Karin Meng1, Gunda Musekamp2, Michael Schuler2, Bettina Seekatz2, Johannes Glatz3, Gabriele Karger4, Ulrich Kiwus5, Ernst Knoglinger6, Rainer Schubmann7, Ronja Westphal8, Hermann Faller2. 1. Department of Medical Psychology, Medical Sociology, and Rehabilitation Sciences, University of Wuerzburg, Würzburg, Germany. Electronic address: k.meng@uni-wuerzburg.de. 2. Department of Medical Psychology, Medical Sociology, and Rehabilitation Sciences, University of Wuerzburg, Würzburg, Germany. 3. Rehabilitation Center Seehof, Teltow, Berlin, Germany. 4. Rehabilitation Hospital Heidelberg-Königstuhl, Heidelberg, Germany. 5. Rehabilitation Center Bad Nauheim-Rehabilitation Hospital Wetterau, Bad Nauheim, Germany. 6. Rehabilitation Hospital Kirchberg-Klinik, Bad Lauterberg, Germany. 7. Rehabilitation Hospital Möhnesee, Möhnesee, Germany. 8. Segeberger Kliniken GmbH, Rehabilitation Hospital, Bad Segeberg, Germany.
Abstract
OBJECTIVE: To evaluate a patient-centred self-management educational group program for patients with chronic systolic heart failure as compared to usual care education during inpatient cardiac rehabilitation. METHODS: A multicentre cluster randomized controlled trial of 475 patients was conducted. In the intervention condition, patients received the new self-management educational group program whereas in the control condition, patients received a short lecture-based educational program (usual care). The primary outcome was patients' self-reported self-management competence. Secondary outcomes included self-management health behaviour, health-related quality of life, and treatment satisfaction. Patients completed self-reported outcome measures at admission, discharge, and after 6 and 12 months. RESULTS: There was a significant small between-group intervention effect on certain dimension of patients' self-management competence (self-monitoring and insight) in short term (p<0.05). Furthermore, significant small effects were observed for treatment satisfaction at discharge as well as symptom monitoring after 6 months (p<0.05) and by trend on symptom monitoring and physical activity after 12 months. CONCLUSIONS: The patient-centred self-management program might be more effective in certain self-management outcomes than a usual care education in both short-term and long-term periods. PRACTICE IMPLICATIONS: Therefore, such programs may be considered for dissemination within cardiac rehabilitation.
RCT Entities:
OBJECTIVE: To evaluate a patient-centred self-management educational group program for patients with chronic systolic heart failure as compared to usual care education during inpatient cardiac rehabilitation. METHODS: A multicentre cluster randomized controlled trial of 475 patients was conducted. In the intervention condition, patients received the new self-management educational group program whereas in the control condition, patients received a short lecture-based educational program (usual care). The primary outcome was patients' self-reported self-management competence. Secondary outcomes included self-management health behaviour, health-related quality of life, and treatment satisfaction. Patients completed self-reported outcome measures at admission, discharge, and after 6 and 12 months. RESULTS: There was a significant small between-group intervention effect on certain dimension of patients' self-management competence (self-monitoring and insight) in short term (p<0.05). Furthermore, significant small effects were observed for treatment satisfaction at discharge as well as symptom monitoring after 6 months (p<0.05) and by trend on symptom monitoring and physical activity after 12 months. CONCLUSIONS: The patient-centred self-management program might be more effective in certain self-management outcomes than a usual care education in both short-term and long-term periods. PRACTICE IMPLICATIONS: Therefore, such programs may be considered for dissemination within cardiac rehabilitation.
Authors: Christine L Paul; Allison W Boyes; Lorna O'Brien; Amanda L Baker; Frans A Henskens; Ian Roos; Tara Clinton-McHarg; Douglas Bellamy; Glenda Colburn; Shiho Rose; Martine E Cox; Elizabeth A Fradgley; Hannah Baird; Daniel Barker Journal: JMIR Res Protoc Date: 2016-10-26
Authors: Christian Albus; Christoph Herrmann-Lingen; Katrin Jensen; Matthes Hackbusch; Nina Münch; Catharina Kuncewicz; Maurizio Grilli; Bernhard Schwaab; Bernhard Rauch Journal: Eur J Prev Cardiol Date: 2019-03-11 Impact factor: 7.804
Authors: Juliana de Melo Vellozo Pereira Tinoco; Lyvia da Silva Figueiredo; Paula Vanessa Peclat Flores; Bruna Lins Rocha de Padua; Evandro Tinoco Mesquita; Ana Carla Dantas Cavalcanti Journal: Rev Lat Am Enfermagem Date: 2021-07-19
Authors: Carolina Santiago de Araújo Pio; Gabriela Ss Chaves; Philippa Davies; Rod S Taylor; Sherry L Grace Journal: Cochrane Database Syst Rev Date: 2019-02-01