Adherence to self-care in patients with heart failure in the HeartCycle study

Patient Preference and Adherence
Wim StutTiny Jaarsma

Abstract

The purpose of this study was to evaluate a novel online education and coaching program to promote self-care among patients with heart failure. In this program, education and coaching content is automatically tailored to the knowledge and behavior of the patient. The evaluation of the program took place within the scope of the HeartCycle study. This multi-center, observational study examined the ability of a third generation telehealth system to enhance the management of patients recently (<60 days) admitted to the hospital for worsening heart failure or outpatients with persistent New York Heart Association (NYHA) Functional Classification III/IV symptoms. Self-reported self-care behavior was assessed at baseline and study-end by means of the 9-item European Heart Failure Self-care Behavior scale. Adherence to daily weighing, blood pressure monitoring, and reporting of symptoms was determined by analyzing the system's database. Of 123 patients enrolled, the mean age was 66±12 years, 66% were in NYHA III and 79% were men. Self-reported self-care behavior scores (n=101) improved during the study for daily weighing, low-salt diet, physical activity (P<0.001), and fluid restriction (P<0.05). Average adherence (n=120) to measuring ...Continue Reading

Citations

Jul 11, 2018·Clinical Nursing Research·Lena Andersson, Lena Nordgren
Mar 18, 2017·Research and Theory for Nursing Practice·Ghasem AbotalebidariasariNasim Naderi
Dec 17, 2019·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Martha J BiddleKathleen Dracup
Dec 4, 2019·JBI Database of Systematic Reviews and Implementation Reports·Jan M NickLisa R Roberts
Jul 3, 2020·The Cochrane Database of Systematic Reviews·Sabine AllidaSally C Inglis

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Software Mentioned

CHF
CePPORT
HeartCycle
Motiva
Matlab
R

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