The Effectiveness of a Structured Telephone Support Program for Rural Patients with Heart Failure
type: CreativeWork
description: The health of a population is influenced by the physical, social, cultural, and economic environment. Limited access to care has been cited as a reason why the Appalachian region of Kentucky has one of the highest rates of cardiovascular disease in the developed world. Kentucky ranked seventh in the nation for heart failure (HF) death rates 2007-2009. The objectives of this project were to evaluate the effectiveness of a structured telephone support program for HF management to improve self-care behaviors and quality of life and to reduce anxiety, 30 day readmission rates, and mortality rates in rural patients with heart failure. A quasi experimental one group pretest, posttest design was used to determine the effectiveness of a structured telephone program. A convenience sample of thirty patients admitted to 3 hospitals in rural Kentucky with a diagnosis of heart failure participated in the program. Prior to discharge from the hospital, patients were asked to complete the Minnesota Living with Heart Failure Questionnaire (MLHFQ), the Self-care of Heart Failure Index (SCHFI), which consists of 3 sections (A, B, C) designed to measure self-care maintenance, management, and confidence, and the state anxiety (S-Anxiety) scale of the State-Trait Anxiety Inventory (STAI). Approximately 72 hours after discharge and weekly for 4 weeks, patients were called by the project coordinator. During these calls, an evidence based script was used as a guide to provide patient education and clinical advice. During the last call, the MLHFQ, the SCHFI, and the S-Anxiety were repeated. Paired samples t-testing was performed to evaluate the impact of the program on participant's MLHFQ, SCHFI, and S-Anxiety scores. There was a significant decrease in scores on the MLHFQ from the pretest (M = 48.23, SD 8.74) to the posttest (M= 40.4667, SD 9.878), t (29) = 11.056, p < .005. There was a significant increase in SCHFI B scores from pretest (M = 44.80, SD 19.120) to posttest (M = 55.40, SD 15.…
abstract: The health of a population is influenced by the physical, social, cultural, and economic environment. Limited access to care has been cited as a reason why the Appalachian region of Kentucky has one of the highest rates of cardiovascular disease in the developed world. Kentucky ranked seventh in the nation for heart failure (HF) death rates 2007-2009. The objectives of this project were to evaluate the effectiveness of a structured telephone support program for HF management to improve self-care behaviors and quality of life and to reduce anxiety, 30 day readmission rates, and mortality rates in rural patients with heart failure. A quasi experimental one group pretest, posttest design was used to determine the effectiveness of a structured telephone program. A convenience sample of thirty patients admitted to 3 hospitals in rural Kentucky with a diagnosis of heart failure participated in the program. Prior to discharge from the hospital, patients were asked to complete the Minnesota Living with Heart Failure Questionnaire (MLHFQ), the Self-care of Heart Failure Index (SCHFI), which consists of 3 sections (A, B, C) designed to measure self-care maintenance, management, and confidence, and the state anxiety (S-Anxiety) scale of the State-Trait Anxiety Inventory (STAI). Approximately 72 hours after discharge and weekly for 4 weeks, patients were called by the project coordinator. During these calls, an evidence based script was used as a guide to provide patient education and clinical advice. During the last call, the MLHFQ, the SCHFI, and the S-Anxiety were repeated. Paired samples t-testing was performed to evaluate the impact of the program on participant's MLHFQ, SCHFI, and S-Anxiety scores. There was a significant decrease in scores on the MLHFQ from the pretest (M = 48.23, SD 8.74) to the posttest (M= 40.4667, SD 9.878), t (29) = 11.056, p < .005. There was a significant increase in SCHFI B scores from pretest (M = 44.80, SD 19.120) to posttest (M = 55.40, SD 15.…
author: Ansinelli, Debra J.
keywords: Nursing, Health care management
date published: 2013-05-01T07:00:00Z
date modified: 2026-07-24T06:14:31Z
provider: West Virginia University
publisher: Networked Digital Library of Theses and Dissertations
type: WebPage
source organization: West Virginia University

PropertyValue
property ID: DOI
value: 10.33915/etd.475