Self-reported recall and daily diary-recorded measures of weight monitoring adherence: associations with heart failure-related hospitalization

BMC Cardiovascular Disorders

Michael Pignone⁵  Kimberly Broucksou⁵  Victoria Hawk⁵  Aurelia Macabasco-O’Connell⁶  Kirsten Bibbins-Domingo⁴  Bernice Ruo⁷  Dean Schillinger⁴  David W Baker⁷  Crystal W Cene⁵  Jia-Rong Wu¹  Brian Erman⁵  Darren A DeWalt⁵  George M Holmes²  Christine D Jones³ 

[1] School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA;Department of Health Policy and Management, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA;NRSA Primary Care Fellowship, Division of General Medicine and Clinical Epidemiology, University of North Carolina at Chapel Hill, 5034 Old Clinic Building, CB# 7110, Chapel Hill, NC 27599, USA;Division of General Internal Medicine and Center for Vulnerable Populations, Department of Medicine at San Francisco General Hospital, University of California San Francisco, San Francisco, CA, USA;The Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA;Olive View-UCLA Medical Center, UCLA School of Nursing, University of California, Los Angeles, CA, USA;Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA

关键词: Physiologic;    Monitoring;    Patient compliance;    Heart failure;   

Others  :  855464
DOI  :  10.1186/1471-2261-14-12

 received in 2013-03-06, accepted in 2014-01-08,  发布年份 2014

【 摘 要 】

Background

Weight monitoring is an important element of HF self-care, yet the most clinically meaningful way to evaluate weight monitoring adherence is uncertain. We conducted this study to evaluate the association of (1) self-reported recall and (2) daily diary-recorded weight monitoring adherence with heart failure-related (HF-related) hospitalization.

Methods

We conducted a prospective cohort study among 216 patients within a randomized trial of HF self-care training. All patients had an initial self-care training session followed by 15 calls (median) to reinforce educational material; patients were also given digital scales, instructed to weigh daily, record weights in a diary, and mail diaries back monthly. Weight monitoring adherence was assessed with a self-reported recall question administered at 12 months and dichotomized into at least daily versus less frequent weighing. Diary-recorded weight monitoring was evaluated over 12 months and dichotomized into ≥80% and <80% adherence. HF-related hospitalizations were ascertained through patient report and confirmed through record review.

Results

Over 12 months in 216 patients, we identified 50 HF-related hospitalizations. Patients self-reporting daily or more frequent weight monitoring had an incidence rate ratio of 1.34 (95% CI 0.24-7.32) for HF-related hospitalizations compared to those reporting less frequent weight monitoring. Patients who completed ≥80% of weight diaries had an IRR of 0.37 (95% CI 0.18-0.75) for HF-related hospitalizations compared to patients who completed <80% of weight diaries.

Conclusions

Self-reported recall of weight monitoring adherence was not associated with fewer HF hospitalizations. In contrast, diary-recorded adherence ≥80% of days was associated with fewer HF-related hospitalizations. Incorporating diary-based measures of weight monitoring adherence into HF self-care training programs may help to identify patients at risk for HF-related hospitalizations.

