A telephone survey to measure communication, education, self-management, and health status for patients with heart failure: the improving chronic illness care evaluation (ICICE)

2005 ◽  
Vol 11 (1) ◽  
pp. 36-42 ◽  
Author(s):  
David W. Baker ◽  
Julie Brown ◽  
Kitty S. Chan ◽  
Kathleen A. Dracup ◽  
Emmett B. Keeler
Keyword(s):  
Heart Failure ◽  
Health Status ◽  
Chronic Illness ◽  
Telephone Survey ◽  
Self Management ◽  
Chronic Illness Care ◽  
Communication Education ◽  
Patients With Heart Failure ◽  
Care Evaluation

Self-Management aspects of the improving chronic illness care breakthrough series: Implementation with diabetes and heart failure teams

2002 ◽  
Vol 24 (2) ◽  
pp. 80-87 ◽  
Author(s):  
Russell E. Glasgow ◽  
Martha M. Funnell ◽  
Amy E. Bonomi ◽  
Connie Davis ◽  
Valerie Beckham ◽  
...  
Keyword(s):  
Heart Failure ◽  
Chronic Illness ◽  
Self Management ◽  
Chronic Illness Care ◽  
Breakthrough Series

scholarly journals Effect of self-management program on health status of elderly patients with heart failure: a single-blind, randomized clinical trial

2019 ◽  
Vol 8 (5) ◽  
pp. 179
Author(s):  
FarahnazMohammadi Shahboulaghi ◽  
Tayebe Aghamohammadi ◽  
Mostafa Khaleghipour ◽  
Asghar Dalvandi ◽  
SadatSeyed Bagher Maddah
Keyword(s):  
Heart Failure ◽  
Clinical Trial ◽  
Health Status ◽  
Elderly Patients ◽  
Randomized Clinical Trial ◽  
Management Program ◽  
Self Management ◽  
Patients With Heart Failure ◽  
Single Blind

Depressive Symptoms Moderate the Association Between Appetite and Health Status in Patients With Heart Failure

2018 ◽  
Vol 33 (2) ◽  
pp. E15-E20 ◽  
Author(s):  
Christina Andreae ◽  
Anna Strömberg ◽  
Misook L. Chung ◽  
Carina Hjelm ◽  
Kristofer Årestedt
Keyword(s):  
Heart Failure ◽  
Depressive Symptoms ◽  
Health Status ◽  
Patients With Heart Failure

scholarly journals Preventing the rebound: improving care transition in hospital discharge processes

2010 ◽  
Vol 34 (4) ◽  
pp. 445 ◽  
Author(s):  
Ian A. Scott
Keyword(s):  
Heart Failure ◽  
High Risk ◽  
Older Patients ◽  
Single Component ◽  
Self Management ◽  
Controlled Trials ◽  
High Risk Patients ◽  
Patients With Heart Failure ◽  
Risk Patients ◽  
Multicomponent Interventions

Background.Unplanned readmissions of recently discharged patients impose a significant burden on hospitals with limited bed capacity. Deficiencies in discharge processes contribute to such readmissions, which have prompted experimentation with multiple types of peridischarge interventions. Objective.To determine the relative efficacy of peridischarge interventions categorised into two groups: (1) single component interventions (sole or predominant) implemented either before or after discharge; and (2) integrated multicomponent interventions which have pre- and postdischarge elements. Design.Systematic metareview of controlled trials. Data collection.Search of four electronic databases for controlled trials or systematic reviews of trials published between January 1990 and April 2009 that reported effects on readmissions. Data synthesis.Among single-component interventions, only four (intense self-management and transition coaching of high-risk patients and nurse home visits and telephone support of patients with heart failure) were effective in reducing readmissions. Multicomponent interventions that featured early assessment of discharge needs, enhanced patient (and caregiver) education and counselling, and early postdischarge follow-up of high-risk patients were associated with evidence of benefit, especially in populations of older patients and those with heart failure. Conclusion.Peridischarge interventions are highly heterogenous and reported outcomes show considerable variation. However, multicomponent interventions targeted at high-risk populations that include pre- and postdischarge elements seem to be more effective in reducing readmissions than most single-component interventions, which do not span the hospital–community interface. What is known about this topic?Unplanned readmissions within 30 days of hospital discharge are common and may reflect deficiencies in discharge processes. Various peridischarge interventions have been evaluated, mostly single-component interventions that occur either before or after discharge, but failing to yield consistent evidence of benefit in reducing readmissions. More recent trials have assessed multicomponent interventions which involve pre- and postdischarge periods, but no formal review of such studies has been undertaken. What does this paper add?With the exception of intense self-management and transition coaching of high-risk patients, and nurse home visits and telephonic support for patients with heart failure, single-component interventions were ineffective in reducing readmissions. Multicomponent interventions demonstrated evidence of benefit in reducing readmissions by as much as 28%, with best results achieved in populations of older patients and those with heart failure. What are the implications for practitioners and managers?Hospital clinicians and managers should critically review and, where appropriate, modify their current discharge processes in accordance with these findings and negotiate the extra funding and personnel required to allow successful implementation of multicomponent discharge processes that transcend organisational boundaries.

