Abstract
BackgroundPatients with chronic heart failure (CHF) experience a number of debilitating symptoms, which impact on activities of daily living and result in poor quality of life. Prospective memory, which is defined as memory to carry out future intentions, has not been investigated in this group. However, emerging evidence suggests CHF patients have difficulties with cognitive processes related to prospective memory. Self-care, which partly relies on prospective memory, is essential in symptom management and preventing acute clinical deterioration. This study aims to measure prospective memory in CHF patients, and examine the relationship between prospective memory and CHF self-care.Methods/DesignA comprehensive neuropsychological assessment will be conducted to assess a range of cognitive functions and psychopathology. The primary focus will be an assessment of prospective memory using a well-established behavioral measure; Virtual Week. Thirty CHF patients attending a nurse-led management program will be recruited from three hospital sites in Melbourne, Australia and their self-care behaviors will be assessed using the Self-care Chronic Heart Failure Index (SCHFI), a validated self-report tool. An additional 30 healthy controls, matched on age, gender, and IQ will be recruited from the general community.DiscussionThis is a group comparison study that will provide an evaluation of the prospective memory abilities of CHF patients. The findings of this research will provide insight into whether prospective memory may be hindering patients’ ability to perform adequate self-care.
Highlights
Patients with chronic heart failure (CHF) experience a number of debilitating symptoms, which impact on activities of daily living and result in poor quality of life
This is a group comparison study that will provide an evaluation of the prospective memory abilities of CHF patients
We propose that prospective memory is crucial for appropriate CHF self-care, for example in tasks involving medication, daily weighing, and initiating an appropriate response to changes in weight
Summary
If the findings indicate that prospective memory is associated with poor self-care outcomes, it will provide directions for research addressing cognitive impairments experienced by CHF patients. Improving prospective memory alongside the individualized application of educational and support strategies is likely to enhance critical everyday self-care actions and decisions Combining these two complimentary approaches into CHF management programs will increase the likelihood of enhancing functional independence for individuals diagnosed with CHF. He is currently leading the Cognition and Emotion Research Lab that conducts experimental psychology research in the field of cognitive psychology and neuropsychology
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