Evidence map›Paper›PMID 21962415›Full record

Trial reportJournal of cardiac failure2011

The effect of progressive, reinforcing telephone education and counseling versus brief educational intervention on knowledge, self-care behaviors and heart failure symptoms.

David W Baker, Darren A Dewalt, Dean Schillinger, Victoria Hawk, Bernice Ruo, Kirsten Bibbins-Domingo, Morris Weinberger, Aurelia Macabasco-O'Connell, Kathy L Grady, George M Holmes and 3 more

2 registry-linked trialsOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of cardiac failure, 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 45 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 8 pooled it
5.7field-weighted citation impact, top 4% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT00378950 nacompletednot on this map

Health Literacy and Self-Management in Heart Failure

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2007 to 2011Enrolled605ConditionsHeart Failure, CongestiveArmsTeach to Goal (TTG), Brief Educational Intervention (BEI)
NCT05664347 nacompletednot on this mapstarted 2020, after this paper: background citation

Video-based Teach-to-goal Intervention on Inhaler Technique on Adults With Asthma and COPD: a Randomized Controlled Trial

TypeinterventionalSponsorUniversity of JordanRan2020 to 2021Enrolled154ConditionsCOPD, Asthma, Inhaled Steroid Dependent AsthmaArmsVerbal teach to goal education, Video based teach to goal education
3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 8 syntheses or guidelines pooled it, 118 citations in OpenAlex.

  1. Pooled it
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  4. mHealth education interventions in heart failure.The Cochrane database of systematic reviews · 2020
    Pooled it
  5. Meaning-making and quality of life in heart failure interventions: a systematic review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2019
    Pooled it
  6. Pooled it
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  8. Health Literacy and Heart Failure: A Systematic Review.The Journal of cardiovascular nursing
    Pooled it
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  12. Impact of Telemonitoring on Health Status.Circulation. Cardiovascular quality and outcomes · 2017
    Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 1 country.

David W BakerDivision of General Internal Medicine, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA. dbaker1@nmff.org
Darren A Dewalt
Dean Schillinger
Victoria Hawk
Bernice Ruo
Kirsten Bibbins-Domingo
Morris Weinberger
Aurelia Macabasco-O'Connell
Kathy L Grady
George M Holmes
Brian Erman
Kimberly A Broucksou
Michael Pignone
University of North Carolina at Chapel Hill · USNorthwestern University · USOlive View-UCLA Medical Center · USSan Francisco General Hospital · USUniversity of California, San Francisco · US

Funding

MULTIDISCIPLINARY CLINICAL AND TRANSLATIONAL SCIENCE (MCTS) PROGRAM (UL1)UL1RR025741 · NCRR · NORTHWESTERN UNIVERSITY AT CHICAGO · PI GREENLAND, PHILIP · 2008 to 2011
$24.7M
Health Literacy and Self-Management in Heart FailureR01HL081257 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI PIGNONE, MICHAEL P · 2006 to 2010
$4.2M
NCRR NIH HHS UL1 RR025741NHLBI NIH HHS R01 HL081257
6 · The paper itself

Abstract

backgroundThe optimal strategy for promoting self-care for heart failure (HF) is unclear. METHODS AND

resultsWe conducted a randomized trial to determine whether a "teach to goal" (TTG) educational and behavioral support program provided incremental benefits to a brief (1 hour) educational intervention (BEI) for knowledge, self-care behaviors, and HF-related quality of life (HFQOL). The TTG program taught use of adjusted-dose diuretics and then reinforced learning goals and behaviors with 5 to 8 telephone counseling sessions over 1 month. Participants' (n = 605) mean age was 61 years; 37% had marginal or inadequate literacy; 69% had ejection fraction <0.45; and 31% had Class III or IV symptoms. The TTG group had greater improvements in general and salt knowledge (P < .001) and greater increases in self-care behaviors (from mean 4.8 to 7.6 for TTG vs. 5.2 to 6.7 for BEI; P < .001). HFQOL improved from 58.5 to 64.6 for the TTG group but did not change for the BEI group (64.7 to 63.9; P < .001 for the difference in change scores). Improvements were similar regardless of participants' literacy level.

conclusionsTelephone reinforcement of learning goals and self-care behaviors improved knowledge, health behaviors, and HF-related QOL compared to a single education session.

Indexed as

Health BehaviorQuality of LifeSelf CareTelemedicineCounselingDiureticsFemaleHeart FailureHumansMaleMiddle AgedPatient Education as TopicProgram EvaluationSeverity of Illness IndexTreatment OutcomeDiuretics

Identifiers

PMID21962415
PMCPMC3185245
OpenAlexW1967373917

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.