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

BMC Cardiovascular Disorders

Research Article

Kirsten Bibbins-Domingo¹  Dean Schillinger¹  David W Baker²  Bernice Ruo²  Darren A DeWalt³  Michael Pignone³  Crystal W Cene³  Christine D Jones⁴  Aurelia Macabasco-O’Connell⁵  Jia-Rong Wu⁶  Victoria Hawk⁷  Brian Erman⁷  Kimberly Broucksou⁷  George M Holmes⁸ 

[1] 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;Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA;Division of General Medicine and Clinical Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA;The Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA;Division of General Medicine and Clinical Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA;The Cecil G. Sheps Center for Health Services Research, 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, 27599, Chapel Hill, NC, USA;Olive View-UCLA Medical Center, UCLA School of Nursing, University of California, Los Angeles, CA, USA;School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA;The Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA;The Cecil G. Sheps Center for Health Services Research, 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;

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

DOI  :  10.1186/1471-2261-14-12

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

来源: Springer

【 摘 要 】

BackgroundWeight 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.MethodsWe 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.ResultsOver 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.ConclusionsSelf-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】

CC BY   
© Jones et al.; licensee BioMed Central Ltd. 2014