Effects of a person-centred telephone-support in patients with chronic obstructive pulmonary disease and/or chronic heart failure - A randomized controlled trial

PloS One
Andreas ForsInger Ekman

Abstract

To evaluate the effects of person-centred support via telephone in two chronically ill patient groups, chronic obstructive pulmonary disease (COPD) and/or chronic heart failure (CHF). 221 patients ≥ 50 years with COPD and/or CHF were randomized to usual care vs. usual care plus a person-centred telephone-support intervention and followed for six months. Patients in the intervention group were telephoned by a registered nurse initially to co-create a person-centred health plan with the patient and subsequently to discuss and evaluate the plan. The primary outcome measure was a composite score comprising General Self-Efficacy (GSE), re-hospitalization and death. Patients were classified as deteriorated if GSE had decreased by ≥ 5 points, or if they had been re-admitted to hospital for unscheduled reasons related to COPD and/or CHF or if they had died. At six-month follow-up no difference in the composite score was found between the two study groups (57.6%, n = 68 vs. 46.6%, n = 48; OR = 1.6, 95% CI: 0.9-2.7; P = 0.102) in the intention-to-treat analysis (n = 221); however, significantly more patients in the control group showed a clinically important decrease in GSE (≥ 5 units) (22.9%, n = 27 vs. 9.7%, n = 10; OR = 2.8, 95% CI: 1...Continue Reading

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Citations

Nov 30, 2019·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Sara WallströmAndreas Fors
Sep 3, 2020·BMJ : British Medical Journal·Nicky BrittenAxel Wolf
Aug 18, 2020·Nursing Open·Martina Summer MeraniusDara Rasoal
Jul 3, 2020·The Cochrane Database of Systematic Reviews·Sabine AllidaSally C Inglis
May 2, 2020·International Journal of Environmental Research and Public Health·Helen M LloydNicky Britten
Jun 17, 2020·Respirology : Official Journal of the Asian Pacific Society of Respirology·Fanny Wai-San KoDavid Shu-Cheong Hui
Apr 4, 2021·International Journal of Environmental Research and Public Health·Marta MarsilioChiara Guglielmetti
Oct 26, 2021·The Cochrane Database of Systematic Reviews·Sadia JanjuaRebecca T Disler
Jan 11, 2022·The Cochrane Database of Systematic Reviews·Jade SchrijverTanja W Effing

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