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Effectiveness of th...
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Wagenaar, Kim P.Univ Utrecht, Netherlands
(författare)
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
- Artikel/kapitelEngelska2019
Förlag, utgivningsår, omfång ...
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2018-11-28
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WILEY,2019
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electronicrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:liu-154843
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-154843URI
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https://doi.org/10.1002/ejhf.1354DOI
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Språk:engelska
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Sammanfattning på:engelska
Ingår i deldatabas
Klassifikation
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
Anmärkningar
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Funding Agencies|Foundation Care Within Reach (In Dutch: Stichting Zorg Binnen Bereik)
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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.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Broekhuizen, Berna D. L.Univ Utrecht, Netherlands
(författare)
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Jaarsma, TinyLinköpings universitet,Avdelningen för omvårdnad,Medicinska fakulteten(Swepub:liu)tinja77
(författare)
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Kok, IlseUniv Utrecht, Netherlands
(författare)
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Mosterd, ArendMeander Med Ctr, Netherlands
(författare)
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Willems, Frank F.Rijnstate Hosp, Netherlands
(författare)
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Linssen, Gerard C. M.Hosp Grp Twente, Netherlands; Hosp Grp Twente, Netherlands
(författare)
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Agema, Willem R. P.Diakonessen Hosp, Netherlands
(författare)
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Anneveldt, SanderWestfriesgasthuis, Netherlands
(författare)
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Lucas, Carolien M. H. B.Alrijne Hosp Leiderdorp, Netherlands
(författare)
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Mannaerts, Herman F. J.Hosp Amstelland, Netherlands
(författare)
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Wajon, Elly M. C. J.Med Spectrum Twente, Netherlands
(författare)
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Dickstein, KennethUniv Bergen, Norway
(författare)
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Cramer, Maarten J.Univ Utrecht, Netherlands
(författare)
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Landman, Marcel A. J.Univ Utrecht, Netherlands
(författare)
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Hoes, Arno W.Univ Utrecht, Netherlands
(författare)
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Rutten, Frans H.Univ Utrecht, Netherlands
(författare)
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Univ Utrecht, NetherlandsAvdelningen för omvårdnad
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:European Journal of Heart Failure: WILEY21:2, s. 238-2461388-98421879-0844
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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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