Self-management and Cognitive Function in Adults With Heart Failure
| Status: | Completed |
|---|---|
| Conditions: | Cognitive Studies, Peripheral Vascular Disease, Cardiology |
| Therapuetic Areas: | Cardiology / Vascular Diseases, Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 55 - 85 |
| Updated: | 4/21/2016 |
| Start Date: | June 2010 |
Cognitive Impairment and Self-management in Adults With Heart Failure
The purpose of this study is to assess the relationship between cognitive impairment,
patient self-management, health, and health service use in adults with heart failure (NYHA
Class 2 and 3). The research questions are:
1. How is cognitive impairment (memory, attention, global and executive function) related
to various aspects of impaired self-management (knowledge of adherence, adherence to
sodium restriction and medications, symptom monitoring of weight changes, and decision
and action to seek care)?
2. How are these relationships altered when adjusting for medical, demographic, and
psychosocial factors?
3. What are the relationships among degree of cognitive impairment, quality
self-management, health status, and health service use?
patient self-management, health, and health service use in adults with heart failure (NYHA
Class 2 and 3). The research questions are:
1. How is cognitive impairment (memory, attention, global and executive function) related
to various aspects of impaired self-management (knowledge of adherence, adherence to
sodium restriction and medications, symptom monitoring of weight changes, and decision
and action to seek care)?
2. How are these relationships altered when adjusting for medical, demographic, and
psychosocial factors?
3. What are the relationships among degree of cognitive impairment, quality
self-management, health status, and health service use?
Inclusion Criteria:
- documented systolic heart failure
- NYHA class II, III of at least 6 months duration
- 50-85 years of age
- has a telephone (land line) or be willing to allow a telephone installed for duration
of study
Exclusion Criteria:
- history of neurological disorder or injury
- moderate or severe head injury
- past or current history of severe psychiatric illness; specifically, psychotic
disorders and bipolar disorder
- 5 year past or current history of alcohol or drug abuse
- history of learning disorder or developmental disability
- renal failure requiring dialysis
- history of sleep apnea
- current home telemonitoring program to assist w/ HF self-management
- cardiac surgery < 3 months
We found this trial at
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