Trial Outcomes & Findings for Teach-Back Discharge Education to Improve Self-Care and Reduce 30-Day Readmissions in Heart Failure Patients (NCT NCT07280208)
NCT ID: NCT07280208
Last Updated: 2026-02-25
Results Overview
The 9-item European Heart Failure Self-Care Behavior Scale (EHFScB-9) was used to assess self-care behaviors. Each item is scored on a 5-point Likert scale ranging from 1 ("completely agree") to 5 ("do not agree at all"), producing a total score range of 9 to 45. The outcome represents the change in total EHFScB-9 score from baseline (pre-intervention) to immediately post-intervention following the discharge education session. Lower total scores indicate better self-care performance (more consistent adherence to recommended behaviors), while higher total scores indicate poorer self-care performance (less consistent adherence).
COMPLETED
NA
57 participants
Baseline (pre-intervention) and immediately post-intervention on the same day, up to 35 minutes after the start of the education session.
2026-02-25
Participant Flow
Recruitment occurred over a 30-day period (Sep 11-Oct 11, 2025) on inpatient medical/cardiac units at a single hospital. Potential participants were identified during routine care by an advanced heart failure cardiologist and referred to the primary investigator, who screened eligibility at discharge and obtained electronic consent via REDCap using a QR code in the patient's room.
Participant milestones
| Measure |
Teach-Back Education Intervention
A structured, in-person discharge education session using the teach-back method at hospital discharge. The session addressed heart failure self-care behaviors (e.g., medication adherence, symptom monitoring, fluid restriction, and dietary recommendations). Participants restated instructions in their own words to demonstrate understanding. Printed American Heart Association materials were provided.
|
|---|---|
|
Overall Study
STARTED
|
57
|
|
Overall Study
COMPLETED
|
57
|
|
Overall Study
NOT COMPLETED
|
0
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
All enrolled participants met the age eligibility requirement (≥18 years).
Baseline characteristics by cohort
| Measure |
Teach-Back Education Intervention
n=57 Participants
Single-group intervention in which hospitalized adults with heart failure received a structured teach-back discharge education session prior to discharge. Participants completed the baseline EHFScB-9 before the session and completed the post-intervention EHFScB-9 after the session.
|
|---|---|
|
Age, Customized
18 years and older
|
57 Participants
n=57 Participants • All enrolled participants met the age eligibility requirement (≥18 years).
|
|
Pre-intervention EHFScB-9 Total Score
|
27.96 EHFScB-9 scores on a scale (9-45)
STANDARD_DEVIATION 7.81 • n=57 Participants
|
PRIMARY outcome
Timeframe: Baseline (pre-intervention) and immediately post-intervention on the same day, up to 35 minutes after the start of the education session.Population: All participants with both baseline and immediate post-intervention EHFScB-9 scores were included in the analysis.
The 9-item European Heart Failure Self-Care Behavior Scale (EHFScB-9) was used to assess self-care behaviors. Each item is scored on a 5-point Likert scale ranging from 1 ("completely agree") to 5 ("do not agree at all"), producing a total score range of 9 to 45. The outcome represents the change in total EHFScB-9 score from baseline (pre-intervention) to immediately post-intervention following the discharge education session. Lower total scores indicate better self-care performance (more consistent adherence to recommended behaviors), while higher total scores indicate poorer self-care performance (less consistent adherence).
Outcome measures
| Measure |
Teach-Back Education Intervention
n=57 Participants
Participants received a structured discharge education session delivered in person using the teach-back method at hospital discharge. The session addressed heart failure self-care behaviors, including medication adherence, symptom monitoring, fluid restriction, and dietary recommendations. Participants restated instructions in their own words to demonstrate understanding. Printed American Heart Association materials were also provided.
|
|---|---|
|
Change in Heart Failure Self-Care Behaviors (EHFScB-9 Total Score)
|
-17.89 EHFScB-9 total scores on a scale (9-45)
Standard Deviation 8.17
|
SECONDARY outcome
Timeframe: Assessed during the 30-day period following hospital discharge.Readmission status was determined from hospital records and participants were classified as readmitted (Yes) or not readmitted (No) within 30 days of discharge. Data are displayed as counts in the results table.
Outcome measures
| Measure |
Teach-Back Education Intervention
n=57 Participants
Participants received a structured discharge education session delivered in person using the teach-back method at hospital discharge. The session addressed heart failure self-care behaviors, including medication adherence, symptom monitoring, fluid restriction, and dietary recommendations. Participants restated instructions in their own words to demonstrate understanding. Printed American Heart Association materials were also provided.
|
|---|---|
|
Number of Participants With 30-Day Heart Failure Readmission
|
1 Participants
|
Adverse Events
Teach-Back Education Intervention
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Sara Bierschenk, Principal Investigator
Nova Southeastern University - Ron and Kathy Assaf College of Nursing
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place