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What Are Effective Program Characteristics of Self-Management Interventions in Patients With Heart Failure? : An Individual Patient Data Meta-analysis
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- Jonkman, Nini H. (author)
- Department of Rehabilitation, Nursing Science and Sports, University Medical Center Utrecht, Utrecht, Netherlands
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- Westland, Heleen (author)
- Department of Rehabilitation, Nursing Science and Sports, University Medical Center Utrecht, Utrecht, Netherlands
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- Groenwold, Rolf H. H. (author)
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, Netherlands
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- Ågren, Susanna (author)
- Linköpings universitet,Avdelningen för omvårdnad,Medicinska fakulteten,Region Östergötland, Thorax-kärlkliniken i Östergötland
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- Anguita, Manuel (author)
- Department of Cardiology, Hospital Reina Sofia, Cordoba, Spain
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- Blue, Lynda (author)
- British Heart Foundation, Glasgow, United Kingdom,British Heart Fdn, Scotland
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- Bruggink-André de la Porte, Pieta W. F. (author)
- Department of Cardiology, Deventer Hospital, Deventer, Netherlands
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- DeWalt, Darren A. (author)
- Division of General Medicine and Clinical Epidemiology, University of North Carolina, Chapel Hill, North Carolina, United States,University of N Carolina, NC USA
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- Hebert, Paul L. (author)
- Department of Health Services, University of Washington, Seattle, Washington, United States,University of Washington, WA 98195 USA
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- Heisler, Michele (author)
- Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, United States,University of Michigan, MI 48109 USA
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- Jaarsma, Tiny (author)
- Linköpings universitet,Avdelningen för omvårdnad,Medicinska fakulteten
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- Kempen, Gertrudis I. J. M. (author)
- 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
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- Leventhal, Marcia E. (author)
- Institute of Nursing Science, University of Basel, Basel, Switzerland
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- Lok, Dirk J. A. (author)
- Department of Cardiology, Deventer Hospital, Deventer, Netherlands
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- Mårtensson, Jan (author)
- Jönköping University,HHJ. ADULT,HHJ, Avdelningen för omvårdnad
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- Muñiz, Javier (author)
- Instituto Universitario de Ciencias de la Salud, Universidad de A Coruña and INIBIC, A Coruña, Spain
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- Otsu, Haruka (author)
- Graduate School of Health Sciences, Hirosaki University, Aomori, Japan
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- Peters-Klimm, Frank (author)
- Department of General Practice and Health Services Research, University Hospital Heidelberg, Heidelberg, Germany
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- Rich, Michael W. (author)
- Cardiovascular Division, Washington University School of Medicine, St. Louis, Missouri, United States,Washington University, MO 63110 USA
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- Riegel, Barbara (author)
- School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, United States,University of Penn, PA 19104 USA
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- Strömberg, Anna (author)
- Linköpings universitet,Avdelningen för omvårdnad,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US
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- Tsuyuki, Ross T. (author)
- Division of Cardiology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada
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- Trappenburg, Jaap C. A. (author)
- Department of Rehabilitation, Nursing Science and Sports, University Medical Center Utrecht, Utrecht, Netherlands
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- Schuurmans, Marieke J. (author)
- Department of Rehabilitation, Nursing Science and Sports, University Medical Center Utrecht, Utrecht, Netherlands
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- Hoes, Arno W. (author)
- 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
- English.
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In: Journal of Cardiac Failure. - : Elsevier BV. - 1071-9164 .- 1532-8414. ; 22:11, s. 861-871
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Abstract
Subject headings
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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.
Subject headings
- 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)
Keyword
- Heart failure
- individual patient data meta-analysis
- self-management
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Jonkman, Nini H.
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Westland, Heleen
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Groenwold, Rolf ...
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Ågren, Susanna
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Anguita, Manuel
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Blue, Lynda
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Bruggink-André d ...
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DeWalt, Darren A ...
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Hebert, Paul L.
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Heisler, Michele
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Jaarsma, Tiny
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Kempen, Gertrudi ...
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Leventhal, Marci ...
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Lok, Dirk J. A.
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Mårtensson, Jan
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Muñiz, Javier
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Otsu, Haruka
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Peters-Klimm, Fr ...
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Rich, Michael W.
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Riegel, Barbara
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Strömberg, Anna
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Tsuyuki, Ross T.
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Trappenburg, Jaa ...
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Schuurmans, Mari ...
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Hoes, Arno W.
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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 Clinical Medicin ...
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and Cardiac and Card ...
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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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Journal of Cardi ...
- By the university
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Jönköping University
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Linköping University