The Self-care Educational Intervention for Patients With Heart Failure

Boyde, Mary; Peters, Robyn; Hwang, Rita; Korczyk, Dariusz; Ha, Tina; New, Nicole

doi:10.1097/jcn.0000000000000318

Cited by 18 publications

(10 citation statements)

References 19 publications

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“…Details regarding the patient recruitment, sample size, randomisation process, theoretical framework, education intervention and participant follow-up have been described in our previously published protocol paper. 24 Briefly, blinded randomisation using a computer-generated sequence and concealed envelopes allocated participants on a 1:1 basis to usual care or multimedia educational intervention. The intervention guided by andragogy began with a needs assessment to determine the individual participant's learning needs.…”

Section: Methodsmentioning

confidence: 99%

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Self-care educational intervention to reduce hospitalisations in heart failure: A randomised controlled trial

Boyde

Peters

New

et al. 2017

European Journal of Cardiovascular Nursing

109

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Section: Methodsmentioning

confidence: 99%

“…These resources were specifically developed for people with HF 25 and are described in detail in our previous publication. 24 The intervention was concluded using the teach-back approach to evaluate understanding of the main concepts. Participants were provided with a copy of the DVD and manual to use as learning resources at home.…”

Section: Methodsmentioning

confidence: 99%

Self-care educational intervention to reduce hospitalisations in heart failure: A randomised controlled trial

Boyde

Peters

New

et al. 2017

European Journal of Cardiovascular Nursing

109

View full text Add to dashboard Cite

show abstract

“…Previous studies have highlighted the importance of patient education in promoting adherence to the treatment plan and self-care recommendations. 13,14 In addition to providing education, for an intervention to be effective it is also necessary to consider the role of psychosocial factors in influencing behaviours and to address barriers that hinder behavioural changes. Therefore, the intervention needs to be multifactorial.…”

Section: Introductionmentioning

confidence: 99%

The development and pilot study of a nurse-led HOMe-based HEart failure self-Management Programme (the HOM-HEMP) for patients with chronic heart failure, following Medical Research Council guidelines

Jiang

Shorey

Nguyen

et al. 2019

European Journal of Cardiovascular Nursing

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Background: Chronic heart failure (CHF) is one of the most common causes of hospital admissions and readmissions. Managing CHF requires a comprehensive treatment plan that consists of medication treatment and behavioural change. However, patients often feel unprepared for their self-management role in the community, especially during the period of transition after discharge from hospital. Therefore, an effective intervention to promote CHF self-management is needed. Aims: This paper describes the development and pilot testing of a multicomponent nursing intervention (i.e. the HOM-HEMP) for a randomised controlled trial to assess its effectiveness in improving self-care behaviour among CHF patients in Singapore. A description of the study intervention is also delineated in detail. Methods: The HOM-HEMP was developed based on the UK Medical Research Council framework for developing and evaluating complex interventions. After the development of the study intervention, a single group pre- and post-repeated measure pilot test was conducted to evaluate the study intervention package for its acceptability and the feasibility of the data collection procedure. Ten participants were recruited through consecutive sampling. All of the participants received the full intervention package with the supplementary mobile application. The data were collected at baseline and immediately after the study intervention (i.e. 6 weeks from baseline). The outcome measures included the Self-Care Heart Failure Index, Cardiac Self-Efficacy Scale, Minnesota Living with Heart Failure Questionnaire, Hospital Anxiety and Depression Scale and Short Form of the Social Support Questionnaire. Results: The results from the pilot testing showed that the programme was feasible and potentially effective in improving patient’s self-care management, psychological outcomes and health-related quality of life. Conclusion: A self-management psychosocial education approach is the preferred choice for many patients with chronic diseases. The effectiveness of the HOM-HEMP will next be tested in a full scale randomised control trial.

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“…Engagement of patients and their families in HF education and self-management support has also been proven successful in reducing readmissions 26. Multiple studies have shown that providing patients with tools to manage their disease can have a direct effect on hospital admissions 27 28. This QI involved active engagement of patients with physicians and nursing staff.…”

Section: Discussionmentioning

confidence: 99%

Optimisation of diagnosis and treatment of heart failure in a primary care setting

et al. 2019

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BackgroundHeart failure (HF) is one of the leading causes of emergency department visits and hospital admissions in the USA. We identified a gap in the diagnosis and the use of guideline-directed medical therapy in patients with HF at the internal medicine clinic.AimTo improve the diagnosis and treatment of HF, as well as to reduce emergency department visits and hospitalisation over 12 months in patients aged 40–75 years.MethodsThe multidisciplinary quality improvement (QI) team performed a root cause analysis and identified barriers to optimal guideline-directed medical therapy. Rates of patients on guideline-directed medical therapy with systolic HF diagnosis, emergency department visits and hospital admissions were the outcome measures. The process measures included echocardiogram order and completion rates, and rates of accurate classification of HF from the baseline rate of less than 10%. We used the focus, analyse, develop, execute and evaluate (FADE) model with five improvement cycles. The major components of interventions included (1) leveraging health information technology; (2) optimising teamwork; and (3) providing education to patients, physicians and internal medicine clinic staff. Data were analysed using statistical process control and run charts.ResultsWe observed a reduction in the total number of emergency department visits (160 vs 108), hospital admissions (117 vs 114) and observation visits (22 vs 16) comparing the 1-year preproject and 1-year postproject periods. An increase in the use of ACE inhibitors or angiotensin receptor blockers occurred from the baseline rate of 20%–37% during the second half of the project and was sustained at 71.4% (median) during 6 months of the postproject period.ConclusionsWe achieved a sustainable increase in the accurate diagnosis of HF and achieved 80% diagnosis during the 6-month poststudy period.

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The Self-care Educational Intervention for Patients With Heart Failure

Abstract: This study evaluates the effectiveness of a targeted multimedia educational intervention. Study results may inform the design of in-hospital education for HF patients.

Cited by 18 publications

References 19 publications

Self-care educational intervention to reduce hospitalisations in heart failure: A randomised controlled trial

Self-care educational intervention to reduce hospitalisations in heart failure: A randomised controlled trial

The development and pilot study of a nurse-led HOMe-based HEart failure self-Management Programme (the HOM-HEMP) for patients with chronic heart failure, following Medical Research Council guidelines

Optimisation of diagnosis and treatment of heart failure in a primary care setting

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