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Effectiveness of th...
Effectiveness of the European Society of Cardiology/Heart Failure Association website heartfailurematters.org and an e-health adjusted care pathway in patients with stable heart failure: results of the e-Vita HF randomized controlled trial
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- Wagenaar, Kim P. (author)
- Univ Utrecht, Netherlands
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- Broekhuizen, Berna D. L. (author)
- Univ Utrecht, Netherlands
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- Jaarsma, Tiny (author)
- Linköpings universitet,Avdelningen för omvårdnad,Medicinska fakulteten
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- Kok, Ilse (author)
- Univ Utrecht, Netherlands
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- Mosterd, Arend (author)
- Meander Med Ctr, Netherlands
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- Willems, Frank F. (author)
- Rijnstate Hosp, Netherlands
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- Linssen, Gerard C. M. (author)
- Hosp Grp Twente, Netherlands; Hosp Grp Twente, Netherlands
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- Agema, Willem R. P. (author)
- Diakonessen Hosp, Netherlands
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- Anneveldt, Sander (author)
- Westfriesgasthuis, Netherlands
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- Lucas, Carolien M. H. B. (author)
- Alrijne Hosp Leiderdorp, Netherlands
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- Mannaerts, Herman F. J. (author)
- Hosp Amstelland, Netherlands
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- Wajon, Elly M. C. J. (author)
- Med Spectrum Twente, Netherlands
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- Dickstein, Kenneth (author)
- Univ Bergen, Norway
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- Cramer, Maarten J. (author)
- Univ Utrecht, Netherlands
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- Landman, Marcel A. J. (author)
- Univ Utrecht, Netherlands
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- Hoes, Arno W. (author)
- Univ Utrecht, Netherlands
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- Rutten, Frans H. (author)
- Univ Utrecht, Netherlands
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(creator_code:org_t)
- 2018-11-28
- 2019
- English.
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In: European Journal of Heart Failure. - : WILEY. - 1388-9842 .- 1879-0844. ; 21:2, s. 238-246
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https://liu.diva-por... (primary) (Raw object)
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https://onlinelibrar...
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Abstract
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- Background Efficient incorporation of e-health in patients with heart failure (HF) may enhance health care efficiency and patient empowerment. We aimed to assess the effect on self-care of (i) the European Society of Cardiology/Heart Failure Association website on top of usual care, and (ii) an e-health adjusted care pathway leaving out in person routine HF nurse consultations in stable HF patients. Methods and results In a three-group parallel-randomized trial in stable HF patients from nine Dutch outpatient clinics, we compared two interventions ( website and an e-health adjusted care pathway) to usual care. The primary outcome was self-care measured with the European Heart Failure Self-care Behaviour Scale. Secondary outcomes were health status, mortality, and hospitalizations. In total, 450 patients were included. The mean age was 66.8 +/- 11.0 years, 74.2% were male, and 78.8% classified themselves as New York Heart Association I or II at baseline. After 3 months of follow-up, the mean score on the self-care scale was significantly higher in the groups using the website and the adjusted care pathway compared to usual care (73.5 vs. 70.8, 95% confidence interval 0.6-6.2; and 78.2 vs. 70.8, 95% confidence interval 3.8- 9.4, respectively). The effect attenuated, until no differences after 1 year between the groups. Quality of life showed a similar pattern. Other secondary outcomes did not clearly differ between the groups. Conclusions Both the website and an e-health adjusted care pathway improved self-care in HF patients on the short term, but not on the long term. Continuous updating of e-health facilities could be helpful to sustain effects.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Keyword
- Telemedicine; Heart failure; Self-care; Mortality; Hospitalization
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Wagenaar, Kim P.
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Broekhuizen, Ber ...
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Jaarsma, Tiny
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Kok, Ilse
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Mosterd, Arend
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Willems, Frank F ...
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Linssen, Gerard ...
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Agema, Willem R. ...
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Anneveldt, Sande ...
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Lucas, Carolien ...
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Mannaerts, Herma ...
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Wajon, Elly M. C ...
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Dickstein, Kenne ...
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Cramer, Maarten ...
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Landman, Marcel ...
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Hoes, Arno W.
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Rutten, Frans H.
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Nursing
- Articles in the publication
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European Journal ...
- By the university
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Linköping University