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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004628naa a2200529 4500
001oai:DiVA.org:liu-154843
003SwePub
008190305s2019 | |||||||||||000 ||eng|
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-1548432 URI
0247 a https://doi.org/10.1002/ejhf.13542 DOI
040 a (SwePub)liu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Wagenaar, Kim P.u Univ Utrecht, Netherlands4 aut
2451 0a 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
264 c 2018-11-28
264 1b WILEY,c 2019
338 a electronic2 rdacarrier
500 a Funding Agencies|Foundation Care Within Reach (In Dutch: Stichting Zorg Binnen Bereik)
520 a 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.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Omvårdnad0 (SwePub)303052 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Nursing0 (SwePub)303052 hsv//eng
653 a Telemedicine; Heart failure; Self-care; Mortality; Hospitalization
7001 a Broekhuizen, Berna D. L.u Univ Utrecht, Netherlands4 aut
7001 a Jaarsma, Tinyu Linköpings universitet,Avdelningen för omvårdnad,Medicinska fakulteten4 aut0 (Swepub:liu)tinja77
7001 a Kok, Ilseu Univ Utrecht, Netherlands4 aut
7001 a Mosterd, Arendu Meander Med Ctr, Netherlands4 aut
7001 a Willems, Frank F.u Rijnstate Hosp, Netherlands4 aut
7001 a Linssen, Gerard C. M.u Hosp Grp Twente, Netherlands; Hosp Grp Twente, Netherlands4 aut
7001 a Agema, Willem R. P.u Diakonessen Hosp, Netherlands4 aut
7001 a Anneveldt, Sanderu Westfriesgasthuis, Netherlands4 aut
7001 a Lucas, Carolien M. H. B.u Alrijne Hosp Leiderdorp, Netherlands4 aut
7001 a Mannaerts, Herman F. J.u Hosp Amstelland, Netherlands4 aut
7001 a Wajon, Elly M. C. J.u Med Spectrum Twente, Netherlands4 aut
7001 a Dickstein, Kennethu Univ Bergen, Norway4 aut
7001 a Cramer, Maarten J.u Univ Utrecht, Netherlands4 aut
7001 a Landman, Marcel A. J.u Univ Utrecht, Netherlands4 aut
7001 a Hoes, Arno W.u Univ Utrecht, Netherlands4 aut
7001 a Rutten, Frans H.u Univ Utrecht, Netherlands4 aut
7102 a Univ Utrecht, Netherlandsb Avdelningen för omvårdnad4 org
7730 t European Journal of Heart Failured : WILEYg 21:2, s. 238-246q 21:2<238-246x 1388-9842x 1879-0844
8564 u https://liu.diva-portal.org/smash/get/diva2:1293687/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 u https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/ejhf.1354
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-154843
8564 8u https://doi.org/10.1002/ejhf.1354

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