Does improvement in self-management skills predict improvement in quality of life and depressive symptoms? A prospective study in patients with heart failure up to one year after self-management education

Abstract

Background: Heart failure (HF) patient education aims to foster patients' self-management skills. These are assumed to bring about, in turn, improvements in distal outcomes such as quality of life. The purpose of this study was to test the hypothesis that change in self-reported self-management skills observed after participation in self-management education predicts changes in physical and mental quality of life and depressive symptoms up to one year thereafter. Methods: The sample comprised 342 patients with chronic heart failure, treated in inpatient rehabilitation clinics, who received a heart failure self-management education program. Latent change modelling was used to analyze relationships between both short-term (during inpatient rehabilitation) and intermediate-term (after six months) changes in self-reported self-management skills and both intermediate-term and long-term (after twelve months) changes in physical and mental quality of life and depressive symptoms. Results: Short-term changes in self-reported self-management skills predicted intermediate-term changes in mental quality of life and long-term changes in physical quality of life. Intermediate-term changes in self-reported self-management skills predicted long-term changes in all outcomes. Conclusions: These findings support the assumption that improvements in self-management skills may foster improvements in distal outcomes.

Factors affecting uptake of home hemodialysis among self‐care dialysis unit patients

“…Studies in diabetic patients and those with chronic heart failure have reported improved not only patient self-reported health, satisfaction, and quality of life but also better patient survival. [2][3][4][5] There have been few studies investigating self-care during hemodialysis and shared the responsibility of care. However, these limited studies have suggested that self-care during hemodialysis improved physical functioning, and greater knowledge of kidney disease and treatment improved quality of life.…”

The effects of supported shared‐care and hemodialysis self‐care on patient psychological well‐being, interdialytic weight gain, and blood pressure control

“…Not surprisingly, patients with chronic ill-health conditions frequently report relatively high levels of self-reported depression. 12 Self-help in HD is typically associated with home dialysis therapies, and as such the improvement in patient outcomes reported, 13 may be biased by patient selection. 4 A number of psychological theories, including human becoming theory, Bandura's self-efficacy theory, and Orem's self-care model, [5][6][7] have suggested that patients who take greater care of their own medical care have less depression and are more motivated to perform and promote activities designed to maintain or improve health care.…”

“…4 A number of psychological theories, including human becoming theory, Bandura's self-efficacy theory, and Orem's self-care model, [5][6][7] have suggested that patients who take greater care of their own medical care have less depression and are more motivated to perform and promote activities designed to maintain or improve health care. 8 Indeed, studies in other chronic healthcare conditions, diabetes mellitus and congestive heart failure have reported that patients who take greater control of their own medical care [9][10][11][12] reported a reduction in emotional burden, 9 short-term improvement in glycaemic control, 10 over-all quality of life, 11 and shortterm changes in self-reported self-management skills predicted intermediate-term changes in improved mental quality of life and long-term changes in better physical quality of life. 12 Self-help in HD is typically associated with home dialysis therapies, and as such the improvement in patient outcomes reported, 13 may be biased by patient selection.…”

“…8 Indeed, studies in other chronic healthcare conditions, diabetes mellitus and congestive heart failure have reported that patients who take greater control of their own medical care [9][10][11][12] reported a reduction in emotional burden, 9 short-term improvement in glycaemic control, 10 over-all quality of life, 11 and shortterm changes in self-reported self-management skills predicted intermediate-term changes in improved mental quality of life and long-term changes in better physical quality of life. 12 Self-help in HD is typically associated with home dialysis therapies, and as such the improvement in patient outcomes reported, 13 may be biased by patient selection. Similarly, short-term interventional studies based around self-affirmation theory have reported that HD patients can improve treatment compliance with reduction in serum phosphate and inter-dialytic weight gains.…”

Impact of Interactive Digital-Based Hepatitis C Education on Self-Management and Quality of Life of Damanhour University Students Having Hepatitis C.

“…Self-management interventions are one option for advancing improved HCV knowledge and health-related quality of life (HRQOL). (20,21) It is now well established that HCV is of universal importance, affecting all countries, leading to a major global health problem that requires widespread active interventions for its prevention and control (22) . Education is the cornerstone supporting the framework of self-management programs that teach patients to identify and prioritize their own problems, take appropriate action, and enlist the support needed to solve these problems in collaboration with health care providers and family.…”