The effects and cost‐effectiveness of an empowerment‐based self‐care programme in patients with chronic heart failure: A study protocol

Yu, Doris S.F.; Li, Polly W.C.; Yue, Sunny Chiu-Sun; Wong, John Chee Meng; Yan, Bryan; Tsang, Kin Keung; Choi, Kai Chow

doi:10.1111/jan.14162

Cited by 9 publications

(12 citation statements)

References 33 publications

(45 reference statements)

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“…Chinese data were obtained from two studies, including a descriptive study to identify the self‐care level of heart failure patients (Yu & Li, 2016) and a randomized controlled trial to evaluate the effects and cost‐effectiveness of an empowerment‐based self‐care intervention for heart failure (Yu et al., 2019). Patients were recruited from the cardiac clinics of two hospitals in Hong Kong.…”

Section: The Studymentioning

confidence: 99%

Cross‐cultural applicability of the Self‐Care Self‐Efficacy Scale in a multi‐national study

Maria

Barbaranelli

et al. 2020

Journal of Advanced Nursing

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Aim The Self‐Care Self‐Efficacy Scale (SCSES) was newly developed as a self‐report measure for self‐care self‐efficacy for chronic illness. This study investigated its measurement equivalence (ME) in different cultural groups, including United States, China (Hong Kong), Italy, and Brazil. Design A multi‐national study for cross‐cultural validation of the Scale. Methods From January 2015 ‐ December 2018, investigators recruited 957 patients (United State: 200; Hong Kong: 300; Italy: 285; and Brazil: 142) with chronic illness from inpatient and outpatient settings. The SCSES was administered and clinical and demographic data were collected from participants. Based on the Meredith framework, multi‐group confirmatory factor analysis evaluated the configural, metric, scalar, and strict invariance of the scale across the four populations through a series of nested models, with evaluation of reliability and coherence of the factor solution. Results The mean ages of the groups ranged from 65–77 years, 56.4% was male. The Cronbach's alpha coefficients of the single‐factor SCSES were 0.93, 0.89, 0.92, and 0.90 for the United States, China (Hong Kong), Italy, and Brazil, respectively. Three of the four levels of ME were partially or totally supported. The highest level achieved was partial scalar invariance level (χ2 [52] = 313.4, p < 0.001; RMSEA = 0.067; 95% CI = 0.056–0.077; CFI = 0.966; TLI = 0.960, SRMR = 0.080). Conclusion Patients from the four countries shared the same philosophical orientation towards scale items, although some of the items contributed differently to represent the concept and participants shared the same schemata for score interpretation. Impact Self‐efficacy is important in producing effective and sustainable self‐care behavioural changes. Cultural ideation shapes the ways individuals interpret and report their self‐care self‐efficacy. The study findings support cross‐cultural and cross‐national utility of the SCSES for research on self‐care across United States, China (Hong Kong), Italy, and Brazil.

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Section: The Studymentioning

confidence: 99%

Cross‐cultural applicability of the Self‐Care Self‐Efficacy Scale in a multi‐national study

Maria

Barbaranelli

et al. 2020

Journal of Advanced Nursing

Self Cite

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“…According to the American Heart Association, the prevalence of HF in US adults increased by 8.7% from 2009 to 2016 and is projected to increase by 46% from 2012 to 2030 (Virani et al., 2020; Zuraida et al., 2021). As HF is a long‐term and progressive condition, its impact on patients is not only manifested in physical malfunction, frequent hospital readmissions and high mortality rates, but also in patient‐centred outcomes such as compromised quality of life, symptom burden, sleep disturbance and psychological distress (Yu et al., 2019). This demonstrates that the management of HF should be multifaceted.…”

Section: Introductionmentioning

confidence: 99%

Effects of nurse‐led self‐care interventions on health outcomes among people with heart failure: A systematic review and meta‐analysis

