Sökning: onr:"swepub:oai:DiVA.org:hj-34066" >
What Are Effective ...
What Are Effective Program Characteristics of Self-Management Interventions in Patients With Heart Failure? : An Individual Patient Data Meta-analysis
-
- Jonkman, Nini H. (författare)
- Department of Rehabilitation, Nursing Science and Sports, University Medical Center Utrecht, Utrecht, Netherlands
-
- Westland, Heleen (författare)
- Department of Rehabilitation, Nursing Science and Sports, University Medical Center Utrecht, Utrecht, Netherlands
-
- Groenwold, Rolf H. H. (författare)
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, Netherlands
-
visa fler...
-
- Ågren, Susanna (författare)
- Linköpings universitet,Avdelningen för omvårdnad,Medicinska fakulteten,Region Östergötland, Thorax-kärlkliniken i Östergötland
-
- Anguita, Manuel (författare)
- Department of Cardiology, Hospital Reina Sofia, Cordoba, Spain
-
- Blue, Lynda (författare)
- British Heart Foundation, Glasgow, United Kingdom,British Heart Fdn, Scotland
-
- Bruggink-André de la Porte, Pieta W. F. (författare)
- Department of Cardiology, Deventer Hospital, Deventer, Netherlands
-
- DeWalt, Darren A. (författare)
- Division of General Medicine and Clinical Epidemiology, University of North Carolina, Chapel Hill, North Carolina, United States,University of N Carolina, NC USA
-
- Hebert, Paul L. (författare)
- Department of Health Services, University of Washington, Seattle, Washington, United States,University of Washington, WA 98195 USA
-
- Heisler, Michele (författare)
- Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, United States,University of Michigan, MI 48109 USA
-
- Jaarsma, Tiny (författare)
- Linköpings universitet,Avdelningen för omvårdnad,Medicinska fakulteten
-
- Kempen, Gertrudis I. J. M. (författare)
- Department of Health Services Research, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, Netherlands,Jönköping University, Sweden,University of A Coruna, Spain; INIBIC, Spain; Institute Salud Carlos III, Spain
-
- Leventhal, Marcia E. (författare)
- Institute of Nursing Science, University of Basel, Basel, Switzerland
-
- Lok, Dirk J. A. (författare)
- Department of Cardiology, Deventer Hospital, Deventer, Netherlands
-
- Mårtensson, Jan (författare)
- Jönköping University,HHJ. ADULT,HHJ, Avdelningen för omvårdnad
-
- Muñiz, Javier (författare)
- Instituto Universitario de Ciencias de la Salud, Universidad de A Coruña and INIBIC, A Coruña, Spain
-
- Otsu, Haruka (författare)
- Graduate School of Health Sciences, Hirosaki University, Aomori, Japan
-
- Peters-Klimm, Frank (författare)
- Department of General Practice and Health Services Research, University Hospital Heidelberg, Heidelberg, Germany
-
- Rich, Michael W. (författare)
- Cardiovascular Division, Washington University School of Medicine, St. Louis, Missouri, United States,Washington University, MO 63110 USA
-
- Riegel, Barbara (författare)
- School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, United States,University of Penn, PA 19104 USA
-
- Strömberg, Anna (författare)
- Linköpings universitet,Avdelningen för omvårdnad,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US
-
- Tsuyuki, Ross T. (författare)
- Division of Cardiology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada
-
- Trappenburg, Jaap C. A. (författare)
- Department of Rehabilitation, Nursing Science and Sports, University Medical Center Utrecht, Utrecht, Netherlands
-
- Schuurmans, Marieke J. (författare)
- Department of Rehabilitation, Nursing Science and Sports, University Medical Center Utrecht, Utrecht, Netherlands
-
- Hoes, Arno W. (författare)
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, Netherlands
-
visa färre...
-
(creator_code:org_t)
- Elsevier BV, 2016
- 2016
- Engelska.
-
Ingår i: Journal of Cardiac Failure. - : Elsevier BV. - 1071-9164 .- 1532-8414. ; 22:11, s. 861-871
- Relaterad länk:
-
https://doi.org/10.1...
-
visa fler...
-
https://hj.diva-port... (primary) (Raw object)
-
http://www.onlinejcf...
-
https://urn.kb.se/re...
-
https://doi.org/10.1...
-
https://urn.kb.se/re...
-
visa färre...
Abstract
Ämnesord
Stäng
- Background To identify those characteristics of self-management interventions in patients with heart failure (HF) that are effective in influencing health-related quality of life, mortality, and hospitalizations.Methods and Results Randomized trials on self-management interventions conducted between January 1985 and June 2013 were identified and individual patient data were requested for meta-analysis. Generalized mixed effects models and Cox proportional hazard models including frailty terms were used to assess the relation between characteristics of interventions and health-related outcomes. Twenty randomized trials (5624 patients) were included. Longer intervention duration reduced mortality risk (hazard ratio 0.99, 95% confidence interval [CI] 0.97–0.999 per month increase in duration), risk of HF-related hospitalization (hazard ratio 0.98, 95% CI 0.96–0.99), and HF-related hospitalization at 6 months (risk ratio 0.96, 95% CI 0.92–0.995). Although results were not consistent across outcomes, interventions comprising standardized training of interventionists, peer contact, log keeping, or goal-setting skills appeared less effective than interventions without these characteristics.Conclusion No specific program characteristics were consistently associated with better effects of self-management interventions, but longer duration seemed to improve the effect of self-management interventions on several outcomes. Future research using factorial trial designs and process evaluations is needed to understand the working mechanism of specific program characteristics of self-management interventions in HF patients.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Nyckelord
- Heart failure
- individual patient data meta-analysis
- self-management
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
Hitta via bibliotek
Till lärosätets databas
- Av författaren/redakt...
-
Jonkman, Nini H.
-
Westland, Heleen
-
Groenwold, Rolf ...
-
Ågren, Susanna
-
Anguita, Manuel
-
Blue, Lynda
-
visa fler...
-
Bruggink-André d ...
-
DeWalt, Darren A ...
-
Hebert, Paul L.
-
Heisler, Michele
-
Jaarsma, Tiny
-
Kempen, Gertrudi ...
-
Leventhal, Marci ...
-
Lok, Dirk J. A.
-
Mårtensson, Jan
-
Muñiz, Javier
-
Otsu, Haruka
-
Peters-Klimm, Fr ...
-
Rich, Michael W.
-
Riegel, Barbara
-
Strömberg, Anna
-
Tsuyuki, Ross T.
-
Trappenburg, Jaa ...
-
Schuurmans, Mari ...
-
Hoes, Arno W.
-
visa färre...
- Om ämnet
-
- MEDICIN OCH HÄLSOVETENSKAP
-
MEDICIN OCH HÄLS ...
-
och Klinisk medicin
-
och Kardiologi
-
- MEDICIN OCH HÄLSOVETENSKAP
-
MEDICIN OCH HÄLS ...
-
och Hälsovetenskap
-
och Omvårdnad
- Artiklar i publikationen
-
Journal of Cardi ...
- Av lärosätet
-
Jönköping University
-
Linköpings universitet