Circulation: Heart Failure HHF Correlates of Quality of Life in Rural Heart Failure Patients Nesbitt et al: Heart Failure Patients Quality of Life Predictors CIRCHF/2013/000577 CIRCHF/2013/000577 10.1161/CIRCHEARTFAILURE.113.000577 7 11/18/14 6 Picillo Emily 617-542-5100 617-542-6539 Udelson, James E. Tufts Medical Center Dr. Jeffrey Allen Southard jeffrey.southard@ucdmc.ucdavis.edu Dr. University of California Davis Health System 4860 Y St., Suite 2820 Sacramento California 95817 UNITED STATES 916-734-3764 916-734-8394 144387 Thomas Nesbitt University of California Davis Health System thomas.nesbitt@ucdmc.ucdavis.edu 144388 Sahar Doctorvaladan University of California Davis Health System sahar.doctorvaladan@ucdmc.ucdavis.edu 144389 Jeffrey Allen Southard University of California Davis Health System jeffrey.southard@ucdmc.ucdavis.edu 144387 Satinder Singh University of California, Davis satinder.singh@ucdmc.ucdavis.edu 118086 Anne Fekete University of California Davis Health System anne.fekete@ucdmc.ucdavis.edu 144390 Kate Marie University of California, Davis Medical Center kate.marie@ucdmc.ucdavis.edu 143070 Debra K. Moser University of Kentucky dmoser@uky.edu 16459 Michele Pelter University of Nevada mpelter@unr.edu 134286 Susan Robinson University of California San Francisco susan.robinson@nursing.ucsf.edu 134290 Machelle Wilson University of California Davis Health System machelle.wilson@ucdmc.ucdavis.edu 144395 Lawton Cooper National Heart Institute cooperls@nhlbi.nih.gov 67993 Kathleen Dracup UCSF kathy.dracup@nursing.ucsf.edu 16877 06/19/2013 06/19/2013 07/31/2014 08/04/2014 08/27/2014 11/18/2014 Original Articles rural <p><b><i>Background</i></b>—There is abundant research indicating poor physical, psychological and social functioning of patients with chronic heart failure (HF), a reality that can lead to poor health related quality of life (HRQoL). Little is known about the experience of rural HF patients. </p><p><b><i>Methods and Results</i></b>—This study was part of a randomized clinical trial titled Rural Education to Improve Outcomes in Heart Failure (REMOTE-HF) designed to test an education and counseling intervention to improve self-care in patients with HF. We evaluated 612 rural patients. Multiple validated questionnaires were administered to assess patient perceptions of health and health literacy. Baseline factors were collected and compared to baseline QoL measures only. Patients' HRQoL was assessed using the Minnesota Living with Heart Failure (MLWHF) scale. The data were analyzed using a general linear model to test the association of various patient characteristics with quality of life in rural patients with HF. Patients were 65.8 (+12.9) years of age. The majority were male (58.7%), married (56.4%) and had completed a high school education (80.9%). Factors associated with reduced quality of life amongst this population include: geographic location, younger age, male gender, higher NYHA class, worse HF knowledge, poorer perceived control and symptoms of depression or anxiety. The data provided no evidence of an association between left ventricular ejection fraction and quality of life. </p><p><b><i>Conclusions</i></b>—This study of rural HF patients confirms previously identified factors associated with perceptions of quality of life. However, further study is warranted with an urban control group. </p><p><b><i>Clinical Trial Registration</i></b>—URL: http://www.clinicaltrials.gov. Unique identifier: NCT00415545.</p> 3 0 0 0 0 no yes CircHF_CIRCHF-2013-000577.xml CircHF_CIRCHF-2013-000577_file1.docx 000577 clinical perspective.docx CircHF_CIRCHF-2013-000577_merge.pdf CircHF_CIRCHF-2013-000577_Nesbitt_144388_disclosure.pdf CircHF_CIRCHF-2013-000577_Nesbitt_144388_copyright.pdf CircHF_CIRCHF-2013-000577_Doctorvaladan_144389_disclosure.pdf CircHF_CIRCHF-2013-000577_Doctorvaladan_144389_copyright.pdf CircHF_CIRCHF-2013-000577_Robinson_134290_disclosure.pdf CircHF_CIRCHF-2013-000577_Robinson_134290_copyright.pdf CircHF_CIRCHF-2013-000577_Fekete_144390_disclosure.pdf CircHF_CIRCHF-2013-000577_Fekete_144390_copyright.pdf CircHF_CIRCHF-2013-000577_Cooper_67993_disclosure.pdf CircHF_CIRCHF-2013-000577_Cooper_67993_copyright.pdf CircHF_CIRCHF-2013-000577_Marie_143070_disclosure.pdf CircHF_CIRCHF-2013-000577_Marie_143070_copyright.pdf CircHF_CIRCHF-2013-000577_Wilson_144395_disclosure.pdf CircHF_CIRCHF-2013-000577_Wilson_144395_copyright.pdf CircHF_CIRCHF-2013-000577_Singh_118086_disclosure.pdf CircHF_CIRCHF-2013-000577_Singh_118086_copyright.pdf CircHF_CIRCHF-2013-000577_Pelter_134286_disclosure.pdf CircHF_CIRCHF-2013-000577_Pelter_134286_copyright.pdf CircHF_CIRCHF-2013-000577_Dracup_16877_disclosure.pdf CircHF_CIRCHF-2013-000577_Dracup_16877_copyright.pdf CircHF_CIRCHF-2013-000577_Southard_144387_disclosure.pdf CircHF_CIRCHF-2013-000577_Southard_144387_copyright.pdf CircHF_CIRCHF-2013-000577_Moser_16459_disclosure.pdf CircHF_CIRCHF-2013-000577_Moser_16459_copyright.pdf Please charge authors $70 per page MS has clinical perspective Footnote: Drs Nesbitt and Doctorvaladan contributed equally to this work. Please set the flag 'exportcadmusahafundingtypecodes' with the funding type code of the sources you wish to list. Subject Codes: [110] Congestive [117] BehavioraUpsychosocial - treatment epicillo