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Journal of Nursing Administration:
doi: 10.1097/NNA.0b013e3182668342
Articles

Extending the Continuum of Care in Congestive Heart Failure: An Interactive Technology Self-management Solution

Austin, Linda S. MD; Landis, Catherine O. MN, RN; Hanger, Kenneth H. Jr MD

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Abstract

Objective: The goal of this study was to determine if an interactive voice response system (IVRS) with daily self-management and clinical monitoring messages would be well accepted by patients and reduce 30-day congestive heart failure (CHF) readmissions.

BACKGROUND: Patient adherence to a treatment regimen contributes to successful management following discharge for CHF. Cost-effective, scalable technology solutions can be useful tools in reducing readmissions.

METHODS: Sixty inpatients with a primary diagnosis of CHF were provided voice messages delivered via an Mp3 player. Following discharge, patients received daily IVRS messages with self-management tips based on self-reporting of symptoms.

RESULTS: Greater than a 50% reduction in the 30-day readmission rate was realized for intervention patients.

CONCLUSIONS: An IVRS self-management support system can be an effective technology to reduce CHF readmissions.

© 2012 Lippincott Williams & Wilkins, Inc.

 

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