15750
2017
eng
51
17
article
1
2018-02-12
--
--
Does improvement in self-management skills predict improvement in quality of life and depressive symptoms? A prospective study in patients with heart failure up to one year after self-management education
Background:
Heart failure (HF) patient education aims to foster patients’ self-management skills. These are assumed to bring about, in turn, improvements in distal outcomes such as quality of life. The purpose of this study was to test the hypothesis that change in self-reported self-management skills observed after participation in self-management education predicts changes in physical and mental quality of life and depressive symptoms up to one year thereafter.
Methods:
The sample comprised 342 patients with chronic heart failure, treated in inpatient rehabilitation clinics, who received a heart failure self-management education program. Latent change modelling was used to analyze relationships between both short-term (during inpatient rehabilitation) and intermediate-term (after six months) changes in self-reported self-management skills and both intermediate-term and long-term (after twelve months) changes in physical and mental quality of life and depressive symptoms.
Results:
Short-term changes in self-reported self-management skills predicted intermediate-term changes in mental quality of life and long-term changes in physical quality of life. Intermediate-term changes in self-reported self-management skills predicted long-term changes in all outcomes.
BMC Cardiovascular Disorders
10.1186/s12872-017-0486-5
urn:nbn:de:bvb:20-opus-157501
BMC Cardiovascular Disorders (2017) 17:51. DOI: 10.1186/s12872-017-0486-5
CC BY: Creative-Commons-Lizenz: Namensnennung 4.0 International
Gunda Musekamp
Michael Schuler
Bettina Seekatz
Jürgen Bengel
Hermann Faller
Karin Meng
eng
uncontrolled
patient education
eng
uncontrolled
chronic heart failure
eng
uncontrolled
self-management
eng
uncontrolled
quality of life
eng
uncontrolled
latent change
eng
uncontrolled
cardiac rehabilitation
Medizin und Gesundheit
open_access
Institut für Klinische Epidemiologie und Biometrie
Förderzeitraum 2017
Universität Würzburg
https://opus.bibliothek.uni-wuerzburg.de/files/15750/Musekamp_BMC_Cardiovascular_Disorders.pdf
9685
2013
eng
article
1
--
--
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Evaluation of a self-management patient education program for patients with chronic heart failure undergoing inpatient cardiac rehabilitation: study protocol of a cluster randomized controlled trial
Background
Chronic heart failure requires a complex treatment regimen on a life-long basis. Therefore, self-care/self-management is an essential part of successful treatment and comprehensive patient education is warranted. However, specific information on program features and educational strategies enhancing treatment success is lacking. This trial aims to evaluate a patient-oriented and theory-based self-management educational group program as compared to usual care education during inpatient cardiac rehabilitation in Germany.
Methods/Design
The study is a multicenter cluster randomized controlled trial in four cardiac rehabilitation clinics. Clusters are patient education groups that comprise HF patients recruited within 2 weeks after commencement of inpatient cardiac rehabilitation. Cluster randomization was chosen for pragmatic reasons, i.e. to ensure a sufficient number of eligible patients to build large-enough educational groups and to prevent contamination by interaction of patients from different treatment allocations during rehabilitation. Rehabilitants with chronic systolic heart failure (n = 540) will be consecutively recruited for the study at the beginning of inpatient rehabilitation. Data will be assessed at admission, at discharge and after 6 and 12 months using patient questionnaires. In the intervention condition, patients receive the new patient-oriented self-management educational program, whereas in the control condition, patients receive a short lecture-based educational program (usual care). The primary outcome is patients’ self-reported self-management competence. Secondary outcomes include behavioral determinants and self-management health behavior (symptom monitoring, physical activity, medication adherence), health-related quality of life, and treatment satisfaction. Treatment effects will be evaluated separately for each follow-up time point using multilevel regression analysis, and adjusting for baseline values.
Discussion
This study evaluates the effectiveness of a comprehensive self-management educational program by a cluster randomized trial within inpatient cardiac rehabilitation in Germany. Furthermore, subgroup-related treatment effects will be explored. Study results will contribute to a better understanding of both the effectiveness and mechanisms of a self-management group program as part of cardiac rehabilitation.
BMC Cardiovascular Disorders
10.1186/1471-2261-13-60
http://www.biomedcentral.com/1471-2261/13/60
urn:nbn:de:bvb:20-opus-96852
In: BMC Cardiovascular Disorders (2013) 13: 60, doi:10.1186/1471-2261-13-60
Karin Meng
Gunda Musekamp
Bettina Seekatz
Johannes Glatz
Gabriele Karger
Ulrich Kiwus
Ernst Knoglinger
Rainer Schubmann
Ronja Westphal
Hermann Faller
eng
uncontrolled
Chronic heart failure
eng
uncontrolled
Patient education
eng
uncontrolled
Self-management
eng
uncontrolled
Evaluation
eng
uncontrolled
Cluster-RCT
eng
uncontrolled
Cardiac rehabilitation
Medizin und Gesundheit
open_access
Institut für Psychotherapie und Medizinische Psychologie
Förderzeitraum 2013
Universität Würzburg
https://opus.bibliothek.uni-wuerzburg.de/files/9685/Meng_1471-2261-13-60.pdf