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

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...

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Veröffentlicht in:BMC cardiovascular disorders 2014-01, Vol.14 (1), p.12-12, Article 12
Hauptverfasser: Jones, Christine D, Holmes, George M, DeWalt, Darren A, Erman, Brian, Wu, Jia-Rong, Cene, Crystal W, Baker, David W, Schillinger, Dean, Ruo, Bernice, Bibbins-Domingo, Kirsten, Macabasco-O'Connell, Aurelia, Hawk, Victoria, Broucksou, Kimberly, Pignone, Michael
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container_issue 1
container_start_page 12
container_title BMC cardiovascular disorders
container_volume 14
creator Jones, Christine D
Holmes, George M
DeWalt, Darren A
Erman, Brian
Wu, Jia-Rong
Cene, Crystal W
Baker, David W
Schillinger, Dean
Ruo, Bernice
Bibbins-Domingo, Kirsten
Macabasco-O'Connell, Aurelia
Hawk, Victoria
Broucksou, Kimberly
Pignone, Michael
description 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. 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
doi_str_mv 10.1186/1471-2261-14-12
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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. 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 &lt;80% adherence. HF-related hospitalizations were ascertained through patient report and confirmed through record review. 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 &lt;80% of weight diaries. 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.</description><identifier>ISSN: 1471-2261</identifier><identifier>EISSN: 1471-2261</identifier><identifier>DOI: 10.1186/1471-2261-14-12</identifier><identifier>PMID: 24483776</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>American Recovery &amp; Reinvestment Act 2009-US ; Analysis ; Body Weight ; Cardiac patients ; Diaries ; Drug dosages ; Education ; Epidemiology ; Female ; Health Knowledge, Attitudes, Practice ; Heart failure ; Heart Failure - diagnosis ; Heart Failure - physiopathology ; Heart Failure - psychology ; Heart Failure - therapy ; Hospitalization ; Hospitals ; Humans ; Internal medicine ; Male ; Measurement ; Medical research ; Medicine ; Medicine, Experimental ; Mental Recall ; Middle Aged ; Monitoring, Physiologic - methods ; Mortality ; Patient Compliance ; Patient Education as Topic ; Patients ; Primary care ; Prospective Studies ; Risk Factors ; Self Care ; Self Report ; Studies ; Surveys and Questionnaires ; Teachers ; Time Factors ; Training ; United States</subject><ispartof>BMC cardiovascular disorders, 2014-01, Vol.14 (1), p.12-12, Article 12</ispartof><rights>COPYRIGHT 2014 BioMed Central Ltd.</rights><rights>2014 Jones et al.; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2014 Jones et al.; licensee BioMed Central Ltd. 2014 Jones et al.; licensee BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b547t-62997de7d34d83e90aa8ba3e56ad6ba67ae24d1914657f5d3c3bf421a1f19f123</citedby><cites>FETCH-LOGICAL-b547t-62997de7d34d83e90aa8ba3e56ad6ba67ae24d1914657f5d3c3bf421a1f19f123</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3912256/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3912256/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24483776$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jones, Christine D</creatorcontrib><creatorcontrib>Holmes, George M</creatorcontrib><creatorcontrib>DeWalt, Darren A</creatorcontrib><creatorcontrib>Erman, Brian</creatorcontrib><creatorcontrib>Wu, Jia-Rong</creatorcontrib><creatorcontrib>Cene, Crystal W</creatorcontrib><creatorcontrib>Baker, David W</creatorcontrib><creatorcontrib>Schillinger, Dean</creatorcontrib><creatorcontrib>Ruo, Bernice</creatorcontrib><creatorcontrib>Bibbins-Domingo, Kirsten</creatorcontrib><creatorcontrib>Macabasco-O'Connell, Aurelia</creatorcontrib><creatorcontrib>Hawk, Victoria</creatorcontrib><creatorcontrib>Broucksou, Kimberly</creatorcontrib><creatorcontrib>Pignone, Michael</creatorcontrib><title>Self-reported recall and daily diary-recorded measures of weight monitoring adherence: associations with heart failure-related hospitalization</title><title>BMC cardiovascular disorders</title><addtitle>BMC Cardiovasc Disord</addtitle><description>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. 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 &lt;80% adherence. HF-related hospitalizations were ascertained through patient report and confirmed through record review. 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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.</description><subject>American Recovery &amp; Reinvestment Act 2009-US</subject><subject>Analysis</subject><subject>Body Weight</subject><subject>Cardiac patients</subject><subject>Diaries</subject><subject>Drug dosages</subject><subject>Education</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Heart failure</subject><subject>Heart Failure - diagnosis</subject><subject>Heart Failure - physiopathology</subject><subject>Heart Failure - psychology</subject><subject>Heart Failure - therapy</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Internal medicine</subject><subject>Male</subject><subject>Measurement</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine, Experimental</subject><subject>Mental Recall</subject><subject>Middle Aged</subject><subject>Monitoring, Physiologic - methods</subject><subject>Mortality</subject><subject>Patient Compliance</subject><subject>Patient Education as Topic</subject><subject>Patients</subject><subject>Primary care</subject><subject>Prospective Studies</subject><subject>Risk