【 授权许可】

   
2014 Jones et al.; licensee BioMed Central Ltd.

【 图 表 】

【 参考文献 】

• [1]Inglis SC, Clark RA, McAlister FA, Ball J, Lewinter C, Cullington D, Stewart S, Cleland JG: Structured telephone support or telemonitoring programmes for patients with chronic heart failure. Cochrane Database Syst Rev 2010, 8:CD007228.
• [2]Jessup M, Abraham WT, Casey DE, Feldman AM, Francis GS, Ganiats TG, Konstam MA, Mancini DM, Rahko PS, Silver MA, et al.: 2009 focused update: ACCF/AHA Guidelines for the Diagnosis and Management of Heart Failure in Adults: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines: developed in collaboration with the International Society for Heart and Lung Transplantation. Circulation 2009, 119(14):1977-2016.
• [3]Riegel B, Lee CS, Dickson VV, Carlson B: An update on the self-care of heart failure index. J Cardiovasc Nurs 2009, 24(6):485-497.
• [4]Jaarsma T, Arestedt KF, Martensson J, Dracup K, Stromberg A: The European Heart Failure Self-care Behaviour scale revised into a nine-item scale (EHFScB-9): a reliable and valid international instrument. Eur J Heart Fail 2009, 11(1):99-105.
• [5]Evangelista LS, Berg J, Dracup K: Relationship between psychosocial variables and compliance in patients with heart failure. Heart Lung 2001, 30(4):294-301.
• [6]Jones CD, Holmes GM, DeWalt DA, Erman B, Broucksou K, Hawk V, Cene CW, Wu JR, Pignone M: Is adherence to weight monitoring or weight-based diuretic self-adjustment associated with fewer heart failure-related emergency department visits or hospitalizations? J Card Fail 2012, 18(7):576-584.
• [7]DeWalt DA, Schillinger D, Ruo B, Bibbins-Domingo K, Baker DW, Holmes GM, Weinberger M, Macabasco-O’Connell A, Broucksou K, Hawk V: A multisite randomized trial of a single- versus multi-session literacy sensitive self-care intervention for patients with heart failure. Circulation 2012, 125(23):2854-2862.
• [8]Adler NE, Epel ES, Castellazzo G, Ickovics JR: Relationship of subjective and objective social status with psychological and physiological functioning: preliminary data in healthy white women. Health Psychol 2000, 19(6):586-592.
• [9]Baker DW, Brown J, Chan KS, Dracup KA, Keeler EB: A telephone survey to measure communication, education, self-management, and health status for patients with heart failure: the improving chronic illness care evaluation (ICICE). J Card Fail 2005, 11(1):36-42.
• [10]Baker DW, Williams MV, Parker RM, Gazmararian JA, Nurss J: Development of a brief test to measure functional health literacy. Patient Educ Couns 1999, 38(1):33-42.
• [11]Monane M, Bohn RL, Gurwitz JH, Glynn RJ, Levin R, Avorn J: The effects of initial drug choice and comorbidity on antihypertensive therapy compliance: results from a population-based study in the elderly. Am J Hypertens 1997, 10(7 Pt 1):697-704.
• [12]Rosen MI, Rigsby MO, Salahi JT, Ryan CE, Cramer JA: Electronic monitoring and counseling to improve medication adherence. Behav Res Ther 2004, 42(4):409-422.
• [13]Schedlbauer A, Davies P, Fahey T: Interventions to improve adherence to lipid lowering medication. Cochrane Database Syst Rev 2010., 3CD004371
• [14]Krumholz HM, Parent EM, Tu N, Vaccarino V, Wang Y, Radford MJ, Hennen J: Readmission after hospitalization for congestive heart failure among Medicare beneficiaries. Arch Intern Med 1997, 157(1):99-104.
• [15]Artinian NT, Magnan M, Sloan M, Lange MP: Self-care behaviors among patients with heart failure. Heart Lung 2002, 31(3):161-172.
• [16]Artinian NT, Harden JK, Kronenberg MW, Vander Wal JS, Daher E, Stephens Q, Bazzi RI: Pilot study of a Web-based compliance monitoring device for patients with congestive heart failure. Heart Lung 2003, 32(4):226-233.
• [17]van der Wal MH, van Veldhuisen DJ, Veeger NJ, Rutten FH, Jaarsma T: Compliance with non-pharmacological recommendations and outcome in heart failure patients. Eur Heart J 2010, 31(12):1486-1493.
• [18]Lee CS, Moser DK, Lennie TA, Riegel B: Event-free survival in adults with heart failure who engage in self-care management. Heart Lung 2011, 40(1):12-20.
• [19]Lynga P, Persson H, Hagg-Martinell A, Hagglund E, Hagerman I, Langius-Eklof A, Rosenqvist M: Weight monitoring in patients with severe heart failure (WISH). A randomized controlled trial. Eur J Heart Fail 2012, 14(4):438-444.
• [20]Wright SP, Walsh H, Ingley KM, Muncaster SA, Gamble GD, Pearl A, Whalley GA, Sharpe N, Doughty RN: Uptake of self-management strategies in a heart failure management programme. Eur J Heart Fail 2003, 5(3):371-380.
• [21]Shiffman S, Stone AA, Hufford MR: Ecological momentary assessment. Annu Rev Clin Psychol 2008, 4:1-32.
• [22]Litt MD, Cooney NL, Morse P: Reactivity to alcohol-related stimuli in the laboratory and in the field: predictors of craving in treated alcoholics. Addiction 2000, 95(6):889-900.
• [23]Shiffman S, Balabanis MH, Gwaltney CJ, Paty JA, Gnys M, Kassel JD, Hickcox M, Paton SM: Prediction of lapse from associations between smoking and situational antecedents assessed by ecological momentary assessment. Drug Alcohol Depend 2007, 91(2–3):159-168.
• [24]Homma Y, Ando T, Yoshida M, Kageyama S, Takei M, Kimoto K, Ishizuka O, Gotoh M, Hashimoto T: Voiding and incontinence frequencies: variability of diary data and required diary length. Neurourol Urodyn 2002, 21(3):204-209.
• [25]van den Brink M, Bandell-Hoekstra EN, Abu-Saad HH: The occurrence of recall bias in pediatric headache: a comparison of questionnaire and diary data. Headache 2001, 41(1):11-20.
• [26]Koehler F, Winkler S, Schieber M, Sechtem U, Stangl K, Bohm M, Boll H, Baumann G, Honold M, Koehler K, et al.: Impact of remote telemedical management on mortality and hospitalizations in ambulatory patients with chronic heart failure: the telemedical interventional monitoring in heart failure study. Circulation 2011, 123(17):1873-1880.