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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
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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
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 (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...
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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...
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  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • 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

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