The PUMP UP tailored computerized program for heart failure care

Bennett, Susan J.; Litzelman, Debra K.; Wright, Amanda; Perkins, Susan M.; Wu, Jingwei; Meyer, Leslie E.; Vaughn, Michael

doi:10.1016/j.outlook.2005.05.003

Cited by 14 publications

(5 citation statements)

References 29 publications

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“…This study begins to address patients' needs for medication use support in the transition period after hospitalization. Furthermore, this pilot study helps to provide direction for a larger study to address gaps in the research related to the limited number of interventions reported to improve medication use after hospitalization by patients with HF (Artinian et al, 2003;Bennett et al, 2006;Murray, 2007;Rich, Gray, Beckham, Wittenberg, & Luther, 1996;Stewart, Pearson, & Horowitz, 1998). In this study, recall barriers for medication use were significantly lower in the transition group, which is important to clinical practice because medication use barriers can predict medication adherence (Wu, Moser, Chung, & Lennie, 2008).…”

Section: Discussionmentioning

confidence: 83%

“…Quality of life improved for the intervention group (n = 9) of HF patients who received medication use reminders and had their medications dispensed as scheduled from an automated medication-dispensing device compared to a control group (n = 9), with additional messaging provided by the telehealth dispensing device regarding physical activity, heart-healthy diet, and self-monitoring of HF symptoms, blood pressure, and weight (Artinian et al, 2003). Using a computerized intervention to improve decision making for medication management (increasing perceived benefits of medication, overcoming medication use barriers), 12 patients with HF all received the PUMP UP intervention in a pilot study and had an improved HRQoL at 26 weeks after baseline (Bennett et al, 2006). In a 9-month education and counseling intervention using a protocol based on an assessment of participants' knowledge and skills for medication use, delivered by pharmacists, for HF patients with low health literacy (n = 314), the treatment group had higher medication adherence and use of medications as scheduled (Murray, 2007).…”

Section: Transition After Hospitalization Of Heart Failure Patientsmentioning

confidence: 99%

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Pilot Testing of a Medication Self-Management Transition Intervention for Heart Failure Patients

et al. 2010

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This pilot study examined the impact of a hospital transition intervention for older adults (≥ 65 years of age) with heart failure (HF) to promote medication use self-management. Forty subjects, hospitalized with either primary or secondary HF, had a mean age of 76.9 ± 6.5 years; 65% were males. The majority of subjects (55%) had NYHA Class III HF. A prospective, repeated measures experimental design was used. Baseline and follow-up data (1- and 3-months after hospitalization) were obtained using the Medication Regimen Complexity Index, Brief Medication Questionnaire, Drug Regiment Unassisted Grading Scale, and Kansas City Cardiomyopathy Questionnaire. Using repeated measures analysis of covariance (ANCOVA), with baseline measures as covariates, the transition intervention group had higher levels of medication adherence (F(1,35) = 13.4, p < .001), self-efficacy for HF self-care (F(1,35) = 17.9, p < .001) and had significantly fewer HF related symptoms that impaired health related quality of life (F(1,35) = 9.1, p = .006).

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Section: Discussionmentioning

confidence: 83%

Section: Transition After Hospitalization Of Heart Failure Patientsmentioning

confidence: 99%

Pilot Testing of a Medication Self-Management Transition Intervention for Heart Failure Patients

et al. 2010

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“…Tailored messages about technique might be as successful as tailored messages with a heart failure program and medication adherence. 23 Kreuter and Wray 24 found that participants who received tailored weight loss material had more positive thoughts about the materials than those who did not receive tailored information. Tailored messages about technique can validate current spirometry users' techniques or improve actual results based on alterations in technique.…”

Section: Discussionmentioning

confidence: 99%

Electronic feedback messages for home spirometry lung transplant recipients

Pangarakis¹,

Harrington²,

Lindquist³

et al. 2008

Heart & Lung

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The narrative content served as the primary source of electronic feedback messages. Actual quotes were used when applicable. It is believed that pertinent automated electronic feedback messages will enhance home spirometry connection, raise confidence in spirometry use, and influence daily adherence to the spirometry protocol. The content also serves as a foundation for establishing a plan of care individualized to each home spirometry user.

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“…The APN home visits were included because data from past studies indicated that HF patients had weekly changes in symptoms 33 and other factors 34 that limited their ability to comply with home-based interventions and APNs effectively manage HF symptoms. 35 The home visits by APNs assisted in monitoring intervention fidelity and troubleshooting problems with delivery of this novel cognitive training intervention.…”

Section: Methodsmentioning

confidence: 99%

Healthcare resource use among heart failure patients in a randomized pilot study of a cognitive training intervention

et al. 2013

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Objectives To compare healthcare resource use of patients with heart failure (HF) randomized to the cognitive training intervention and to the health education active control intervention in a randomized controlled pilot study. Background Cognitive training interventions may be efficacious and improve patients’ memory and abilities to perform instrumental activities of daily living and self-care behaviors that may, in turn, lower healthcare resource use, but the influence of these interventions on healthcare resource use is unknown. Methods Thirty-four HF patients were randomized to the computerized plasticity-based cognitive training intervention called Brain Fitness and to the health education active control intervention and completed the study. The primary outcome variable for the study was memory (recall and delayed recall). The secondary purpose of the study that is the focus of this paper was to compare healthcare resource use between the two groups using the third-party payer perspective. Data were collected at baseline and at 8 and 12 weeks after baseline. Healthcare resources were priced at Medicare payment levels for services and average wholesale price for medications. Results Average costs of visits, procedures, and medications were similar between groups. Average costs of hospitalizations and tests, and therefore total costs, were half as much in the Brain Fitness group as compared to the active control group, but this difference was not significantly different from zero (p = .24). Conclusions Larger randomized controlled trials are needed that include analyses of program costs and costs associated with medical and non-medical services in order to fully evaluate efficacy of this intervention.

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The PUMP UP tailored computerized program for heart failure care

Cited by 14 publications

References 29 publications

Pilot Testing of a Medication Self-Management Transition Intervention for Heart Failure Patients

Pilot Testing of a Medication Self-Management Transition Intervention for Heart Failure Patients

Electronic feedback messages for home spirometry lung transplant recipients

Healthcare resource use among heart failure patients in a randomized pilot study of a cognitive training intervention

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