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

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


Objective: 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.

Methods: 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.

Results: 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.

Conclusion: 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.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Appointments and Schedules*
  • Female
  • Follow-Up Studies
  • Heart Failure / nursing
  • Heart Failure / psychology
  • Heart Failure / therapy*
  • Humans
  • Male
  • Office Visits / statistics & numerical data*
  • Outcome Assessment, Health Care
  • Patient Education as Topic / standards*
  • Pilot Projects
  • Retrospective Studies
  • Self Care / methods*
  • Self Care / statistics & numerical data
  • Surveys and Questionnaires