Huang,

Liu,

Gao

et al. 2023

Journal of Clinical Nursing

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AimTo estimate the effects of nurse‐led self‐care interventions on people with heart failure (HF).BackgroundResearch evidence of the effects of nurse‐led HF self‐care interventions on patient outcomes is scant.DesignA systematic review and meta‐analysis of randomised controlled trials (RCTs).Data SourcesSix databases (MEDLINE, Embase, Web of Science, CENTRAL, CINAHL and PsycINFO) were searched from the inception to December 2022 to identify eligible studies.MethodsRCTs published in English that evaluated the impact of nurse‐led HF self‐care interventions on quality of life, anxiety, symptom burden, sleep quality, healthcare service utilisation and mortality were included. The risk of bias in included studies was assessed using RoB 2.0. We conducted data syntheses using the R software and graded the quality of the evidence using the GRADE approach. The systematic review was conducted in accordance with the PRISMA.ResultsTwenty‐five studies with 2746 subjects were included. Our findings demonstrated, that compared to the controls, nurse‐led self‐care interventions improved QOL (SMD: .83, 95% CI: .50–1.15, moderate evidence), anxiety (MD: 1.39, 95% CI: .49–2.29, high evidence) and symptom burden (SMD: .81, 95% CI: .24–1.38, low evidence) in people with HF. No significant effects were found in all‐cause hospital readmission and all‐cause emergency department visit. Research evidence on sleep quality, cardiac‐related hospital readmission, cardiac‐related emergency department visit and all‐cause mortality remained unclear.ConclusionsOur review suggests that nurse‐led HF self‐care interventions have favourable effects on the QOL, anxiety and symptom burden. Further, well‐designed RCTs are warranted to address the gaps identified in this review.Relevance to Clinical PracticeThe results indicated that nurse‐led HF self‐care interventions could improve QOL, anxiety and symptom burden in people with HF. Nurse‐led self‐care intervention could be integrated into current HF management practices.

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“…Ante esta situación, hay autores que señalan la necesidad de que se diseñen intervenciones eficaces que capaciten a los pacientes para llevar el control de la enfermedad en su vida diaria 12 . En concreto, se ha visto la conveniencia de promover en ellos una participación más activa en todo su proceso, junto con la importancia de que asuman los cambios precisos para mejorar su calidad de vida y la responsabilidad de su cuidado.…”

Section: A H E a D O F P R I N T Introducciónunclassified

“…En esta línea, la OMS 14 ya en 2003, apuntaba la necesidad de que los profesionales de la salud promoviesen un cuidado innovador con un enfoque educativo que empoderase a los pacientes; es decir, mediante el cual las personas adquieran un mayor control sobre las decisiones y acciones que afectan a su salud 15 . Un enfoque basado en el empoderamiento puede promover el hecho de que los pacientes se conviertan en agentes activos a la hora de tomar decisiones sobre su propia salud, desarrollando las capacidades y la motivación necesarias para manejar su proceso y lograr integrarlo en su vida 12 . En este sentido, Garcimartín y col 16 afirmaron que, para lograr un mayor empoderamiento, es esencial que las personas desarrollen habilidades específicas, tengan acceso a la información y a los recursos disponibles, y obtengan la oportunidad de participar e influir en los factores que afectan a su salud y a su bienestar.…”

Section: A H E a D O F P R I N T Introducciónunclassified

Level of empowerment of hospitalized chronic heart failure patient

Paloma

Olano‐Lizarraga²,

Rumeu-Casares³

et al. 2021

An Sist Sanit Navar

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The effects and cost‐effectiveness of an empowerment‐based self‐care programme in patients with chronic heart failure: A study protocol

Cited by 9 publications

References 33 publications

Cross‐cultural applicability of the Self‐Care Self‐Efficacy Scale in a multi‐national study

Cross‐cultural applicability of the Self‐Care Self‐Efficacy Scale in a multi‐national study

Effects of nurse‐led self‐care interventions on health outcomes among people with heart failure: A systematic review and meta‐analysis

Level of empowerment of hospitalized chronic heart failure patient

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