{"id":"https://openalex.org/W7213428283","doi":"https://doi.org/10.1016/j.jaccas.2026.109234","title":"Structured Teach-Back Discharge Education and Heart Failure Self-Care","display_name":"Structured Teach-Back Discharge Education and Heart Failure Self-Care","publication_year":2026,"publication_date":"2026-09-01","ids":{"openalex":"https://openalex.org/W7213428283","doi":"https://doi.org/10.1016/j.jaccas.2026.109234","pmid":"https://pubmed.ncbi.nlm.nih.gov/42752036","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13728277"},"language":"en","primary_location":{"id":"doi:10.1016/j.jaccas.2026.109234","doi":"https://doi.org/10.1016/j.jaccas.2026.109234","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jaccas.2026.109234","pdf_url":null,"source":{"id":"https://openalex.org/S4210180918","display_name":"JACC Case Reports","issn_l":"2666-0849","issn":["2666-0849"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-20"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACC: Case Reports","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1016/j.jaccas.2026.109234","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5139465339","display_name":"Sara Bierschenk","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210088384","display_name":"John F. Kennedy Medical Center","ror":"https://ror.org/0070ga397","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210088384"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Sara E. Bierschenk","raw_affiliation_strings":["Advanced Heart Failure, HCA Florida JFK Hospital, Atlantis, Florida, USA. Electronic address: Sara.Bierschenk@HCAhealthcare.com"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Advanced Heart Failure, HCA Florida JFK Hospital, Atlantis, Florida, USA. Electronic address: Sara.Bierschenk@HCAhealthcare.com","institution_ids":["https://openalex.org/I4210088384"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5139465339"],"corresponding_institution_ids":["https://openalex.org/I4210088384"],"apc_list":{"value":850,"currency":"USD","value_usd":850},"apc_paid":{"value":850,"currency":"USD","value_usd":850},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.68274774,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"31","issue":"37","first_page":"109234","last_page":"109234"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10198","display_name":"Heart Failure Treatment and Management","score":0.9843999743461609,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10198","display_name":"Heart Failure Treatment and Management","score":0.9843999743461609,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13117","display_name":"Health Education and Validation","score":0.001500000013038516,"subfield":{"id":"https://openalex.org/subfields/2922","display_name":"Research and Theory"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10827","display_name":"Patient-Provider Communication in Healthcare","score":0.0013000000035390258,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/heart-failure","display_name":"heart failure","score":0.9480000138282776},{"id":"https://openalex.org/keywords/teach-back","display_name":"teach-back","score":0.6869999766349792},{"id":"https://openalex.org/keywords/discharge-education","display_name":"discharge education","score":0.9480000138282776},{"id":"https://openalex.org/keywords/self-care-behavior","display_name":"self-care behavior","score":0.6949999928474426},{"id":"https://openalex.org/keywords/heart-failure-readmission","display_name":"heart failure readmission","score":0.953000009059906},{"id":"https://openalex.org/keywords/care-transitions","display_name":"care transitions","score":0.8759999871253967},{"id":"https://openalex.org/keywords/quality-improvement","display_name":"quality improvement","score":0.6079999804496765}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7178000211715698},{"id":"https://openalex.org/C2778198053","wikidata":"https://www.wikidata.org/wiki/Q181754","display_name":"Heart failure","level":2,"score":0.6922000050544739},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.41179999709129333},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.39320001006126404},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.34610000252723694},{"id":"https://openalex.org/C2780074459","wikidata":"https://www.wikidata.org/wiki/Q389735","display_name":"Heart disease","level":2,"score":0.28040000796318054},{"id":"https://openalex.org/C3018906752","wikidata":"https://www.wikidata.org/wiki/Q844935","display_name":"Coronary heart disease","level":2,"score":0.26269999146461487},{"id":"https://openalex.org/C500558357","wikidata":"https://www.wikidata.org/wiki/Q12152","display_name":"Myocardial