A Pilot Study to Evaluate a Computer-Based Intervention to Improve Self-care in Patients With Heart Failure

Background Cognitive dysfunction contributes to poor learning and impaired self-care (SC) for patients with heart failure. Objectives The aims of this study were to (1) evaluate the feasibility and acceptability of a nurse-led, virtual home-based cognitive training and SC education intervention to support SC and (2) evaluate the relationship between improvements in SC and cognitive change and examine 30-day readmission rates. Methods In this 2-phase pilot study, we used a prospective, exploratory design. In phase 1, recruitment criteria and retention issues threatened feasibility and acceptance. Significant modifications were made and evaluated in phase 2. Results In phase 2, 12 participants were recruited (7 women and 5 men). Feasibility was supported. All participants and the study nurse positively evaluated acceptability of the intervention. Median SC scores improved over time. Thirty-day hospital readmission rates were 25%. Conclusion Phase 1 indicates the intervention as originally designed was not feasible or acceptable. Phase 2 supports the feasibility and acceptability of the modified intervention. Further testing is warranted.

Automated summary

This study evaluated the feasibility and acceptability of a nurse-led, virtual home-based cognitive training and self-care education intervention for patients with heart failure. Improvements in self-care were found to be related to cognitive changes, and the intervention also showed potential in reducing 30-day hospital readmission rates. Further testing of the modified intervention is recommended.