Trial reportJournal of health communication2011
"Teach to goal": theory and design principles of an intervention to improve heart failure self-management skills of patients with low health literacy.
Trial report in Journal of health communication, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 37 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Health Literacy and Self-Management in Heart Failure
Video-based Teach-to-goal Intervention on Inhaler Technique on Adults With Asthma and COPD: a Randomized Controlled Trial
Who cites it
37 citing papers in PubMed, 1 synthesis or guideline pooled it, 104 citations in OpenAlex.
- Inhalation technique-related errors after education among asthma and COPD patients using different types of inhalers - systematic review and meta-analysis.NPJ primary care respiratory medicine · 2025Pooled it
- Video-based teach-to-goal intervention on inhaler technique on adults with asthma and COPD: A randomized controlled trial.PloS one · 2023Trial
- Randomized comparison of two interventions to enhance understanding during the informed consent process for research.Clinical trials (London, England) · 2021Trial
- The Partnership to Improve Diabetes Education Trial: a Cluster Randomized Trial Addressing Health Communication in Diabetes Care.Journal of general internal medicine · 2020Trial
- Effectiveness of DVD vs. group-initiated diabetes prevention on information uptake for high & low health literacy participants.Patient education and counseling · 2019Trial
- Parents' pain medication underdosing is associated with more emergency department visits in sickle cell disease.Pediatric blood & cancer · 2018Trial
- Perceptions of Provider Communication Among Vulnerable Patients With Diabetes: Influences of Medical Mistrust and Health Literacy.Journal of health communication · 2016Trial
- Teaching the use of respiratory inhalers to hospitalized patients with asthma or COPD: a randomized trial.Journal of general internal medicine · 2012Trial
- Multisite randomized trial of a single-session versus multisession literacy-sensitive self-care intervention for patients with heart failure.Circulation · 2012Trial
- A pilot test of an integrated self-care intervention for persons with heart failure and concomitant diabetes.Nursing outlookTrial
- Previsit Preparation for Shared Decision-Making in Lung Cancer Screening in Primary Care Using a Paper Decision Aid and an Automated Text Messaging Program: Quasi-Experimental Pilot Study.JMIR formative research · 2025Article
- Challenges and Opportunities for the Management of COPD: A Narrative Review of Patient and Health Care Professional Perspectives.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2025Article
- Real-World Use of Inhaled COPD Medications: the Good, the Bad, the Ugly.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2024Article
- Article
- Caregiver health literacy and health task performance: Findings from the LitCog caregiver cohort study.PEC innovation · 2023Article
- A self-management app to improve asthma control in adults with limited health literacy: a mixed-method feasibility study.BMC medical informatics and decision making · 2023Article
- Reframing Our Health Care System for Patients With Hearing Loss.Journal of speech, language, and hearing research : JSLHR · 2022Review
- Seeking community water fluoridation information on state health department websites.PloS one · 2021Article
- Nurses' Perspectives on Health Education and Health Literacy of Older Patients.International journal of environmental research and public health · 2020Article
- Health Literacy Barriers in the Health Care System: Barriers and Opportunities for the Profession.Health & social work · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 4 institutions in 1 country.
Funding
Abstract
Self-management is vital for achieving optimal health outcomes for patients with heart failure (HF). We sought to develop an intervention to improve self-management skills and behaviors for patients with HF, especially those with low health literacy. Individuals with low health literacy have difficulty reading and understanding written information and comprehending numerical information and performing calculations, and they tend to have worse baseline knowledge, short-term memory, and working memory compared with individuals with higher health literacy. This paper describes theoretical models that suggest methods to improve the design of educational curricula and programs for low literate audiences, including cognitive load theory and learning mastery theory. We also outline the practical guiding principles for designing our intervention, which includes a multisession educational strategy that teaches patients self-care skills until they reach behavioral goals ("Teach to Goal"). Our intervention strategy is being tested in a randomized controlled trial to determine if it is superior to a single-session brief educational intervention for reducing hospitalization and death. If this trial shows that the "Teach to Goal" approach is superior, it would support the value of incorporating these design principles into educational interventions for other diseases.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.