Effectiveness of daily activity record-based self-monitoring intervention for patients with chronic heart failure: A study protocol

Matsuda, Misako; Nao, Saito; Miyawaki, Ikuko

doi:10.1016/j.conctc.2022.101017

Cited by 3 publications

(7 citation statements)

References 44 publications

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“…Patients with stage D HF, 23,24 those receiving hemodialysis therapy, those who were unable to walk independently at home, those who were transferred to another hospital after being discharged, those who did not understand information concerning the study or had difficulty answering the Japanese questionnaire (severe cognitive impairment, lack of fluency in Japanese, inadequate vision and hearing), and those who were unable to participate in the study for any other reasons were excluded. 22 The participants were recruited from a tertiary care hospital in Japan that provides multidisciplinary inpatient and outpatient cardiac rehabilitation (CR) as per the HF guidelines. 23,24 The participants were stratified by sex and randomly allocated in a 1:1 ratio to the intervention group (group A; self-monitoring nursing intervention) that received self-monitoring nursing intervention support based on patients' daily activity records or the control group (group B; non-self-monitoring nursing intervention) that only received an explanation of the daily activity records.…”

Section: Methodsmentioning

confidence: 99%

“…The allocation sequence was sealed in an opaque envelope with serial numbers. 22,25,26 This sealed envelope was opened by a research nurse providing the intervention for the first time before the implementation of the assigned intervention. Our trial protocol has been previously published.…”

Section: Methodsmentioning

confidence: 99%

“…Our trial protocol has been previously published. 22 All participants provided written informed consent. The flow of participants is shown in Figure 1.…”

Section: Methodsmentioning

confidence: 99%

“…The self-monitoring intervention protocol was described in a previous study. 22 A trained research nurse who was not blinded to group allocation provided the interventions. All participants were asked to wear "Life Microscope" (Hitachi Ltd, Tokyo, Japan) wristwatch activity trackers, with accelerometers for 3 to 7 days after discharge.…”

Section: Study Interventionmentioning

confidence: 99%

“…We developed a self-monitoring intervention using the activity tracker to enable patients to perceive the changes in physical sensations associated with their daily activities, 22 focusing on symptom perception based on the theory of HF self-care. 8 The daily activity records were measured objectively, and the patients had the opportunity to recall and report their specific daily activities early after hospital discharge; they were asked to reflect on the physical sensations associated with them in their own words.…”

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confidence: 99%

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Effect of Daily Activity Record-Based Self-monitoring Intervention on the Perception of Physical Sensations in Patients With Chronic Heart Failure

Matsuda,

Saito,

Izawa

et al. 2023

J Cardiovasc Nurs

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Background To prevent rehospitalization for heart failure (HF), patients need to be able to perceive physical changes that occur at the onset of HF exacerbation and seek early help. Objective The aim of this study was to evaluate the effect of a self-monitoring intervention on patients' perceptions of physical sensations during daily activities in the context of HF via a randomized controlled trial. Methods Participants (N = 70) were randomly assigned to the intervention (received daily activity record-based self-monitoring intervention support; group A) or control (only explained the measured results from the records; group B) group. Group A reflected on and described the physical sensations in their daily activities within 1 month after discharge. Outcome measures were assessed at 1 month after the intervention using the European Heart Failure Self-care Behavior Scale, Evaluation Scale for Self-Monitoring by patients with Heart Failure, clinical events, physical activity, and sleep. Results There was no significant difference in the change in the “asking for help” subscale score of the European Heart Failure Self-care Behavior Scale between the groups (+0.7 vs +0.4 points, P = .716). Group A had improved score on the self-monitoring subscale related to “concern about how movements affect body” from baseline (from 12.7 to 14.0 points, P = .026). There was no significant effect of self-monitoring intervention support on the first rehospitalization related to HF and all-cause death (log-rank χ2 = 0.432, P = .511). A significant difference in moderate-intensity physical activity between the groups was observed (+4.6 vs −0.5 minutes, P = .029). Conclusions A focused strategy that enables patients to perceive their physical sensations and promotes early help-seeking behavior is needed.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

“…Our trial protocol has been previously published. 22 All participants provided written informed consent. The flow of participants is shown in Figure 1.…”

Section: Methodsmentioning

confidence: 99%

Section: Study Interventionmentioning

confidence: 99%

mentioning

confidence: 99%

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Effect of Daily Activity Record-Based Self-monitoring Intervention on the Perception of Physical Sensations in Patients With Chronic Heart Failure

