Comparison of short and long forms of the Flinders program of chronic disease SELF-management for participants starting SGLT-2 inhibitors for congestive heart failure (SELFMAN-HF): protocol for a prospective, observational study

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  Figure 1. Patient journey pathway, challenges, and opportunities for heart failure.

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  Figure 2. Summary of standardisation structures for evidence and clinical services. (A) Heart failure structures for clinical standards, taxonomy domains to build systems, research methodologies to gain evidence that eventually lead to guidelines. The subsequent steps are observations on: Phase 4 translation to trial type populations, cost-effectiveness to the general population; Phase 5 is a newly coined term to explore logistics in service delivery; the final point are unknowns such as vulnerable populations, new findings that require a bench to bedside approach of gathering evidence and testing these hypotheses in a Phase 3 randomised trial. Population level. RCT – randomised controlled trial [adapted from references (1, 2, 12–16)]. (B) Chronic disease self-management is standardised around the Flinders Program of Chronic Disease Condition Management (CFPI). Partners in Health (PIH) are 12 self-rated questionnaire patient complete to assess self-management knowledge, attitudes, behaviours, and impacts of their chronic condition; Cue and Response Interview (C&R) is administered by health workers using an open-ended dialogue on the same questions as the PIH, and rated from the health…

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  Figure 3. Study parameters and flow diagram. @ clinical consult, NYHA, 6MWT. # Echocardiography, ECG, CXR, ESE. *(FBE, EUC, lipids, HbA1c, Ca Mg, Alb, acute phase); UACR, NT-ProBNP. 6MWT, 6-min walk test; BP, blood pressure; eCDSMP, electronic chronic disease self-management programme; CHF, congestive heart failure; COPD, chronic obstructive pulmonary disease; CR, cardiac rehabilitation; CKD, chronic renal impairment; CXR, chest x-ray; DM, diabetes mellitus; EUC, electrolytes and kidney function; ESE, exercise stress echocardiography; ECG, electrocardiography; FBE, full blood examination; HbA1c, glycosylated haemoglobin; HFpEF, heart failure preserved ejection fraction; HFrEF, heart failure reduced ejection fraction; LVEF, left ventricular ejection fraction; MTWT, “Meeting Two Worlds Together”; MLHF, Minnesota living with heart failure; NT-pro-BNP, brain natriuretic peptide; NYHA, New York Heart Association; PACIC, patient assessment of chronic disease capacity; RCT, randomised controlled trial; RHC, right heart catheterisation; TBA, to be advised; UACR, urine albumin creatinine ration; yo, year old.