Web-Based Training and Telephone Follow-up of Patients With Heart Failure

Abstract

This study was carried out to determine the effect of Web-based training and telephone follow-up on symptom burden and health status in patients with heart failure. Patient training and postdischarge follow-up are necessary to improve symptom management and quality of life in patients with heart failure. In Turkey, Web-based education and phone monitoring are not very common yet. In this parallel randomized controlled trial, patients were allocated to a control group (n = 32) or an intervention group (n = 32). The control group received routine care, and the intervention group was administered the following interventions in addition to routine care: Web-based training, four-session telephone follow-up, and one text message weekly. All results regarding symptom management and quality of life were assessed beginning and at the 12th week. The Consolidated Standards of Reporting Trials checklist was used. In the 12th week after discharge, patients in the intervention group showed a significant improvement in terms of symptom burden and health status compared with the control group.

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

“…Data S2 illustrates the detailed characteristics of eligible articles. All eligible studies were published between the years 2011 and 2022, representing 2746 patients aged from 58.3 (İlaslan & Özer, 2021) to 78.7 (Yu, Lee, et al., 2015). The studies were conducted in Australia ( n = 2), China ( n = 6), Singapore ( n = 2), USA ( n = 7), South Korea ( n = 1), Turkey ( n = 1), Germany ( n = 1), Sweden ( n = 2), Japan ( n = 1), Iran ( n = 1) and Jordan ( n = 1).…”

“…Sixteen trials including 1570 participants provide available data for synthesis (Chew et al., 2021; Clark et al., 2015; Dekker et al., 2012; İlaslan & Özer, 2021; Jiang et al., 2021; Köberich et al., 2015; Leavitt et al., 2020; Lundgren et al., 2016; Otsu & Moriyama, 2011; Sadeghi Akbari et al., 2019; Saleh et al., 2022; Wang et al., 2017; Yu et al., 2022; Yu, Chair, et al., 2015; Yu, Lee, et al., 2015). The combined result demonstrated that, in comparison with the controls, nurse‐led HF self‐care interventions exhibited significantly large effects on improving the quality of life (SMD: .83, 95% CI: .50–1.15, p < .001, I 2 = 84%; Figure 3a).…”

“…Five trials including 381 subjects investigated the effectiveness of nurse‐led self‐care interventions on symptom burden (Clark et al., 2015; Graven et al., 2023; İlaslan & Özer, 2021; Saleh et al., 2022; Shao et al., 2013). The combined results revealed that compared to the controls, nurse‐led self‐care interventions had significantly large effects on reducing symptoms burden in this clinical cohort (SMD: .81, 95% CI: .24–1.38, p = .0053, I 2 = 82%; Figure 3c), which was shown to be robust in sensitivity analysis (Data S2).…”

“…We were concerned that the randomization process of five trials was bias since these trials did not provide clear information on the strategies used to achieve randomization and/or allocation concealment (Clark et al, 2015;Otsu & Moriyama, 2011;Redeker et al, 2022;Saleh et al, 2022;Yu, Chair, et al, 2015); moreover, Redeker et al (2022) were reported to have a statistically significant difference in one key baseline characteristic between groups. Nine articles were considered to have some concerns of bias in terms of the deviations from the intended intervention domain due to the usage of improper analytic strategies or vague information on the analyses (İlaslan & Özer, 2021;Jiang et al, 2021;Leavitt et al, 2020;Otsu & Moriyama, 2011;Redeker et al, 2022;Sadeghi Akbari et al, 2019;Saleh et al, 2022;Wang et al, 2017;Yu, Chair, et al, 2015). We are also concerned about the risk in measurement of the outcome domain for all the studies as double blinding is impossible in these studies and thus may affect the subjective outcome assessment.…”

“…Sixteen trials including 1570 participants provide available data for synthesis(Chew et al, 2021;Clark et al, 2015;Dekker et al, 2012;İlaslan & Özer, 2021;Jiang et al, 2021;Köberich et al, 2015;Leavitt et al, 2020;Lundgren et al, 2016;Otsu & Moriyama, 2011;Sadeghi Akbari et al, 2019;Saleh et al, 2022;Wang et al, 2017;Yu et al, 2022;Yu, Chair, et al, 2015;Yu, Lee, …”