Factors</subject><subject>Self Care</subject><subject>Self Report</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>Teachers</subject><subject>Time Factors</subject><subject>Training</subject><subject>United States</subject><issn>1471-2261</issn><issn>1471-2261</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kk1v1DAQhiMEoqVw5oYsceGSNv5IsuaAVCq-pEocgLM1sccbV4692Fmq8iP4zTjdsrSoyJZs-X38jmfGVfWcNseUrroTKnpaM9bRmoqasgfV4f7k4a39QfUk54umof2qkY-rAybEivd9d1j9-oLe1gk3Mc1oSEIN3hMIhhhw_ooYB-mq6DomU_QJIW8TZhItuUS3HmcyxeDmmFxYEzAjJgwaXxPIOWoHs4shk0s3j2RESDOxxbUYFEcPS8Ax5o2bwbuf1-zT6pEFn_HZzXpUfXv_7uvZx_r884dPZ6fn9dCKfq47JmVvsDdcmBVH2QCsBuDYdmC6AboekAlDJRVd29vWcM0HKxgFaqm0lPGj6s3Od7MdJjQaw5zAq01yU8lXRXDqrhLcqNbxh-KSMtZ2xeDtzmBw8T8GdxUdJ7X0Qy39KDt1_YpXN69I8fsW86wmlzV6DwHjNhdKLuEokwV9-Q96EbcplBotlKCci1b8pdbgUblgY4mtF1N12nLZyTJpoY7vocowODkdA1pXzu9cONld0CnmnNDu86SNWv7hPZm9uF3fPf_n4_Hf_sPbjQ</recordid><startdate>20140131</startdate><enddate>20140131</enddate><creator>Jones, Christine D</creator><creator>Holmes, George M</creator><creator>DeWalt, Darren A</creator><creator>Erman, Brian</creator><creator>Wu, Jia-Rong</creator><creator>Cene, Crystal W</creator><creator>Baker, David W</creator><creator>Schillinger, Dean</creator><creator>Ruo, Bernice</creator><creator>Bibbins-Domingo, Kirsten</creator><creator>Macabasco-O'Connell, Aurelia</creator><creator>Hawk, Victoria</creator><creator>Broucksou, Kimberly</creator><creator>Pignone, Michael</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PIMPY</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20140131</creationdate><title>Self-reported recall and daily diary-recorded measures of weight monitoring adherence: associations with heart failure-related hospitalization</title><author>Jones, Christine D ; Holmes, George M ; DeWalt, Darren A ; Erman, Brian ; Wu, Jia-Rong ; Cene, Crystal W ; Baker, David W ; Schillinger, Dean ; Ruo, Bernice ; Bibbins-Domingo, Kirsten ; Macabasco-O'Connell, Aurelia ; Hawk, Victoria ; Broucksou, Kimberly ; Pignone, Michael</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b547t-62997de7d34d83e90aa8ba3e56ad6ba67ae24d1914657f5d3c3bf421a1f19f123</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>American Recovery &amp; Reinvestment Act 2009-US</topic><topic>Analysis</topic><topic>Body Weight</topic><topic>Cardiac patients</topic><topic>Diaries</topic><topic>Drug dosages</topic><topic>Education</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Heart failure</topic><topic>Heart Failure - diagnosis</topic><topic>Heart Failure - physiopathology</topic><topic>Heart Failure - psychology</topic><topic>Heart Failure - therapy</topic><topic>Hospitalization</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Internal medicine</topic><topic>Male</topic><topic>Measurement</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Medicine, Experimental</topic><topic>Mental Recall</topic><topic>Middle Aged</topic><topic>Monitoring, Physiologic - methods</topic><topic>Mortality</topic><topic>Patient Compliance</topic><topic>Patient Education as Topic</topic><topic>Patients</topic><topic>Primary care</topic><topic>Prospective Studies</topic><topic>Risk Factors</topic><topic>Self Care</topic><topic>Self Report</topic><topic>Studies</topic><topic>Surveys and Questionnaires</topic><topic>Teachers</topic><topic>Time Factors</topic><topic>Training</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jones, Christine D</creatorcontrib><creatorcontrib>Holmes, George M</creatorcontrib><creatorcontrib>DeWalt, Darren A</creatorcontrib><creatorcontrib>Erman, Brian</creatorcontrib><creatorcontrib>Wu, Jia-Rong</creatorcontrib><creatorcontrib>Cene, Crystal W</creatorcontrib><creatorcontrib>Baker, David W</creatorcontrib><creatorcontrib>Schillinger, Dean</creatorcontrib><creatorcontrib>Ruo, Bernice</creatorcontrib><creatorcontrib>Bibbins-Domingo, Kirsten</creatorcontrib><creatorcontrib>Macabasco-O'Connell, Aurelia</creatorcontrib><creatorcontrib>Hawk, Victoria</creatorcontrib><creatorcontrib>Broucksou, Kimberly</creatorcontrib><creatorcontrib>Pignone, Michael</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium &amp; 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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. 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 &lt;80% adherence. HF-related hospitalizations were ascertained through patient report and confirmed through record review. 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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.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>24483776</pmid><doi>10.1186/1471-2261-14-12</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects American Recovery & Reinvestment Act 2009-US
Analysis
Body Weight
Cardiac patients
Diaries
Drug dosages
Education
Epidemiology
Female
Health Knowledge, Attitudes, Practice
Heart failure
Heart Failure - diagnosis
Heart Failure - physiopathology
Heart Failure - psychology
Heart Failure - therapy
Hospitalization
Hospitals
Humans
Internal medicine
Male
Measurement
Medical research
Medicine
Medicine, Experimental
Mental Recall
Middle Aged
Monitoring, Physiologic - methods
Mortality
Patient Compliance
Patient Education as Topic
Patients
Primary care
Prospective Studies
Risk Factors
Self Care
Self Report
Studies
Surveys and Questionnaires
Teachers
Time Factors
Training
United States
title Self-reported recall and daily diary-recorded measures of weight monitoring adherence: associations with heart failure-related hospitalization
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