Key result
Systematic review protocol aims to explore patient treatment burden in HF self-care interventions.
Why the study?
Chronic heart failure management involves substantial healthcare workload that can cause treatment burden and subsequent non-adherence, but qualitative evidence on patient experiences during self-care interventions needs synthesis.
Systematic Review
This protocol outlines a qualitative systematic review to explore the treatment burden experienced by heart failure patients participating in self-care interventions.
May inform less burdensome self-care strategies in heart failure; extends qualitative synthesis on patient experiences of treatment burden.
INTRODUCTION: Chronic heart failure management can involve considerable healthcare workload for the patient that impacts on well-being and results in treatment being perceived as burdensome. This can result in non-adherence to treatments. This systematic review aims to identify, appraise and synthesise the available qualitative evidence exploring the experience of treatment burden in heart failure patients participating in a self-care intervention. Findings will provide an in-depth understanding of the patient journey, providing knowledge that will enable the development of targeted interventions that reduce the burden of treatment for patients. METHOD AND ANALYSIS: The databases will include Medline, PsycINFO, Embase, CINAHL, Cochrane and Web of Science. The review protocol is registered in the International Prospective Register for Systematic Reviews (PROSPERO ID no 1052512). This review will systematically scour qualitative research studies in databases from 2010 to January 2025 with carefully chosen search terms such as heart failure, self-care and burden. Searches are limited to studies in English. Two reviewers, guided by the Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research, will independently appraise the methodological quality of the selected studies. Any disagreements will be resolved through discussion with a third reviewer. This review will employ a rigorous thematic synthesis approach informed by the burden of treatment theory, where two researchers will analyse and synthesise data by double-coding. ETHICS AND DISSEMINATION: Ethical approval is not required for this systematic review as primary data will not be collected. The result of the review will be disseminated through publication in an academic journal and scientific conferences. PROSPERO REGISTRATION NUMBER: ID 1052512.
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Nordfonn et al. (2025) conducted a systematic review in Chronic heart failure. Self-care interventions was evaluated on Patient experience of treatment burden. This protocol outlines a qualitative systematic review to explore the patient experience of treatment burden in chronic heart failure self-care interventions.
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