This study is a secondary analysis of data for 107 home health care heart failure patients. The
authors investigate the impact of patient characteristics and nursing visit intensity on change in
activities of daily living (ADL) status and instrumental activities of daily living (IADL) status and
improvement/stabilization of dyspnea. Prior hospital stay (β = .38, p = .001) and nursing visit
intensity (β = −.39, p = .001) predict improvement in ADL status. The model for change in IADL
status is not significant. Patients with more than two comorbidities (OR = 6.5, p = .04) and
patients who received higher nursing visit intensity (OR = 7.0, p = .04) are more likely to have
improved/stabilized dyspnea at home care discharge.