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Table 2 In person training session outline

From: Comparison of a one-time educational intervention to a teach-to-goal educational intervention for self-management of heart failure: design of a randomized controlled trial

In Person Training Session

BEI Session

   • Overview of Heart Failure

   • Medication Adherence

â—¦ Taking pills at right times/not skipping doses

â—¦ Instruction on refilling prescriptions

◦ Discussing systems for taking pills – pill chart

â—¦ Stress bringing pill bottles to every doctor's visit

â—¦ Instruction on identifying the water pill

   • Salt Avoidance

â—¦ How salt effects the body

â—¦ Most foods contain salt

â—¦ Tips to decrease salt

â—¦ Common food high and low in salt

â—¦ How to read food labels

â—¦ Eating food with 140 mg/serving or less

   • Exercise(instruct only if approved by patient's MD)

â—¦ Benefits of exercise

â—¦ Is patient exercising now?

â—¦ Start slowly, work up to more

â—¦ Signs for when to stop exercising

   • Daily Self Assessment

â—¦ Assessing shortness of breath when walking

â—¦ Assess shortness of breath when sleeping

â—¦ Assessing dizziness/faintness

â—¦ Assessing swelling of the legs

â—¦ Weighting self daily

â—¦ Know target weight

(RANDOMIZATION TAKES PLACE)

   • BEI Conclusion – Having a Plan

â—¦ Review the 4 sections

â—¦ Review when to call the doctor

â—¦ Write doctor's phone number in workbook

â—¦ Review scale and how to use it

â—¦ Call your doctor with any questions

TTG Session

   • Diuretic Self Adjustment & Having a Plan

â—¦ Set target weight and record on Water Pill Guide

â—¦ Set diuretic adjustment schedule and record on Water Pill Guide

â—¦ Identifying water pill with sticker on bottle

â—¦ Explain how to record daily weights and doses

â—¦ Mailing weight and dose logs back to educator

â—¦ Practice diuretic adjustment with examples of different weight values

â—¦ When to call the doctor

   • TTG Follow-up

â—¦ Set up Follow-up phone calls

â—¦ Review recordkeeping and sending in logs to educator