A 6-month self-care education programme will be evaluated in a randomized controlled trial of 160 patients with heart failure to assess its impact on clinical outcomes and self-care behaviour.
RCT (n=160)
1:1 block randomization
Does a comprehensive self-care educational programme improve clinical outcomes and self-care behaviour in people with heart failure?
This study protocol outlines a randomized controlled trial to evaluate whether a comprehensive self-care educational program improves clinical and behavioral outcomes in patients with heart failure.
AIM: To evaluate the effectiveness of a self-care education programme on clinical outcomes, self-care behaviour and knowledge on heart failure (HF) among peoples with HF. DESIGN: Randomized controlled trial. METHODS: The participants (N = 160) will be randomly assigned (1:1) to the intervention and the control arms using block randomization. The participants assigned to the intervention arm will receive educational intervention on HF self-care comprising video-assisted teaching with teach-back technique, tailored teaching at discharge and a guide on self-care followed by telephonic calls and text messages after discharge for 6 months along with standard care. The participants in the control arm will receive only a guide on self-care with standard care. The clinical outcomes such as health-related quality of life, hospital readmissions, N-terminal pro-brain natriuretic peptide levels, symptom perception, functional status, left ventricular ejection fraction, Seattle HF score, self-care behaviour and knowledge on HF will be measured at the baseline, after 1 and 6 months of the intervention. DISCUSSION: Several studies conducted on self-care education interventions have shown positive effects, whereas few studies have shown no effect on the people outcomes. Providing the printed self-care guide alone may not improve behaviour associated with self-care and clinical outcomes. These peoples need continuous reinforcement on self-care. If this self-care educational intervention shows beneficial effects, it will contribute to the clinical practice and improve clinical outcomes. IMPACT: This research will contribute to the evidence on the effectiveness of an educational intervention on self-care among peoples with HF. The results would assist the nurses caring for peoples with HF. They can also implement this intervention for improving the peoples' self-care behaviour. TRIAL REGISTRATION: The trial is registered with the Clinical Trial Registry India and the reference ID number CTRI/2019/10/021724.
D’Souza et al. (Mon,) conducted a rct in Heart failure (n=160). Self-care education programme (video-assisted teaching, teach-back, tailored discharge teaching, telephonic calls, text messages) vs. Printed guide on self-care with standard care was evaluated on Clinical outcomes (health-related quality of life, hospital readmissions, NT-proBNP, symptom perception, functional status, LVEF, Seattle HF score), self-care behaviour, and knowledge. A 6-month self-care education programme will be evaluated in a randomized controlled trial of 160 patients with heart failure to assess its impact on clinical outcomes and self-care behaviour.