Matsuda,

Saito,

Izawa

et al. 2023

J Cardiovasc Nurs

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Measuring Importance of Physical Self-Care Behavior in Patients with Heart Failure: Validation and Reliability Analysis of IPSC-14 Item Scale

Tsami

Κoutelekos

Gerogianni

et al. 2023

Clinics and Practice

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Introduction: Heart failure (HF) is a complex clinical syndrome associated with increased disability, morbidity and mortality globally. HF is characterized by recurrent exacerbations and a high rate of hospital readmissions. Self-care is a crucial component of treatment. The way patients assess the importance of self-care may shed light on planning effective individualized interventions. The aim of this study was to conduct a validity and reliability analysis of the new 14-item IPSC scale, which measures how important HF patients consider their physical self-care behavior (IPSC, Importance of Physical Self-Care). Material and Methods: The 14-item IPSC scale was created by the researchers to explore how important HF patients consider their physical self-care behavior. The validation of the IPSC scale included face and content validity, construct validity, internal consistency, repeatability and discriminant validity. Patients’ characteristics were also included. Results: In the present study, 52 hospitalized HF patients were enrolled, of whom 55.8% were female, 34.6% above 70 years old, 48.1% of NYHA class III and 32.7% suffered this illness from 6 to 10 years. The total IPSC score had a possible range of 14–56, with higher scores indicating a low importance of self-care. The descriptive statistics in the IPSC scale showed a mean score of 27.9 ± 4.9 and a median score of 29, indicating that HF patients evaluated self-care behavior as moderately important. All items were found to be statistically significantly correlated with total scale scores (p ≤ 0.05), with correlation coefficients rho > 0.250, indicating moderate to strong correlations and meaning that all items are important in the calculation of the final score (construct validity). The internal consistency of the items that constituted the total score was found to be high (Cronbach’s a > 0.7). Furthermore, it was found that scores had high repeatability (p ≤ 0.001 and ICCs > 0.7). Regarding discriminant validity, a statistically significant association was observed between the importance of physical self-care behavior and both years suffering the illness (p = 0.007) and the NYHA class (p = 0.030). Conclusion: The 14-item IPSC scale is a reliable instrument that help nurses in clinical settings to gain a better and prompt understanding of the importance which patients invest in their physical self-care behavior.

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Assessment Tools for Measuring Health Literacy and Digital Health Literacy in a Hospital Setting: A Scoping Review

Dijkman,

ter Brake,

Drossaert

et al. 2023

Healthcare

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Assessment of (digital) health literacy in the hospital can raise staff awareness and facilitate tailored communication, leading to improved health outcomes. Assessment tools should ideally address multiple domains of health literacy, fit to the complex hospital context and have a short administration time, to enable routine assessment. This review aims to create an overview of tools for measuring (digital) health literacy in hospitals. A search in Scopus, PubMed, WoS and CINAHL, following PRISMA guidelines, generated 7252 hits; 251 studies were included in which 44 assessment tools were used. Most tools (57%) were self-reported and 27% reported an administration time of <5 min. Almost all tools addressed the domain ‘understanding’ (98%), followed by ‘access’ (52%), ‘apply’ (50%), ‘appraise’ (32%), ‘numeracy’ (18%), and ‘digital’ (18%). Only four tools were frequently used: the Newest Vital Sign (NVS), the Short Test of Functional Health Literacy for Adults ((S)TOFHLA), the Brief Health Literacy Screener (BHLS), and the Health Literacy Questionnaire (HLQ). While the NVS and BHLS have a low administration time, they cover only two domains. HLQ covers the most domains: access, understanding, appraise, and apply. None of these four most frequently used tools measured digital skills. This review can guide health professionals in choosing an instrument that is feasible in their daily practice, and measures the required domains.

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Effectiveness of daily activity record-based self-monitoring intervention for patients with chronic heart failure: A study protocol

Cited by 3 publications

References 44 publications

Effect of Daily Activity Record-Based Self-monitoring Intervention on the Perception of Physical Sensations in Patients With Chronic Heart Failure

Effect of Daily Activity Record-Based Self-monitoring Intervention on the Perception of Physical Sensations in Patients With Chronic Heart Failure

Measuring Importance of Physical Self-Care Behavior in Patients with Heart Failure: Validation and Reliability Analysis of IPSC-14 Item Scale

Assessment Tools for Measuring Health Literacy and Digital Health Literacy in a Hospital Setting: A Scoping Review

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