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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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 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.
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.
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 & 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 <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 <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><subject>American Recovery & 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 & 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 & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMC cardiovascular disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jones, Christine D</au><au>Holmes, George M</au><au>DeWalt, Darren A</au><au>Erman, Brian</au><au>Wu, Jia-Rong</au><au>Cene, Crystal W</au><au>Baker, David W</au><au>Schillinger, Dean</au><au>Ruo, Bernice</au><au>Bibbins-Domingo, Kirsten</au><au>Macabasco-O'Connell, Aurelia</au><au>Hawk, Victoria</au><au>Broucksou, Kimberly</au><au>Pignone, Michael</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Self-reported recall and daily diary-recorded measures of weight monitoring adherence: associations with heart failure-related hospitalization</atitle><jtitle>BMC cardiovascular disorders</jtitle><addtitle>BMC Cardiovasc Disord</addtitle><date>2014-01-31</date><risdate>2014</risdate><volume>14</volume><issue>1</issue><spage>12</spage><epage>12</epage><pages>12-12</pages><artnum>12</artnum><issn>1471-2261</issn><eissn>1471-2261</eissn><abstract>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 <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 <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.</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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source | MEDLINE; DOAJ Directory of Open Access Journals; SpringerLink Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access; Springer Nature OA Free Journals |
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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