{
  "abstract": "Background: Heart failure readmissions remain high, often driven by poor understanding of discharge instructions and suboptimal self-care behaviors.\n\nProject Rationale: Inconsistent discharge communication, limited patient understanding of discharge instructions, and suboptimal self-care behaviors were identified as key contributors to heart failure readmissions.\n\nProject Summary: A quasi-experimental pre–post quality improvement project assessed the implementation of structured teach-back discharge education in 57 hospitalized patients with heart failure. Self-care behaviors were measured using the European Heart Failure Self-Care Behavior Scale-9 scale. Improvements were observed across all self-care behaviors (P < 0.001), with large effect sizes (Hedges’ g = 2.16). At 30 days, 1 of 57 patients (1.8%) was readmitted.\n\nTake-Home Message: Structured teach-back discharge education is a simple, scalable strategy that may improve patient understanding of discharge instructions, strengthen heart failure self-care behaviors, and support safer transitions of care.",
  "abstract_shown": true,
  "affiliations": [
    "Advanced Heart Failure, HCA Florida JFK Hospital, Atlantis, Florida, USA"
  ],
  "article_type": "case report",
  "arxiv": null,
  "author_total": 1,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Sara E. Bierschenk"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/7d8yyg6jr22j1.bib",
  "cited_by": 0,
  "doi": "10.1016/j.jaccas.2026.109234",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13728277/",
  "id": "7d8yyg6jr22j1",
  "issns": [
    "2666-0849"
  ],
  "landing_url": "https://doi.org/10.1016/j.jaccas.2026.109234",
  "language": "en",
  "licence": "CC-BY-NC-ND-4.0",
  "licence_label": "CC BY-NC-ND 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Heart Failure and Cardiomyopathies"
    ],
    [
      "heading",
      "Quality Improvement Projects"
    ],
    [
      "openalex",
      "2705|Heart Failure Treatment and Management"
    ]
  ],
  "openalex": "W7213428283",
  "pdf_url": null,
  "pmcid": "PMC13728277",
  "pmid": "42752036",
  "published": "2026-09-16",
  "publisher": "Elsevier",
  "ris": "https://research.draconitic.com/paper/7d8yyg6jr22j1.ris",
  "sources": [
    {
      "first_seen": "2026-11-06T12:23:59Z",
      "native_id": "PMC13728277",
      "source": "pmc",
      "url": "https://doi.org/10.1016/j.jaccas.2026.109234"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2705|Heart Failure Treatment and Management",
      "subfield": "cardiovascular"
    }
  ],
  "title": "Structured Teach-Back Discharge Education and Heart Failure Self-Care",
  "title_text": "Structured Teach-Back Discharge Education and Heart Failure Self-Care",
  "type": "peer-reviewed",
  "updated_at": "2026-11-07T12:21:18Z",
  "url": "https://research.draconitic.com/paper/7d8yyg6jr22j1",
  "venue": "JACC Case Reports",
  "versions": []
}