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Adherence to self-care in patients with heart failure in the HeartCycle study.

Stut W, Deighan C, Cleland JG, Jaarsma T - Patient Prefer Adherence (2015)

Bottom Line: Self-reported self-care behavior scores (n=101) improved during the study for daily weighing, low-salt diet, physical activity (P<0.001), and fluid restriction (P<0.05).Average adherence (n=120) to measuring weight was 90%±16%, to measuring blood pressure was 89%±17% and to symptom reporting was 66%±32%.However, adherence to daily reporting of symptoms was lower and declined in the long-term.

View Article: PubMed Central - PubMed

Affiliation: Philips Research Europe, Eindhoven, the Netherlands.

ABSTRACT

Purpose: The purpose of this study was to evaluate a novel online education and coaching program to promote self-care among patients with heart failure. In this program, education and coaching content is automatically tailored to the knowledge and behavior of the patient.

Patients and methods: The evaluation of the program took place within the scope of the HeartCycle study. This multi-center, observational study examined the ability of a third generation telehealth system to enhance the management of patients recently (<60 days) admitted to the hospital for worsening heart failure or outpatients with persistent New York Heart Association (NYHA) Functional Classification III/IV symptoms. Self-reported self-care behavior was assessed at baseline and study-end by means of the 9-item European Heart Failure Self-care Behavior scale. Adherence to daily weighing, blood pressure monitoring, and reporting of symptoms was determined by analyzing the system's database.

Results: Of 123 patients enrolled, the mean age was 66±12 years, 66% were in NYHA III and 79% were men. Self-reported self-care behavior scores (n=101) improved during the study for daily weighing, low-salt diet, physical activity (P<0.001), and fluid restriction (P<0.05). Average adherence (n=120) to measuring weight was 90%±16%, to measuring blood pressure was 89%±17% and to symptom reporting was 66%±32%.

Conclusion: Self-reported self-care behavior scores improved significantly during the period of observation, and the objective evidence of adherence to daily weight and blood pressure measurements was high and remained stable over time. However, adherence to daily reporting of symptoms was lower and declined in the long-term.

No MeSH data available.


Related in: MedlinePlus

Percentage of adherent patients in the EHFScB-9 self-care behavior scale at baseline and study end (n=101).Notes: *P<0.05, **P<0.001.Abbreviation: EHFScB-9, 9-item European Heart Failure Self-care Behavior Scale.
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f2-ppa-9-1195: Percentage of adherent patients in the EHFScB-9 self-care behavior scale at baseline and study end (n=101).Notes: *P<0.05, **P<0.001.Abbreviation: EHFScB-9, 9-item European Heart Failure Self-care Behavior Scale.

Mentions: Data from the 101 patients with paired data from the EHFScB-9 questionnaire at baseline and study end showed improved adherence of all self-care behaviors except for medication intake (Figure 2). The relative increase of adherence was 31% for daily weighing, 14% for fluid restriction, 16% for low-salt diet, and 38% for physical activity but only 1% for medication intake.


Adherence to self-care in patients with heart failure in the HeartCycle study.

Stut W, Deighan C, Cleland JG, Jaarsma T - Patient Prefer Adherence (2015)

Percentage of adherent patients in the EHFScB-9 self-care behavior scale at baseline and study end (n=101).Notes: *P<0.05, **P<0.001.Abbreviation: EHFScB-9, 9-item European Heart Failure Self-care Behavior Scale.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4548736&req=5

f2-ppa-9-1195: Percentage of adherent patients in the EHFScB-9 self-care behavior scale at baseline and study end (n=101).Notes: *P<0.05, **P<0.001.Abbreviation: EHFScB-9, 9-item European Heart Failure Self-care Behavior Scale.
Mentions: Data from the 101 patients with paired data from the EHFScB-9 questionnaire at baseline and study end showed improved adherence of all self-care behaviors except for medication intake (Figure 2). The relative increase of adherence was 31% for daily weighing, 14% for fluid restriction, 16% for low-salt diet, and 38% for physical activity but only 1% for medication intake.

Bottom Line: Self-reported self-care behavior scores (n=101) improved during the study for daily weighing, low-salt diet, physical activity (P<0.001), and fluid restriction (P<0.05).Average adherence (n=120) to measuring weight was 90%±16%, to measuring blood pressure was 89%±17% and to symptom reporting was 66%±32%.However, adherence to daily reporting of symptoms was lower and declined in the long-term.

View Article: PubMed Central - PubMed

Affiliation: Philips Research Europe, Eindhoven, the Netherlands.

ABSTRACT

Purpose: The purpose of this study was to evaluate a novel online education and coaching program to promote self-care among patients with heart failure. In this program, education and coaching content is automatically tailored to the knowledge and behavior of the patient.

Patients and methods: The evaluation of the program took place within the scope of the HeartCycle study. This multi-center, observational study examined the ability of a third generation telehealth system to enhance the management of patients recently (<60 days) admitted to the hospital for worsening heart failure or outpatients with persistent New York Heart Association (NYHA) Functional Classification III/IV symptoms. Self-reported self-care behavior was assessed at baseline and study-end by means of the 9-item European Heart Failure Self-care Behavior scale. Adherence to daily weighing, blood pressure monitoring, and reporting of symptoms was determined by analyzing the system's database.

Results: Of 123 patients enrolled, the mean age was 66±12 years, 66% were in NYHA III and 79% were men. Self-reported self-care behavior scores (n=101) improved during the study for daily weighing, low-salt diet, physical activity (P<0.001), and fluid restriction (P<0.05). Average adherence (n=120) to measuring weight was 90%±16%, to measuring blood pressure was 89%±17% and to symptom reporting was 66%±32%.

Conclusion: Self-reported self-care behavior scores improved significantly during the period of observation, and the objective evidence of adherence to daily weight and blood pressure measurements was high and remained stable over time. However, adherence to daily reporting of symptoms was lower and declined in the long-term.

No MeSH data available.


Related in: MedlinePlus