Citation
Impact of a Post Emergency Department Intervention in Patients with Limited Health Literacy and Cardiovascular Disease

Material Information

Title:
Impact of a Post Emergency Department Intervention in Patients with Limited Health Literacy and Cardiovascular Disease
Creator:
Bliven, Sean Patrick
Publication Date:

Subjects

Subjects / Keywords:
Cardiovascular diseases ( jstor )
Coaching ( jstor )
Diseases ( jstor )
Health care industry ( jstor )
Health literacy ( jstor )
Health surveys ( jstor )
Hypertension ( jstor )
Older adults ( jstor )
Psychoeducational intervention ( jstor )
Quality of life ( jstor )
Genre:
Undergraduate Honors Thesis

Notes

Abstract:
Cardiovascular disease (CVD) while largely preventable, is the leading cause of death in the US. Seniors with limited health literacy (LHL) are at high risk of CVD. These vulnerable patients also make emergency department (ED) visits to address health crises. An ED intervention may help these patients get information they need to better manage their health. A randomized controlled trial of Medicare beneficiaries was conducted in two EDs. Patients were assigned to a post-ED coaching intervention or usual care. Health literacy, self-reported comorbidities, and informational support were recorded at baseline and 30 days after ED discharge. Changes in self-reported informational support were compared between intervention and usual care groups. Patients with LHL had significantly higher rates of hypertension and CVD compared to those with adequate health literacy. Usual care patients experienced a significant drop (3.2, p<0.0001) in informational support after ED discharge while the intervention group did not. A large decline in informational support in patients with LHL and hypertension was reduced by the intervention (intervention 4.004, p<0.0001, usual care 1.844, p=0.034). An ED-to-Home coaching program improves informational support in patients at high risk of adverse outcomes from CVD. ( en )
General Note:
Undergraduate Honors Thesis -Biology (Medical Honors Program)

Record Information

Source Institution:
University of Florida
Rights Management:
Copyright Sean Patrick Bliven. Permission granted to the University of Florida to digitize, archive and distribute this item for non-profit research and educational purposes. Any reuse of this item in excess of fair use or other copyright exemptions requires permission of the copyright holder.

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mods:abstract lang en Cardiovascular disease (CVD) while largely preventable, is the leading cause of death in the US. Seniors with limited health literacy (LHL) are at high risk of CVD. These vulnerable patients also make emergency department (ED) visits to address health crises. An ED intervention may help these patients get information they need to better manage their health. A randomized controlled trial of Medicare beneficiaries was conducted in two EDs. Patients were assigned to a post-ED coaching intervention or usual care. Health literacy, self-reported comorbidities, and informational support were recorded at baseline and 30 days after ED discharge. Changes in self-reported informational support were compared between intervention and usual care groups.
Patients with LHL had significantly higher rates of hypertension and CVD compared to those with adequate health literacy. Usual care patients experienced a significant drop (3.2, p<0.0001) in informational support after ED discharge while the intervention group did not. A large decline in informational support in patients with LHL and hypertension was reduced by the intervention (intervention 4.004, p<0.0001, usual care 1.844, p=0.034).
An ED-to-Home coaching program improves informational support in patients at high risk of adverse outcomes from CVD.
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