Randomized study of the effect of video education on heart failure healthcare utilization, symptoms, and self-care behaviors.
OBJECTIVE
Adherence to self-care behaviors improves heart failure (HF) morbidity and life quality. We examined short-term impact of video education (VE) in addition to standard education (SE) on HF healthcare utilization and self-care behavior adherence.


METHODS
One hundred and twelve hospitalized patients were randomly assigned to SE (n=53) or SE plus VE (n=59). Differences between groups were analyzed in patients who underwent 3-month follow-up (39 SE and 37 VE patients). Mean age was 60+/-14 years; mean HF length was 57 months.


RESULTS
Three-month healthcare utilization was similar between groups but VE patients needed less extra diuretic dosing (P<0.02), received more HF literature (P<0.03), and had less healthcare team telephone communication (P<0.04). VE patients had greater sign/symptom reduction (P<0.04); especially related to edema (P<0.01) and fatigue (P<0.01) and initiated more actions for edema (P<0.05) and dyspnea (with exercise or rest, both P<0.01). Overall, VE patients had a higher mean self-care behavior score (P<0.01), reflecting greater self-care adherence.


CONCLUSIONS
Video education prompts self-care behavior adherence to control worsening signs/symptoms of volume overload. During 3-month follow-up, utilization of most healthcare resources was unchanged.


CONCLUSIONS
VE is a useful adjunct to in-person education.
Albert
Nancy M
NM
Division of Nursing and George M. and Linda H. Kaufman, Center for Heart Failure, The Cleveland Clinic Foundation, Cleveland, USA. albertn@ccf.org
Buchsbaum
Robin
R
Li
Jianbo
J
D000223:Adaptation, Psychological; D000368:Aged; D002908:Chronic Disease; D003142:Communication; D004232:Diuretics / Q000627:therapeutic use; D004417:Dyspnea / Q000209:etiology; D004487:Edema / Q000209:etiology; D005221:Fatigue / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D015438:Health Behavior; D006296:Health Services / Q000706:statistics & numerical data*; D006333:Heart Failure / Q000150:complications / Q000517:prevention & control / Q000523:psychology*; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D015146:Midwestern United States; D010349:Patient Compliance / Q000523:psychology* / Q000706:statistics & numerical data; D010353:Patient Education as Topic / Q000379:methods*; D012648:Self Care / Q000523:psychology* / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D013664:Teaching Materials / Q000592:standards; D013689:Telephone; D014743:Videotape Recording / Q000592:standards*
D004232:Diuretics