Effectiveness and Cost-Effectiveness of Self-Management Interventions for Adults Living with Heart Failure to Improve Patient-Important Outcomes: An Evidence Map of Randomized Controlled Trials
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Published:2024-01-24
Issue:3
Volume:12
Page:302
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ISSN:2227-9032
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Container-title:Healthcare
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language:en
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Short-container-title:Healthcare
Author:
Santero Marilina1ORCID, Song Yang1, Beltran Jessica1, Medina-Aedo Melixa1ORCID, Canelo-Aybar Carlos1ORCID, Valli Claudia12ORCID, Rocha Claudio1ORCID, León-García Montserrat1ORCID, Salas-Gama Karla3ORCID, Kaloteraki Chrysoula1ORCID, Niño de Guzmán Ena1ORCID, Ballester Marta24ORCID, González-González Ana Isabel2ORCID, Poortvliet Rune5, van der Gaag Marieke5, Spoiala Cristina5, Gurung Pema5, Willemen Fabienne5, Cools Iza5ORCID, Bleeker Julia5ORCID, Kancheva Angelina5ORCID, Ertl Julia5, Laure Tajda5ORCID, Kancheva Ivana5ORCID, Pacheco-Barrios Kevin26ORCID, Zafra-Tanaka Jessica Hanae26ORCID, Tsokani Sofia7ORCID, Veroniki Areti Angeliki89, Seitidis Georgios7ORCID, Christogiannis Christos7ORCID, Kontouli Katerina Maria7ORCID, Groene Oliver1011ORCID, Sunol Rosa26ORCID, Orrego Carola246ORCID, Heijmans Monique5ORCID, Alonso-Coello Pablo1ORCID
Affiliation:
1. Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), 08025 Barcelona, Spain 2. Avedis Donabedian Research Institute (FAD), 08037 Barcelona, Spain 3. Quality, Process and Innovation Direction, Vall d’Hebron Hospital Universitari, 08035 Barcelona, Spain 4. Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), 08007 Barcelona, Spain 5. Netherlands Institute for Health Services Research (NIVEL), 3513 Utrecht, The Netherlands 6. Faculty of Medicine, Universitat Autònoma de Barcelona (UAB), 08025 Barcelona, Spain 7. Department of Primary Education, School of Education, University of Ioannina, 45110 Ioannina, Greece 8. Knowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Toronto, ON M5B 1W8, Canada 9. Institute for Health Policy, Management, and Evaluation, University of Toronto, Toronto, ON M5S 3G8, Canada 10. OptiMedis, 20095 Hamburg, Germany 11. Faculty of Management, Economics and Society, University of Witten/Herdecke, 58455 Witten, Germany
Abstract
Self-management interventions (SMIs) may enhance heart failure (HF) outcomes and address challenges associated with disease management. This study aims to review randomized evidence and identify knowledge gaps in SMIs for adult HF patients. Within the COMPAR-EU project, from 2010 to 2018, we conducted searches in the databases MEDLINE, CINAHL, Embase, Cochrane, and PsycINFO. We performed a descriptive analysis using predefined categories and developed an evidence map of randomized controlled trials (RCTs). We found 282 RCTs examining SMIs for HF patients, comparing two to four interventions, primarily targeting individual patients (97%) globally (34 countries, only 31% from an European country). These interventions involved support techniques such as information sharing (95%) and self-monitoring (62%), often through a mix of in-person and remote sessions (43%). Commonly assessed outcomes included quality of life, hospital admissions, mortality, exercise capacity, and self-efficacy. Few studies have focused on lower socio-economic or minority groups. Nurses (68%) and physicians (30%) were the primary providers, and most studies were at low risk of bias in generating a random sequence for participant allocation; however, the reporting was noticeably unclear of methods used to conceal the allocation process. Our analysis has revealed prevalent support techniques and delivery methods while highlighting methodological challenges. These findings provide valuable insights for researchers, clinicians, and policymakers striving to optimize SMIs for individuals living with HF.
Funder
European Union’s Horizon 2020 research and innovation program
Subject
Health Information Management,Health Informatics,Health Policy,Leadership and Management
Reference26 articles.
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