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May 21, 2021Open Access

Individualized one-on-one HF education improves self-care and symptom experience over standardized approaches.

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Why the study?

Limited research had examined the specific approach, mode of delivery, and dose of educational interventions needed to develop effective heart failure education.

Do individualized, multi-session, combined-media educational interventions improve self-care knowledge, behavior, and symptom experience in adult heart failure patients?

Population

1865 study participants across 69 studies

Comparison

Different approaches, modes of delivery, and doses of heart failure patient education

Design

Systematic review

Key result

Individualized heart failure patient education delivered via combined mediums on a one-on-one basis over multiple sessions produced larger improvements in self-care knowledge, behavior, and symptom experience compared to standardized approaches.

Authors

SFSuzanne FredericksHBHeather BeanlandsKSKaren Spalding

Discussion

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Member takes

Overview

Supports individualized multi-session HF education in practice; confirms optimal delivery formats in Level 1 evidence.

Study Design

Type

Systematic Review (n=1,865)

Structured PICO

Do individualized, multi-session, combined-media educational interventions improve self-care knowledge, behavior, and symptom experience in adult heart failure patients?

P
Population
1,865 adult (≥ 18 years) patients diagnosed with heart failure pooled from 69 experimental and quasi-experimental studies. In 89.1% of studies, patients were ≥50 years; 73% of studies had mainly male samples; 94.5% of studies had samples with ≤ high school education.
I
Intervention
Heart failure patient education interventions varying by approach (individualized vs standardized), medium (face-to-face, phone, written, combined), format (individual vs group), and dose (single vs multiple sessions).
C
Comparator
Usual care (standardized teaching) or alternative educational approaches (e.g., standardized vs individualized, single vs multiple sessions, written vs combined media).
O
Outcome
Self-care knowledge, self-care behaviour, and symptom experience (perceived symptom severity).patient reported

Heart failure patient education is most effective when individualized, delivered one-on-one using combined media, and provided over multiple sessions.

Limitations

  • Due to the small number of studies that provided the data required to compute the effect size, it was not appropriate to use inferential statistics to explore differences in outcomes in relation to elements of educational interventions.
  • Small number of studies provided data required to compute effect sizes, precluding the use of inferential statistics.

Cite This Study

Fredericks et al. (2021) conducted a systematic review in Heart failure (n=1,865). Heart failure patient education (individualized, combined media, one-on-one, multiple sessions) vs. Standardized education or usual care was evaluated on Self-care knowledge, self-care behaviour, and symptom experience. Individualized heart failure patient education delivered via combined mediums on a one-on-one basis over multiple sessions produced larger improvements in self-care knowledge, behavior, and symptom experience compared to standardized approaches.

synapsesocial.com/papers/6a0f2aef11edbd3546bdc6cfhttps://doi.org/10.32920/ryerson.14639823.v1
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