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Heart Lung. 2009 Jan-Feb;38(1):25-33. doi: 10.1016/j.hrtlng.2008.04.004. Epub 2008 Aug 30.

The effect of shared medical visits on knowledge and self-care in patients with heart failure: a pilot study.

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Purdue University School of Nursing, West Lafayette, Indiana 47907, USA.



Patients with heart failure need education and support to improve knowledge and self-care. Shared medical groups that provide education and support have been successful in other patient populations. This study compares an advanced practice nurse-led shared medical appointment intervention in the office setting with standard care relative to self-care and knowledge among community-living adults with heart failure.


Participants were randomized to shared appointment and standard care groups, and completed the Heart Failure Knowledge Test and Self-Care Heart Failure Index at baseline and 8 weeks.


From baseline to 8 weeks, Heart Failure Knowledge Test scores improved more for the intervention group than the control group (F time X group = 4.90, df = 1.21; P = .038). There was no difference in groups' rates of change on the total Self-Care Heart Failure Index.


The findings reveal improved knowledge when education and support are provided in a shared medical appointment setting. The shared medical visit model may be feasible as a way to provide patients with heart failure and their families with ongoing education and a supportive environment.

[Indexed for MEDLINE]

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