What Are Effective Program Characteristics of Self-Management Interventions in Patients With Heart Failure? [Elektronisk resurs] An Individual Patient Data Meta-analysis
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Jonkman, Nini H. (författare)
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Westland, Heleen (författare)
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Groenwold, Rolf H. H. (författare)
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Ågren, Susanna (författare)
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Anguita, Manuel (författare)
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Blue, Lynda (författare)
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Bruggink-André de la Porte, Pieta W. F. (författare)
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DeWalt, Darren A. (författare)
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Hebert, Paul L. (författare)
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Heisler, Michele (författare)
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Jaarsma, Tiny (författare)
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Kempen, Gertrudis I. J. M. (författare)
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Leventhal, Marcia E. (författare)
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Lok, Dirk J. A. (författare)
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Mårtensson, Jan (författare)
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Muñiz, Javier (författare)
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Otsu, Haruka (författare)
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Peters-Klimm, Frank (författare)
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Rich, Michael W. (författare)
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Riegel, Barbara (författare)
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Strömberg, Anna (författare)
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Tsuyuki, Ross T. (författare)
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Trappenburg, Jaap C. A. (författare)
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Schuurmans, Marieke J. (författare)
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Hoes, Arno W. (författare)
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Hälsohögskolan Högskolan i Jönköping (utgivare)
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Hälsohögskolan Högskolan i Jönköping (utgivare)
- 2016
- Engelska.
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Ingår i: Journal of Cardiac Failure. - 1071-9164. ; 22:11, 861-871
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Sammanfattning
Ämnesord
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- Background To identify those characteristics of self-management interventions in patients with heart failure (HF) that are effective in influencing health-related quality of life, mortality, and hospitalizations. Methods and Results Randomized trials on self-management interventions conducted between January 1985 and June 2013 were identified and individual patient data were requested for meta-analysis. Generalized mixed effects models and Cox proportional hazard models including frailty terms were used to assess the relation between characteristics of interventions and health-related outcomes. Twenty randomized trials (5624 patients) were included. Longer intervention duration reduced mortality risk (hazard ratio 0.99, 95% confidence interval [CI] 0.97–0.999 per month increase in duration), risk of HF-related hospitalization (hazard ratio 0.98, 95% CI 0.96–0.99), and HF-related hospitalization at 6 months (risk ratio 0.96, 95% CI 0.92–0.995). Although results were not consistent across outcomes, interventions comprising standardized training of interventionists, peer contact, log keeping, or goal-setting skills appeared less effective than interventions without these characteristics. Conclusion No specific program characteristics were consistently associated with better effects of self-management interventions, but longer duration seemed to improve the effect of self-management interventions on several outcomes. Future research using factorial trial designs and process evaluations is needed to understand the working mechanism of specific program characteristics of self-management interventions in HF patients.
Ämnesord
- Medical and Health Sciences (hsv)
- Clinical Medicine (hsv)
- Cardiac and Cardiovascular Systems (hsv)
- Medicin och hälsovetenskap (hsv)
- Klinisk medicin (hsv)
- Kardiologi (hsv)
- Health Sciences (hsv)
- Nursing (hsv)
- Hälsovetenskaper (hsv)
- Omvårdnad (hsv)
Indexterm och SAB-rubrik
- Heart failure
- individual patient data meta-analysis
- self-management
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