Investigating the effect of multimedia education in combination with teach-back method on quality of life and cardiac anxiety in patients with heart failure: a randomized clinical trial

Abstract

Background Education can contribute to promotion of the quality of life and reduction of heart anxiety in patients with heart failure, so it is important to find a suitable educational method for these patients. Therefore, the present study was an attempt to determine the effect of multimedia education using teach-back method on the life quality and cardiac anxiety in patients with heart failure. Methods The present study was a randomized clinical trial. 120 patients with heart failure class I to III and aged less than 60 years old were selected using sequential sampling; then, they were assigned randomly into two intervention groups and one control group. Group A (multimedia education), group B (education using multimedia together with teach-back method), and group C (control). The quality of life and cardiac anxiety were evaluated in the participants of the three groups before, after, 1 month, and 3 months after the intervention. Data were analyzed using descriptive tests, Pearson correlation, Kolmogorov–Smirnov, chi square and ANOVA test in SPSS 22. The significance level was set at P < 0.05. Results No significant differences were found in the mean scores of the quality of life and cardiac anxiety in the control and two intervention groups before the educational intervention. However, immediately after, 1 month and 3 months after the educational intervention, a significant difference was observed between the mean scores of the quality of life and cardiac anxiety in the intervention groups (P < 0.05). Conclusion Multimedia education together with Teach-Back method is effective in promoting the quality of life and reducing cardiac anxiety in patients with heart failure. Therefore, it is recommended that health policymakers should use this educational method in providing treatment programs. Iranian Registry of Clinical Trials 20190917044802N1. Registration date: 5/2/2020.

A State-of-the-Art Review of Teach-Back for Patients and Families With Heart Failure

“…Current guidelines recommend the inclusion of family care partners in HF care, particularly in the context of HF education and hospital-to-home transitions 45 . In line with this recommendation, all but 3 of the original research papers in this review mention family care partners in the context of their teach-back interventions 32,38,46 . One intervention was designed specifically for care partners (ie, no patients were enrolled), and demonstrated promising effects, such as high levels of satisfaction and significant reductions in care-related burden 47 .…”

“…45 In line with this recommendation, all but 3 of the original research papers in this review mention family care partners in the context of their teach-back interventions. 32,38,46 One intervention was designed specifically for care partners (ie, no patients were enrolled), and demonstrated promising effects, such as high levels of satisfaction and significant reductions in care-related burden. 47 Some study interventions that primarily focused on patient education but included care partners also report beneficial effects, such as increased engagement or satisfaction with care.…”

Effectiveness of telenursing in improving quality of life in patients with heart failure: A systematic review and meta-analysis

“… 1 Dyspnea and tiredness, which cause exercise intolerance, and fluid retention, which cause pulmonary congestion and peripheral edema, are the typical signs of heart failure. 2 Every year, as many as 3.6 million patients in Europe receive a heart failure diagnosis. A total of 5.7 million people above 20 years of age in the US have heart failure.…”

Effective Strategies for Physical Activity Adherence in Heart Failure Patients: An Umbrella Review

“…The American Heart Association has reported that cardiovascular disease is responsible for 22% of mortalities per year. In Iran, heart failure is the most common cause of hospitalization at hospital, as in every 100,000 Iranian people, around 3700 suffer from heart failure ( 3 ). The one-year mortality rate of HF in Iran has been 32% ( 4 ).…”