Ändra sökning
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
What Are Effective Program Characteristics of Self-Management Interventions in Patients With Heart Failure?: An Individual Patient Data Meta-analysis
Department of Rehabilitation, Nursing Science and Sports, University Medical Center Utrecht, Utrecht, Netherlands.
Department of Rehabilitation, Nursing Science and Sports, University Medical Center Utrecht, Utrecht, Netherlands.
Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, Netherlands.
Department of Medical and Health Sciences and Department of Cardiothoracic Surgery, Linköping University, Linköping, Sweden.
Visa övriga samt affilieringar
2016 (Engelska)Ingår i: Journal of Cardiac Failure, ISSN 1071-9164, E-ISSN 1532-8414, Vol. 22, nr 11, s. 861-871Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

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.

Ort, förlag, år, upplaga, sidor
2016. Vol. 22, nr 11, s. 861-871
Nyckelord [en]
Heart failure, individual patient data meta-analysis, self-management
Nationell ämneskategori
Kardiologi Omvårdnad
Identifikatorer
URN: urn:nbn:se:hj:diva-34066DOI: 10.1016/j.cardfail.2016.06.422ISI: 000388059200004PubMedID: 27374838Scopus ID: 2-s2.0-84994164408Lokalt ID: HHJADULTISOAI: oai:DiVA.org:hj-34066DiVA, id: diva2:1048617
Tillgänglig från: 2016-11-21 Skapad: 2016-11-21 Senast uppdaterad: 2019-03-07Bibliografiskt granskad

Open Access i DiVA

fulltext(555 kB)91 nedladdningar
Filinformation
Filnamn FULLTEXT01.pdfFilstorlek 555 kBChecksumma SHA-512
e41a13b2e5cefd1ef5221996f6723f6a081012c6d02f78ab1b3f4ae8b8ea60918e0cfadf861c1c66e16a066eda856730ea85804e259a15d79746e2ff72660757
Typ fulltextMimetyp application/pdf

Övriga länkar

Förlagets fulltextPubMedScopus

Personposter BETA

Mårtensson, Jan

Sök vidare i DiVA

Av författaren/redaktören
Mårtensson, Jan
Av organisationen
HHJ. ADULTHHJ, Avd. för omvårdnad
I samma tidskrift
Journal of Cardiac Failure
KardiologiOmvårdnad

Sök vidare utanför DiVA

GoogleGoogle Scholar
Totalt: 91 nedladdningar
Antalet nedladdningar är summan av nedladdningar för alla fulltexter. Det kan inkludera t.ex tidigare versioner som nu inte längre är tillgängliga.

doi
pubmed
urn-nbn

Altmetricpoäng

doi
pubmed
urn-nbn
Totalt: 228 träffar
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf