Key result
A year-long group-based self-management intervention significantly increased overall self-efficacy in practicing self-management skills compared with baseline (p<0.001).
Why the study?
Does a year-long group-based self-management intervention improve self-management skills in patients with mild-to-moderate heart failure?
Does a year-long group-based self-management intervention improve self-management skills in patients with mild-to-moderate heart failure?
Answers are grounded in this paper and cite their sources.
A year-long group-based self-management intervention is feasible and significantly improves self-efficacy and the actual use of self-management skills in patients with mild-to-moderate heart failure.
Nonadherence to medical treatment among heart failure patients is high and results in frequent exacerbations and premature death. This treatment-only pilot study examined whether a year-long group-based self-management intervention is feasible and improves self-management skills in patients with mild-to-moderate heart failure (ejection fraction < or =40% and New York Heart Association functional class I, II, or III). A total of 31 of 100 recruited patients (31%) agreed to participate. Twenty-six (84%) completed the year-long self-management program. Compared with baseline, the intervention was associated with an increase in overall self-efficacy in practicing self-management skills (p<0.001) and in four of five specific self-management skills. Patients and their group leaders also reported an increase in actual use of self-management skills (p<0.001) and in several psychosocial outcomes. The success of this pilot study suggests the need for a randomized clinical trial to test the efficacy of group-based self-management training on medical outcomes.
No takes yet. Share an insight, caveat, or question.
Flynn et al. (2005) studied mild-to-moderate heart failure (n=31). group-based self-management intervention vs. baseline was evaluated on overall self-efficacy in practicing self-management skills (p=<0.001). A year-long group-based self-management intervention significantly increased overall self-efficacy in practicing self-management skills compared with baseline (p<0.001).
Synapse has enriched 10 related papers. Consider them for comparative context: