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Effects of a home-based activation intervention on self-management adherence and readmission in rural heart failure patients: the PATCH randomized controlled trial

Overview of attention for article published in BMC Cardiovascular Disorders, September 2016
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About this Attention Score

  • Good Attention Score compared to outputs of the same age (68th percentile)

Mentioned by

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1 policy source
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1 tweeter

Citations

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43 Dimensions

Readers on

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253 Mendeley
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Title
Effects of a home-based activation intervention on self-management adherence and readmission in rural heart failure patients: the PATCH randomized controlled trial
Published in
BMC Cardiovascular Disorders, September 2016
DOI 10.1186/s12872-016-0339-7
Pubmed ID
Authors

Lufei Young, Melody Hertzog, Susan Barnason

Abstract

Heart failure (HF) patients discharged from rural hospitals have higher 30-day readmission rates. Self-management (SM) reduces readmissions, but adherence to SM guidelines is low in the rural HF population. We tested a home-based intervention to enhance patient activation and lead to improved SM adherence. In this two-group, repeated measures randomized control trial, the main outcomes were patient reported and clinical outcomes associated with SM adherence, and all-cause readmission at 30, 90 and 180 days. The study included 100 HF patients discharged from a rural critical access hospital. The intervention group received a 12-week SM training and coaching program delivered by telephone and tailored on subjects' activation levels. At α = .10, the PATCH intervention showed significantly greater improvement compared to usual care in patient-reported SM adherence: weighing themselves, following a low-sodium diet, taking prescribed medication, and exercising daily (all p < .0005) at 3 and 6 months after discharge. In contrast, groups did not differ in physical activity assessed by actigraphy or in clinical biomarkers. Contrary to expectation, the 30-day readmission rate was significantly higher (p = .088) in the intervention group (19.6 %) than in the control group (6.1 %), with no differences at 90 or 180 days. It is feasible to conduct a randomized controlled trial in HF patients discharged from rural critical access hospitals. Significantly higher patient-reported SM adherence was not accompanied by lower clinical biomarkers or readmission rates. Further research is needed to understand mechanisms that influence outcomes and healthcare utilization in this population. ClinicalTrials.gov; NCT01964053 .

Twitter Demographics

The data shown below were collected from the profile of 1 tweeter who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 253 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
France 1 <1%
Unknown 252 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 29 11%
Student > Bachelor 28 11%
Student > Ph. D. Student 22 9%
Researcher 20 8%
Student > Postgraduate 15 6%
Other 50 20%
Unknown 89 35%
Readers by discipline Count As %
Nursing and Health Professions 49 19%
Medicine and Dentistry 41 16%
Unspecified 12 5%
Agricultural and Biological Sciences 7 3%
Social Sciences 5 2%
Other 35 14%
Unknown 104 41%

Attention Score in Context

This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 11 September 2018.
All research outputs
#4,866,748
of 17,362,547 outputs
Outputs from BMC Cardiovascular Disorders
#222
of 1,139 outputs
Outputs of similar age
#82,696
of 271,817 outputs
Outputs of similar age from BMC Cardiovascular Disorders
#1
of 1 outputs
Altmetric has tracked 17,362,547 research outputs across all sources so far. This one has received more attention than most of these and is in the 70th percentile.
So far Altmetric has tracked 1,139 research outputs from this source. They receive a mean Attention Score of 3.6. This one has done well, scoring higher than 79% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 271,817 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 68% of its contemporaries.
We're also able to compare this research output to 1 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them