team working in outpatient follow-up for HF patients should acknowledge the benefits of health literacy. In addition, they should recognize patients at greatest risk of not understanding the provided information, and mainly know about each patient's learning preferences, besides including strategies to improve patients' knowledge about their disease (8) .…”

Section: Introductionmentioning

confidence: 99%

Cross-cultural adaptation and validation of a disease knowledge and self-care questionnaire for a brazilian sample of heart failure patients

Rabelo

Mantovani

Aliti

et al. 2011

Rev. Latino-Am. Enfermagem

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To adapt a questionnaire that assesses knowledge about heart failure (HF) and self-care and to analyze its content validity and reproducibility for use in Brazil. The questionnaire was validated through translation, summary, back-translation, expert committee review, pretest and assessment of psychometric properties. The final version (14 questions) was applied at the university hospital to HF outpatients under multidisciplinary team care. Five questions showed total agreement; seven scored Kappa > 0.4; one Kappa = 0.4, and just one presented no agreement. A group of 153 patients within 1-4 years of outpatient followup was assessed (age 59±13, 61% male). In the knowledge assessment, right answers varied from 4 to 14 (average 9.9±2.1). Adaptación transcultural y validación de un cuestionario de conocimiento de la enfermedad y autocuidado para una muestra de la población brasileña de pacientes con insuficiencia cardíaca Se tuvo por objetivo realizar la adaptación transcultural de un cuestionario que evalúa el conocimiento sobre la insuficiencia cardíaca (IC) y el autocuidado y analizar su validez de contenido y la reproductibilidad para uso en Brasil. Se trata de un proceso de validación constituido de traducción, síntesis, retrotraducción, revisión por comité de expertos, prueba piloto y verificación de las propiedades psicométricas. La versión final adaptada con 14 preguntas fue aplicada a pacientes con IC en acompañamiento en ambulatorio con el equipo multidisciplinar de un hospital universitario. Cinco preguntas presentaron concordancia total; siete obtuvieron coeficiente Kappa > 0,4; una obtuvo Kappa 0,4 y apenas en una pregunta no hubo concordancia. Se evaluaron 153 pacientes, edad de 59±13; 61% sexo masculino; mediana de tiempo de acompañamiento en el ambulatorio 2 (1-4) años. En la evaluación del conocimiento, los aciertos variaron de cuatro a 14, promedio 9,9±2,1. Concluimos que los resultados indicaron que este cuestionario fue validado para ser usado en Brasil.

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Section: Introductionmentioning

confidence: 99%

Cross-cultural adaptation and validation of a disease knowledge and self-care questionnaire for a brazilian sample of heart failure patients

Rabelo

Mantovani

Aliti

et al. 2011

Rev. Latino-Am. Enfermagem

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“…An estimated 26% of the U.S. population has low health literacy, and an additional 20% has marginal health literacy (Paasche-Orlow et al, 2005). Health literacy barriers are often associated with greater risk of hospitalization (Baker, Parker, Williams, & Clark, 1998), higher rates of self-reported poor health status (Baker, Parker, Williams, Clark, & Nurss, 1997) decreased knowledge of one's medical condition, poor medication recall, nonadherence to treatment plans, poor self-care behaviors (Evangelista et al, 2010), and increased all-cause mortality (Wolf, Feinglass, Thompson, & Baker, 2010). Patients with low health literacy also are more likely to report unsatisfactory patient-doctor communication at the time of discharge, suggesting that some physicians may be insensitive or unaware when their patients are having difficulties comprehending discharge instructions (Kripilani et al, 2010).…”

mentioning

confidence: 99%

Health Literacy and 30-Day Postdischarge Hospital Utilization

Mitchell

Sadikova

Jack

et al. 2012

Journal of Health Communication

218

159

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“…204,205 Health literacy can be assessed with the Shortened Test of Functional Health Literacy in Adults. 204 The Shortened Test of Functional Health Literacy in Adults is a 36-item, 7-minute timed test of reading comprehension. For the HF patient, the time limits are not useful because they inaccurately categorize patients with low or marginal health literacy.…”

Section: Educational Considerations For the Snf Residentmentioning

confidence: 99%

Heart Failure Management in Skilled Nursing Facilities

Jurgens¹,

Goodlin²,

Dolansky³

et al. 2015

Circ: Heart Failure

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655H eart failure (HF) is a complex syndrome in which structural or functional cardiac abnormalities impair the filling of ventricles or left ventricular ejection of blood. HF disproportionately occurs in those ≥65 years of age.1 Among the estimated 1.5 to 2 million residents in skilled nursing facilities (SNFs) in the United States, cardiovascular disease is the largest diagnostic category, and HF is common. 2,3Despite the high prevalence of HF in SNF residents, none of the large randomized clinical trials of HF therapy included SNF residents, and very few included patients >80 years of age with complex comorbidities.Several issues make it important to address HF care in SNFs. The healthcare environment and characteristics of SNF residents are distinct from those of community-dwelling adults. Comorbid illness unrelated to HF (eg, dementia, hip fracture) increases with age >75 years, and these conditions may complicate both the initial HF diagnosis and ongoing management. [4][5][6] Morbidity and mortality rates are significantly increased for hospitalized older adults with HF discharged to SNFs compared with those discharged to other sites. 7Transitions between hospitals and SNFs may be problematic. 8SNF 30-day rehospitalization rates for HF range from 27% to 43%, 7,9,10 and long-term care residents sent to the emergency department are at increased risk for hospital admission and death.11 The purpose of this scientific statement is to provide guidance for management of HF in SNFs to improve patientcentered outcomes and reduce hospitalizations. This statement addresses unique issues of SNF care and adapts HF guidelines and other recommendations to this setting. MethodsThis scientific statement on HF management in SNFs was developed by a writing group of experts representing nursing, medicine (cardiology, geriatrics, nursing home physicians, and palliative medicine), pharmacology, physical therapy, dietary clinical management, research, and quality of care. Sponsors (the American Heart Association [AHA] and the Heart Failure Society of America) identified specific members of the writing group, and others were selected on the basis of known expertise. A literature search was performed using the key The current document is solely the responsibility of the authors and does not represent the official views of the National Heart, Lung, and Blood Institute or the Department of Health and Human Services.The American Heart Association and the Heart Failure Society of America make every effort to avoid any actual or potential conflicts of interest that may arise as a result of an outside relationship or a personal, professional, or business interest of a member of the writing panel. Specifically, all members of the writing group are required to complete and submit a Disclosure Questionnaire showing all such relationships that might be perceived as real or potential conflicts of interest.This document was approved by the American Heart Association Science Advisory and Coordinating Committee on September 15, 2014, and by the...

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Health Literacy and the Patient With Heart Failure—Implications for Patient Care and Research: A Consensus Statement of the Heart Failure Society of America

Cited by 143 publications

References 51 publications

Cross-cultural adaptation and validation of a disease knowledge and self-care questionnaire for a brazilian sample of heart failure patients

Cross-cultural adaptation and validation of a disease knowledge and self-care questionnaire for a brazilian sample of heart failure patients

Health Literacy and 30-Day Postdischarge Hospital Utilization

Heart Failure Management in Skilled Nursing Facilities

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