infarction","level":2,"score":0.2574999928474426},{"id":"https://openalex.org/C178853913","wikidata":"https://www.wikidata.org/wiki/Q1642137","display_name":"Hemodynamics","level":2,"score":0.2572000026702881},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.2549000084400177}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1016/j.jaccas.2026.109234","doi":"https://doi.org/10.1016/j.jaccas.2026.109234","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jaccas.2026.109234","pdf_url":null,"source":{"id":"https://openalex.org/S4210180918","display_name":"JACC Case Reports","issn_l":"2666-0849","issn":["2666-0849"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-20"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACC: Case Reports","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13728277","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13728277/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13728277/pdf/main.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACC Case Rep","raw_type":"Text"},{"id":"pmid:42752036","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42752036","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACC. Case reports","raw_type":"Case Reports"},{"id":"pmh:oai:doaj.org/article:2697ff19d7ea4cf2bfc2050d26081a00","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/2697ff19d7ea4cf2bfc2050d26081a00","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"JACC: Case Reports, Vol 31, Iss 37, Pp 109234- (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1016/j.jaccas.2026.109234","doi":"https://doi.org/10.1016/j.jaccas.2026.109234","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jaccas.2026.109234","pdf_url":null,"source":{"id":"https://openalex.org/S4210180918","display_name":"JACC Case Reports","issn_l":"2666-0849","issn":["2666-0849"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-20"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACC: Case Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.98580002784729,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/clinical-trial","display_name":"Clinical Trial"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7213428283.pdf","grobid_xml":"https://content.openalex.org/works/W7213428283.grobid-xml"},"referenced_works_count":7,"referenced_works":["https://openalex.org/W2131710673","https://openalex.org/W3194638773","https://openalex.org/W4206831265","https://openalex.org/W4220837239","https://openalex.org/W4289109046","https://openalex.org/W4308195260","https://openalex.org/W4319066174"],"related_works":["https://openalex.org/W4380715141","https://openalex.org/W3109497523","https://openalex.org/W3111650385","https://openalex.org/W4319066174","https://openalex.org/W2730793750","https://openalex.org/W3037979260","https://openalex.org/W2282065545","https://openalex.org/W123862340","https://openalex.org/W4308195260","https://openalex.org/W2030522659"],"abstract_inverted_index":{"BACKGROUND:":[0],"Heart":[1,72],"failure":[2,40,127],"readmissions":[3],"remain":[4],"high,":[5],"often":[6],"driven":[7],"by":[8],"poor":[9],"understanding":[10,25,121],"of":[11,26,53,100,122,134],"discharge":[12,21,27,56,110,123],"instructions":[13],"and":[14,29,130],"suboptimal":[15,30],"self-care":[16,31,83,128],"behaviors.":[17],"PROJECT":[18,42],"RATIONALE:":[19],"Inconsistent":[20],"communication,":[22],"limited":[23],"patient":[24,120],"instructions,":[28,124],"behaviors":[32,66,84],"were":[33,67,79],"identified":[34],"as":[35],"key":[36],"contributors":[37],"to":[38],"heart":[39,63,126],"readmissions.":[41],"SUMMARY:":[43],"A":[44],"quasi-experimental":[45],"pre-post":[46],"quality":[47],"improvement":[48],"project":[49],"assessed":[50],"the":[51,70],"implementation":[52],"structured":[54],"teach-back":[55,109],"education":[57,111],"in":[58],"57":[59,101],"hospitalized":[60],"patients":[61,102],"with":[62,88],"failure.":[64],"Self-care":[65],"measured":[68],"using":[69],"European":[71],"Failure":[73],"Self-Care":[74],"Behavior":[75],"Scale-9":[76],"scale.":[77],"Improvements":[78],"observed":[80],"across":[81],"all":[82],"(P":[85],"<":[86],"0.001),":[87],"large":[89],"effect":[90],"sizes":[91],"(Hedges'":[92],"g":[93],"=":[94],"2.16).":[95],"At":[96],"30":[97],"days,":[98],"1":[99],"(1.8%)":[103],"was":[104],"readmitted.":[105],"TAKE-HOME":[106],"MESSAGE:":[107],"Structured":[108],"is":[112],"a":[113],"simple,":[114],"scalable":[115],"strategy":[116],"that":[117],"may":[118],"improve":[119],"strengthen":[125],"behaviors,":[129],"support":[131],"safer":[132],"transitions":[133],"care.":[135]},"counts_by_year":[],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2026-09-17T00:00:00"}
