Feasibility of a group-based self-management program among congestive heart failure patients

Smeulders, Esther S.T.F.; Haastregt, Jolanda C. M. van; Janssen-Boyne, J.; Stoffers, Jelle; Eijk, J.T.M. van; Kempen, Gertrudis I. J. M.

doi:10.1016/j.hrtlng.2009.01.007

Cited by 23 publications

(28 citation statements)

References 46 publications

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“…The poor opinion about action planning as observed in this study is inconsistent with other studies [26,27]. For instance, Smeulders et al and Rees et al found that the use of action planning was considered a strong point of their cognitive-behavioural self-management group intervention according to both participants and facilitators [26,27].…”

Section: Discussioncontrasting

confidence: 97%

Usefulness and acceptability of a standardised orientation and mobility training for partially-sighted older adults using an identification cane

Ballemans

Zijlstra

Rens³

et al. 2012

BMC Health Serv Res

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BackgroundOrientation and mobility (O&M) training in using an identification (ID) cane is provided to partially-sighted older adults to facilitate independent functioning and participation in the community. Recently, a protocolised standardised O&M-training in the use of the ID cane was developed in The Netherlands. The purpose of this study is to assess the usefulness and acceptability of both the standardised training and the regular training for participants and O&M-trainers in a randomised controlled trial (NCT00946062).MethodsThe standardised O&M-training consists of two structured face-to-face sessions and one telephone follow-up, in which, in addition to the regular training, self-management and behavioural change techniques are applied. Questionnaires and interviews were used to collect data on the training’s usefulness, e.g. the population reached, self-reported benefits or achievements, and acceptability, e.g. the performance of the intervention according to protocol and participants’ exposure to and engagement in the training.ResultsData was collected from 29 O&M-trainers and 68 participants. Regarding the self-reported benefits, outcomes were comparable for the standardised training and the regular training according the trainers and participants e.g., about 85% of the participants in both groups experienced benefits of the cane and about 70% gained confidence in their capabilities. Participants were actively involved in the standardised training. Nearly 40% of the participants in the standardised training group was not exposed to the training according to protocol regarding the number of sessions scheduled and several intervention elements, such as action planning and contracting.ConclusionsThe standardised and regular O&M-training showed to be useful and mostly acceptable for the partially-sighted older adults and trainers. Yet, a concern is the deviation from the protocol of the standardised O&M-training by the O&M-trainers regarding distinguishing elements such as action planning. Overall, participants appreciated both trainings and reported benefit.

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Section: Discussioncontrasting

confidence: 97%

Usefulness and acceptability of a standardised orientation and mobility training for partially-sighted older adults using an identification cane

Ballemans

Zijlstra

Rens³

et al. 2012

BMC Health Serv Res

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show abstract

“…Cognitive impairments such as memory and attention deficits and difficulties in learning and problem-solving are common among CHF patients [58]. If the CDSMP is applied to CHF patients, adjusting the programme to ten one-anda-half-hour sessions may, therefore, be considered [37]. Patients with severe cognitive impairments may be excluded from the programme.…”

Section: Practice Implicationsmentioning

confidence: 99%

“…However, as shown in the feasibility study conducted alongside the trial [37], twelve patients (10%) reported that they would have preferred attending the programme earlier after diagnosis or were already familiar with most of the content by the time they attended the programme.…”

Section: Practice Implicationsmentioning

confidence: 99%

“…trained pairs of nurse specialists and CHF patients) was studied [37]. These studies showed that the CDSMP was found applicable among CHF patients [37] and improved cardiac-specific quality of life, cognitive symptom management, self-care behaviour [59], and physical activity directly after the end of the programme [38]. However, except for physical activity, these effects did not endure in the longer term (i.e.…”

Section: Introductionmentioning

confidence: 99%

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Heart failure patients with a lower educational level and better cognitive status benefit most from a self-management group programme

Smeulders

Haastregt

Ambergen

et al. 2010

Patient Education and Counseling

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“…Studies have demonstrated the feasibility of groupbased self-management processes among patients with congestive heart failure (Smeulders et al, 2009) and other chronic diseases (Lorig et al, 2003). Even limited heart failure self-care education by video can change patient behaviors (Albert et al, 2003), leading to fewer symptoms of volume overload.…”

Section: In Chronic Disease Managementmentioning

confidence: 99%

Implementing the Chronic Disease Self Management Model in Vulnerable Patient Populations: Bridging the Chasm through Telemedicine

J¹,

Steinberg²,

Cardozo³

et al. 2011

Advances in Telemedicine: Technologies, Enabling Factors and Scenarios

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Feasibility of a group-based self-management program among congestive heart failure patients

Cited by 23 publications

References 46 publications

Usefulness and acceptability of a standardised orientation and mobility training for partially-sighted older adults using an identification cane

Usefulness and acceptability of a standardised orientation and mobility training for partially-sighted older adults using an identification cane

Heart failure patients with a lower educational level and better cognitive status benefit most from a self-management group programme

Implementing the Chronic Disease Self Management Model in Vulnerable Patient Populations: Bridging the Chasm through Telemedicine

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