The Development of a Situation-Specific Nurse-Led Culturally Tailored Self-Management Theory for Chinese Patients With Heart Failure

2021 ◽  
pp. 104365962110239
Author(s):  
Yuanyuan Jin ◽  
Youqing Peng
Keyword(s):  
Heart Failure ◽  
Development Strategy ◽  
Theory Development ◽  
Management Theory ◽  
Chinese Patients ◽  
Self Management ◽  
Integrative Approach ◽  
Management Interventions ◽  
Culturally Tailored ◽  
Patients With Heart Failure

Introduction: Self-management is essential for treating heart failure (HF). Culture influences the ability to cope, negotiate, and adopt self-management behaviors. However, current HF self-management interventions for Chinese patients do not take culture into consideration. The aim of this article is to describe the development of a situation-specific nurse-led culturally tailored self-management theory for Chinese patients with HF. Methodology: An integrative approach was used as theory development strategy for the situation-specific theory. Results: Based on theoretical and empirical evidence, and theorists’ experiences from research and practice, a nurse-led culturally tailored self-management theory for Chinese patients with HF was developed. Discussion: Researchers addressing health phenomena often have difficulty defining, conceptualizing, and operationalizing culture. The situation-specific theory developed in this study has the potential to increase specificity (i.e., logical adequacy and usefulness) of existing theories while informing the application to nursing practice. Further critique and testing of the situation-specific theory is warranted.

Abstract 310: Variability in Patient-Reported Health Status by NYHA Classification: Implications for Clinical Trials

2020 ◽  
Vol 13 (Suppl_1) ◽  
Author(s):  
Andy T Tran ◽  
Paul S Chan ◽  
Phillip G Jones ◽  
John Spertus
Keyword(s):  
Heart Failure ◽  
Clinical Trials ◽  
Health Status ◽  
Ejection Fraction ◽  
Nyha Class ◽  
Class I ◽  
Nyha Classification ◽  
Patient Reported ◽  
Patients With Heart Failure ◽  
Reported Health

Background: A foundation of current clinical trials is to categorize the severity of heart failure (HF) by New York Heart Association (NYHA) classification to ensure that enrolled patients have similar disease severity. Because the NYHA represents a clinician’s assessment of patients’ health status, it may vary from patients’ perspectives and can lead to more or less symptomatic patients being enrolled in clinical trials. We sought to directly compare the ranges of patient-reported health status, as assessed by the well-validated and reliable Kansas City Cardiomyopathy Questionnaire (KCCQ), with NYHA class in recent clinical studies. Methods: We used data from 2 contemporary HF clinical trials, HF-ACTION in patients with Heart Failure with Reduced Ejection Fraction (HFrEF) and TOPCAT in patients with Heart Failure with Preserved Ejection Fraction (HFpEF), and 1 prospective cohort study, the KCCQ Interpretability study (KCCQINT) in patients with HFrEF, where both NYHA and the KCCQ were contemporaneously collected. The distributions of KCCQ Overall Summary (KCCQ-os) scores by NYHA and the variation in assigned NYHA classes among patients with KCCQ scores ≥80 (congruent with NYHA Class I) were then described. Results: A total of 6,072 patients (mean age 64±12 years, 41% female) were included across the 3 studies. Figure 1 shows marked overlap in KCCQ scores across NYHA classes. In KCCQINT, 148 (27%) out of 545 patients reported a KCCQ-os score ≥80, of whom 39 (26%), 81 (55%) and 28 (19%) were coded as NYHA Class I, II and III. None were classified as NYHA Class IV. In HF-ACTION, 677 (32%) of 2129 patients reported a KCCQ-os score ≥80, of whom 548 (81%), 128 (19%) and 1 (<1%) were coded as NYHA Class II, III and IV, respectively. In TOPCAT, 484 (14%) out of 3398 patients reported a KCCQ-os score ≥80, of whom 410 (85%) and 74 (15%) were considered NYHA Class I-II and III-IV, respectively. Conclusions: Although the NYHA is used to identify similarly ill patients for enrollment in clinical trials, there is marked variability within and across studies in patients’ self-reported health status. Future trials should consider patient-reported outcome measures as the basis for defining patient eligibility to enroll a more homogenous cohort of disease severity.

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